A healthcare provider prescribes knee-high anti-embolism stockings for a client who is currently sitting in a bedside chair. Arrange the following steps for applying the stockings in the correct chronological order.
- 1Assist the client to lie supine in bed for 15 to 30 minutes.
- 2Measure the client's calf circumference and leg length to select the appropriate stocking size.
- 3Turn the stocking inside out down to the heel pocket.
- 4Slide the foot portion of the stocking evenly over the client's toes and heel.
- 5Pull the remaining fabric smoothly up the leg to just below the knee.
Answer
The practical nurse must first assist the client to a supine position for 15 to 30 minutes, measure the leg for correct sizing, turn the stocking inside out to the heel, apply the foot portion, and finally pull the remaining fabric smoothly up the calf.
Applying anti-embolism stockings requires specific preparation to be effective and safe. Because the client has been sitting in a chair, their legs have been in a dependent position, allowing venous blood to pool. The nurse must first assist the client to a supine position for 15 to 30 minutes to promote venous return and resolve dependent edema. Once the legs are rested, accurate measurements of the calf and leg length ensure the correct size is chosen, preventing a tourniquet effect from stockings that are too tight. After obtaining the right size, turning the stocking inside out to the heel allows the nurse to smoothly apply the foot portion first. Finally, pulling the remainder of the stocking up the calf ensures a wrinkle-free fit that effectively supports venous return.
Step-by-Step Solution
Key Concept
Proper application of anti-embolism stockings to promote venous return