Author Question: The nurse knows the knee-high SCD sleeves are correctly placed on the patient when the following ... (Read 40 times)

joesmith1212 · **on:** Jul 23, 2018

The nurse knows the knee-high SCD sleeves are correctly placed on the patient when the following conditions are met: (Select all that apply.)

a. Both sleeves are connected to the SCD device.
b. Two fingers fit inside when the SCDs are inflated.
c. There are no kinks in the tubing.
d. The ankle pressure is 55 to 65 mm Hg.
e. The cooling control is on.

Question 2

The nurse is providing discharge education for her patient who is going home with a walker. Which statement by the patient indicates a good level of understanding of safety in the home? (Select all that apply.)

a. I need to remove the throw rugs.
b. I should make sure I only take a bath.
c. I cannot use the stairs.
d. I need to place a nonskid mat in front of the kitchen sink.

mcomstock09 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A, C, E
Proper positioning of the SCD sleeve allows proper fit and application, which decreases the risk of constricting the blood flow or diminishing optimal outcomes. Wrap the sleeve around the leg, and fasten it with Velcro straps. Verify that two fingers fit between the leg and the sleeve when the sleeve is not inflated. Connect the sleeves to the device, ensure that there are no kinks in the tubing, and turn on the cooling and set it to 35 to 55 mm Hg.

Answer to Question 2

ANS: A, D
To ensure patients do not have hazards that can cause falls at home, the nurse should evaluate where the living quarters are. If the patient has stairs, they need to be able to safely learn how to use the stairs. They need to remove throw rugs that are a trip hazard and place nonskid mats in front of sinks, tubs, and showers. They can shower with a bench or chair in the shower for sitting.