The nurse is preparing to apply antiembolic stockings to a ...

[meagbuch]

The nurse is preparing to apply antiembolic stockings to a postoperative client. What should be done first, before applying the stockings?
 
  1. Measure the calf.
  2. Assess for circulatory problems.
  3. Assess the client's blood pressure.
  4. Clean the stockings.

Question 2

The nurse is caring for a client in the immediate postoperative period (PACU). Which intervention should the nurse implement to reduce the risk of thrombophlebitis?
 
  1. Leg exercises
  2. Coughing every 2 hours
  3. Ambulating every 2 hours
  4. Oxygen by mask

[Silverbeard98]

Answer to Question 1

Correct Answer: 2
Rationale 1: Measuring the calf is the first step of implementing antiembolic stockings.
Rationale 2: Before applying antiembolic stockings, determine any potential or present circulatory problems and the surgeon's orders involving the lower extremities.
Rationale 3: Assessing the blood pressure is not done before applying antiembolic stockings.
Rationale 4: The client should be given clean stockings, but the nurse should not have to wash stockings before using.

Answer to Question 2

Correct Answer: 1
Rationale 1: Leg exercises may be implemented in the PACU to help prevent thrombophlebitis.
Rationale 2: Coughing every 2 hours does not prevent thrombophlebitis.
Rationale 3: Ambulation is not done in the postanesthesia care unit.
Rationale 4: Oxygen does not prevent thrombophlebitis.

[meagbuch]

TYSM

[bdobbins]

Excellent