While caring for a client who has been resting in a bedside chair, the practical nurse receives a prescription to apply knee-high anti-embolism stockings. In what order should the nurse perform the following actions to safely and effectively apply the stockings? Arrange the steps from first to last.
- 1Palpate pedal pulses and observe the skin of the lower extremities for any lesions.
- 2Assist the client into a supine position and elevate the legs for 15 to 30 minutes.
- 3Invert the anti-embolism stocking inside out down to the heel.
- 4Position the client's foot into the stocking and align the heel in the heel pocket.
- 5Pull the stocking up over the calf and smooth out any wrinkles or rolls.
Answer
The correct sequence is to first assess the skin and pulses, elevate the legs, invert the stocking to the heel, align the foot and heel, and finally pull the stocking up smoothly.
Applying anti-embolism stockings correctly requires a sequence that prioritizes assessment, preparation, and proper technique. First, the practical nurse must collect baseline data by observing the skin and checking pedal pulses to identify any contraindications. Next, because the client has been sitting in a chair, the nurse must assist the client into a supine position and elevate their legs for 15 to 30 minutes. This critical step reduces dependent edema and prevents trapping venous blood in the lower extremities. Once prepared, the nurse inverts the stocking inside out down to the heel, which facilitates sliding it over the foot. The foot is positioned into the stocking with careful attention to aligning the heel in the pocket to prevent pressure points. Finally, the remaining portion of the stocking is pulled up the calf, and all wrinkles or rolls are smoothed out to prevent a tourniquet effect that could impede venous return and damage the skin.
Step-by-Step Solution
Key Concept
Proper application of anti-embolism stockings to promote venous return and prevent complications.
Estimated Time:1m 30s