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Zorluk: OrtaBasic Care and Comfort

A practical nurse (PN) is preparing to apply knee-high anti-embolism stockings to a client who is prescribed prolonged bed rest. In what order should the PN perform the following actions? Arrange the steps in the correct sequence.

  1. 1Assist the client into a supine position for 15 to 30 minutes.
  2. 2Turn the stocking inside out down to the heel pocket.
  3. 3Place the foot of the stocking over the client's toes and heel.
  4. 4Slide the remaining portion of the stocking up over the calf.
  5. 5Smooth out any wrinkles or creases in the fabric.

Cevap

First, place the client in a supine position. Second, turn the stocking inside out to the heel. Third, apply the stocking over the toes and heel. Fourth, slide it up the calf. Finally, smooth out any wrinkles.
The correct sequence for applying anti-embolism stockings prioritizes promoting venous return and protecting skin integrity. The client must first be supine to allow blood to drain from the lower extremities. Preparing the stocking by turning it to the heel allows for smooth application over the foot, followed by pulling it up the calf. Finally, smoothing wrinkles prevents pressure injuries.

Adım Adım Çözüm

1
Evaluate the client's position and timing before application.
The client is placed in a supine position for 15 to 30 minutes.
This prevents trapping dependent venous blood in the lower legs.
2
Prepare the stocking for application.
The stocking is inverted inside out down to the heel pocket.
This technique allows for controlled, precise placement over the foot without excessive pulling or friction.
3
Apply the stocking to the foot.
The stocking covers the toes and the heel pocket is correctly aligned.
Proper alignment of the heel pocket is crucial for comfort and correct compression distribution.
4
Apply the stocking to the lower leg.
The remainder of the stocking is slid up the calf.
This applies the graduated compression needed to promote venous return.
5
Inspect the applied stocking.
All wrinkles and creases are smoothed out.
Wrinkles act as a tourniquet, impeding venous return and potentially causing skin breakdown.

Anahtar Kavram

Application of Anti-Embolism Stockings
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Konular

Basic Care and Comfort

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