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Zorluk: KolayBasic Care and Comfort

The healthcare provider prescribes knee-length anti-embolic stockings for a newly admitted client who is on bed rest. To promote proper venous return and prevent tissue injury, in what order should the nurse perform the steps to apply the stockings? Arrange the actions in the correct chronological sequence.

  1. 1Position the client supine in bed for 15 to 30 minutes.
  2. 2Invert the stocking by reaching inside and grasping the heel pocket.
  3. 3Slide the foot portion of the stocking over the client's toes and heel.
  4. 4Pull the main body of the stocking gently up over the calf toward the knee.
  5. 5Smooth out any wrinkles and ensure the fabric is not rolled at the top edge.

Cevap

The correct sequence for applying anti-embolic stockings is to position the client supine, invert the stocking to the heel, slide it over the toes and heel, pull it up the calf, and finally smooth out any wrinkles.
Correct application of anti-embolic stockings requires preparation of both the client and the garment. The client must be supine to minimize edema. Preparing the stocking by inverting it to the heel pocket ensures a smooth application over the foot. Anchoring the foot first allows the nurse to pull the rest of the stocking up without twisting. Finally, ensuring the stocking is smooth prevents localized pressure points that could impede circulation.

Adım Adım Çözüm

1
Position the client supine in bed for 15 to 30 minutes.
Dependent fluid drains from the legs.
This prevents trapping venous blood and edema inside the stocking before compression is applied.
2
Invert the stocking by grasping the heel pocket.
The stocking is prepared for smooth application.
This technique allows the stocking to slide over the foot easily without bunching.
3
Slide the foot portion over the toes and heel.
The foot of the stocking is anchored correctly.
Proper alignment over the heel is crucial for the stocking's graduated compression design.
4
Pull the main body of the stocking over the calf.
The stocking covers the lower leg.
This provides the intended therapeutic compression to the superficial and deep veins.
5
Smooth out any wrinkles and check the top edge.
The stocking lies perfectly flat against the skin.
Wrinkles or rolled edges create areas of excessive pressure that can restrict blood flow like a tourniquet.

Anahtar Kavram

Immobility Interventions: Anti-Embolic Stocking Application
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