A practical nurse is preparing to apply knee-high anti-embolism stockings for a client who has been sitting in a chair for the past hour. In what order should the nurse perform the following actions? (Arrange the steps from first to last.)
- 1Assist the client to a supine position and elevate the legs for 15 to 30 minutes.
- 2Reach inside the stocking and turn it inside out down to the heel pocket.
- 3Slip the foot of the stocking over the client's toes and instep.
- 4Stretch the fabric and align the heel pocket correctly over the client's heel.
- 5Unroll the remaining fabric evenly up the calf and smooth out any wrinkles.
Cevap
The correct sequence is to first elevate the client's legs, invert the stocking down to the heel pocket, fit the stocking over the toes, align the heel pocket on the client's heel, and finally smooth the remaining fabric up the calf.
Applying anti-embolism stockings requires a specific sequence to be both effective and safe. Because the client has been sitting, gravity has caused venous pooling; elevating the legs first allows this fluid to drain. Inverting the stocking facilitates a smooth application starting from the toes. Anchoring the heel in the pocket ensures proper placement, and finishing with a wrinkle-free fit over the calf maintains an even, distal-to-proximal pressure gradient without restricting circulation.
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Anahtar Kavram
Proper application of anti-embolism stockings to promote venous return and prevent complications.