A practical nurse is preparing to apply prescribed thigh-high anti-embolism stockings for a client who has been sitting in a bedside chair for the past three hours. In what order should the nurse perform the following actions? (Arrange the steps from first to last)
- 1Assist the client to transfer from the chair to a supine position in the bed.
- 2Elevate the client's lower extremities for 15 to 30 minutes.
- 3Measure the circumference of the calf and thigh, and the length of the leg.
- 4Turn the stocking inside out down to the heel pocket.
- 5Slide the stocking over the foot and smoothly roll it up the remainder of the leg.
Answer
First assist the client to a supine position, then elevate the legs for 15 to 30 minutes to reduce edema. Next, measure the leg for accurate sizing, invert the stocking down to the heel, and finally apply it smoothly up the leg.
The precise sequencing of anti-embolism stocking application is critical for clients who have been in a dependent position (sitting or standing). Gravity causes venous pooling and dependent edema. If the stockings are measured or applied immediately, they will be incorrectly sized and will trap the fluid. Therefore, the nurse must first assist the client to bed and elevate the legs for 15 to 30 minutes to promote venous return. Only after the edema has resolved should the nurse measure the leg, prepare the stocking by turning it inside out to the heel, and smoothly roll it on to ensure safe, effective compression.
Step-by-Step Solution
Key Concept
Application of anti-embolism stockings and management of dependent edema
Estimated Time:1m 30s