A registered nurse is preparing to apply knee-length anti-embolism stockings to a client who is on strict bed rest. Place the following nursing actions in the correct order from first to last. (All steps are required.)
- 1Measure the client's calf circumference and leg length to determine the appropriate stocking size.
- 2Place the client in a supine position and elevate the legs for 15 to 30 minutes.
- 3Insert a hand into the stocking, grasp the heel pocket, and turn the stocking inside out.
- 4Slide the foot portion of the stocking smoothly over the client's toes and heel.
- 5Pull the remaining fabric up over the calf and smooth out any wrinkles.
Answer
The correct sequence begins with measuring the client's legs to ensure proper sizing, followed immediately by elevating the legs to promote venous drainage. The nurse then prepares the stocking by turning it inside out, applies it over the foot and heel, and finally smooths it up the calf to prevent wrinkles.
The correct sequence ensures that stockings provide optimal therapeutic benefit. Proper sizing and pre-elevation of the legs prevent the trapping of venous blood. The specific inside-out application technique minimizes friction and prevents skin shearing during application, while smoothing the fabric prevents dangerous tourniquet effects.
Step-by-Step Solution
Key Concept
Immobility Interventions: Anti-embolism Stockings Application