A practical nurse is preparing to apply knee-length anti-embolism stockings to a client who is resting in bed. In which order should the nurse perform the following actions? Arrange the steps from first to last.
- 1Ensure the client has been resting in a supine position for at least 15 minutes.
- 2Turn the upper portion of the stocking inside out down to the heel.
- 3Position the foot of the stocking over the client's toes, foot, and heel.
- 4Slide the remainder of the stocking over the heel and smoothly up the calf.
- 5Smooth out any wrinkles and ensure the fabric top is not rolled.
Answer
The correct sequence is to first ensure the client rests supine to reduce swelling, then turn the stocking inside out to the heel, place it over the foot and heel, slide it up the calf, and finally smooth out any wrinkles.
To properly apply anti-embolism stockings, the practical nurse must first reduce venous swelling by having the client rest supine. Next, preparing the stocking by turning it inside out to the heel makes it easier to slip over the foot. After anchoring it on the foot and heel, the stocking is pulled up the leg. Finally, the nurse must ensure there are no wrinkles or rolled areas, which could act like a tourniquet and constrict blood flow.
Step-by-Step Solution
Key Concept
Proper application sequence for anti-embolism stockings