Question 1

Which should a nurse keep in mind before applying a bandage to an open wound on the client's leg?

Accepted Answer

A)  The bandage's sterility should be maintained during application. 
B)  The bandage must be tight fitting to assure it will stay in place. 
C)  The bandage must be nonadherent to maximize its effectiveness. 
D)  The bandage must not be stretchy so as to facilitate circulation. 
A)  The bandage's sterility should be maintained during application. 
B)  The bandage must be tight fitting to assure it will stay in place. 
C)  The bandage must be nonadherent to maximize its effectiveness. 
D)  The bandage must not be stretchy so as to facilitate circulation. A

Question 2

The nurse is wrapping an elastic roller bandage on the client's arm. What is the correct sequence for wrapping the bandage?
1) Fasten the end securely.
2) Wrap the bandage around the client's limb twice, below the joint to anchor it.
3) Use alternating ascending and descending turns to form a figure eight.
4) Overlap each turn of the bandage by one half to two thirds the width of the strip.

Accepted Answer

A)  1, 2, 3, 4 
B)  2, 3, 4, 1 
C)  3, 4, 1, 2 
D)  4, 1, 2, 3 
A)  1, 2, 3, 4 
B)  2, 3, 4, 1 
C)  3, 4, 1, 2 
D)  4, 1, 2, 3 B

Question 3

How often should the nurse rewrap an abdominal binder?

Accepted Answer

A)  Every 1 to 3 hours 
B)  Every 2 to 4 hours 
C)  Every 3 to 5 hours 
D)  Every 4 to 6 hours 
A)  Every 1 to 3 hours 
B)  Every 2 to 4 hours 
C)  Every 3 to 5 hours 
D)  Every 4 to 6 hours B

Question 4

What observations and assessments should the nurse preform when completing a peripheral neurovascular assessment? Select all that apply.

Accepted Answer

A)  Skin color 
B)  Toe motion 
C)  Sensation in toes 
D)  Distal pulses 
E)  Pupil check 
A)  Skin color 
B)  Toe motion 
C)  Sensation in toes 
D)  Distal pulses 
E)  Pupil check

Question 5

A nurse is required to apply a binder to hold a perineal dressing in place. Which binder is preferable in this case?

Accepted Answer

A)  Abdominal binder 
B)  Micropore tape 
C)  Montgomery strap 
D)  T-binder 
A)  Abdominal binder 
B)  Micropore tape 
C)  Montgomery strap 
D)  T-binder

Question 6

What are the most common uses for the T-binder in the care of a client? Select all that apply.

Accepted Answer

A)  To support a specific part of the body 
B)  To discourage formation of blood clots 
C)  To exert pressure over a bleeding point 
D)  To ensure adequate return circulation to the body part 
E)  To hold a dressing in place 
A)  To support a specific part of the body 
B)  To discourage formation of blood clots 
C)  To exert pressure over a bleeding point 
D)  To ensure adequate return circulation to the body part 
E)  To hold a dressing in place

Question 7

Why should the nurse use Montgomery straps on a post-abdominal surgery client? Select all that apply.

Accepted Answer

A)  Avoids repeated tape removal 
B)  Avoids clot formation within the blood vessels 
C)  Minimizes skin irritation with each dressing change 
D)  Minimizes mobility of the abdominal muscles 
E)  Minimizes post-surgical pain 
A)  Avoids repeated tape removal 
B)  Avoids clot formation within the blood vessels 
C)  Minimizes skin irritation with each dressing change 
D)  Minimizes mobility of the abdominal muscles 
E)  Minimizes post-surgical pain

Question 8

A nurse is caring for a client whose leg is wrapped in a bandage. What should the nurse keep in mind when planning care for this client?

Accepted Answer

A)  Bandage should be released every 6 hours 
B)  Toes should be warmer than the rest of the body 
C)  Digits should be assessed by applying light pressure 
D)  Body temperature should be assessed every 2 hours 
A)  Bandage should be released every 6 hours 
B)  Toes should be warmer than the rest of the body 
C)  Digits should be assessed by applying light pressure 
D)  Body temperature should be assessed every 2 hours

Question 9

What are the purposes and therapeutic benefits of bandages and binders? Select all that apply.

Accepted Answer

A)  Support a limb or joint 
B)  Support a wound or incision 
C)  Hold dressings in place 
D)  Hold a pad to absorb wound drainage 
E)  Prevents wound infection 
A)  Support a limb or joint 
B)  Support a wound or incision 
C)  Hold dressings in place 
D)  Hold a pad to absorb wound drainage 
E)  Prevents wound infection

Question 10

What are reasons for providing compression with the use of a bandage or binder? Select all that apply.

Accepted Answer

A)  To maintain inflexibility of a joint 
B)  To promote venous return 
C)  To prevent edema 
D)  To prevent contractures 
E)  To stabilize a fractures bone 
A)  To maintain inflexibility of a joint 
B)  To promote venous return 
C)  To prevent edema 
D)  To prevent contractures 
E)  To stabilize a fractures bone

Question 11

Which client would benefit from the application of an elasticized bandage to the limb?

Accepted Answer

A)  A client with a sprained ankle 
B)  A client who had a small cyst removed from the arm 
C)  A client with a draining, infected foot ulcer 
D)  A client with a splinted index finger 
A)  A client with a sprained ankle 
B)  A client who had a small cyst removed from the arm 
C)  A client with a draining, infected foot ulcer 
D)  A client with a splinted index finger

Question 12

What is the correct sequence for application of antiembolism stockings?
1) Applying the antiembolism stockings
2) Taking measurement of the legs for proper size
3) Explaining the procedure to the client
4) Checking the integrity of the stockings

Accepted Answer

A)  1, 2, 3, 4 
B)  2, 1, 4, 3 
C)  3, 2, 1, 4 
D)  4, 3, 2, 1 
A)  1, 2, 3, 4 
B)  2, 1, 4, 3 
C)  3, 2, 1, 4 
D)  4, 3, 2, 1

Question 13

What are the most common reasons for applying a roller bandage to the client? Select all that apply.

Accepted Answer

A)  To support the abdominal muscles 
B)  To enable frequent dressing changes 
C)  To support a dressing and 
D)  To prevent blood clots 
E)  To exert pressure over a bleeding point 
A)  To support the abdominal muscles 
B)  To enable frequent dressing changes 
C)  To support a dressing and 
D)  To prevent blood clots 
E)  To exert pressure over a bleeding point

Question 14

Following a postoperative procedure, a nurse is asked to apply antiembolism stockings to the client. Which does the application of antiembolism stockings prevent?

Accepted Answer

A)  Need for frequent dressing changes 
B)  Clot formation within the blood vessels 
C)  Development of pain in the legs 
D)  Limitation of mobility of the legs 
A)  Need for frequent dressing changes 
B)  Clot formation within the blood vessels 
C)  Development of pain in the legs 
D)  Limitation of mobility of the legs

Question 15

After applying an antiembolism stocking to a client, the nurse observes paleness and cyanotic appearance of the client's toes. What could have been the reason for the change in color?

Accepted Answer

A)  Excess movement of the legs by the client 
B)  Restriction of circulation to the extremities 
C)  Elevation of the legs for a long duration 
D)  Removal of the bandage by the client 
A)  Excess movement of the legs by the client 
B)  Restriction of circulation to the extremities 
C)  Elevation of the legs for a long duration 
D)  Removal of the bandage by the client

Question 16

For which signs and symptoms should the nurse monitor to indicate whether there is any circulatory disturbance in the client whose leg was injured in an auto accident? Select all that apply.

Accepted Answer

A)  Observe for color changes in the skin of the toes. 
B)  Check for pain associated with movement of the toes. 
C)  Observe for presence of edema in the lower extremity. 
D)  Monitor for temperature changes in the leg. 
E)  Monitor the client's body temperature as prescribed. 
A)  Observe for color changes in the skin of the toes. 
B)  Check for pain associated with movement of the toes. 
C)  Observe for presence of edema in the lower extremity. 
D)  Monitor for temperature changes in the leg. 
E)  Monitor the client's body temperature as prescribed.

Question 17

What criteria should the nurse keep in mind before applying antiembolism stockings to a client? Select all that apply.

Accepted Answer

A)  The width of calf needs to be measured and recorded 
B)  The stockings should be applied before getting the client out of bed 
C)  The stockings need to be applied immediately after lying down 
D)  The leg length needs to be measured and recorded 
E)  Blood pooling can occurred if the legs are in a dependent position for any length of time 
A)  The width of calf needs to be measured and recorded 
B)  The stockings should be applied before getting the client out of bed 
C)  The stockings need to be applied immediately after lying down 
D)  The leg length needs to be measured and recorded 
E)  Blood pooling can occurred if the legs are in a dependent position for any length of time

Question 18

A nurse is required to apply antiembolism stockings to a client who has had surgery.
What specific observations need to be completed when the nurse removes the stockings? Select all that apply.

Accepted Answer

A)  Signs of redness 
B)  Signs of pitting edema 
C)  Signs of skin discoloration 
D)  Signs of drainage 
E)  Signs of scaling skin 
A)  Signs of redness 
B)  Signs of pitting edema 
C)  Signs of skin discoloration 
D)  Signs of drainage 
E)  Signs of scaling skin

Question 19

Which assessment observations might indicate a blockage in the circulation to the extremity wrapped in an elastic roller bandage? Select all that apply.

Accepted Answer

A)  Change of color in the toes 
B)  Increase in the temperature over the toes 
C)  Symptoms of fever and vomiting 
D)  Symptoms of rashes and itching over the legs 
E)  Reports of severe pain in the legs 
A)  Change of color in the toes 
B)  Increase in the temperature over the toes 
C)  Symptoms of fever and vomiting 
D)  Symptoms of rashes and itching over the legs 
E)  Reports of severe pain in the legs

Question 20

A nurse is asked to attend to a client with multiple injuries following an accident. Which is an indication for applying an elastic roller bandage?

Accepted Answer

A)  Rib injuries 
B)  Bleeding from abdominal wounds 
C)  Abdominal surgery 
D)  Sprained ankle 
A)  Rib injuries 
B)  Bleeding from abdominal wounds 
C)  Abdominal surgery 
D)  Sprained ankle

Exam 53: Bandages and Binders

Which should a nurse keep in mind before applying a bandage to an open wound on the client's leg?

How often should the nurse rewrap an abdominal binder?

What observations and assessments should the nurse preform when completing a peripheral neurovascular assessment? Select all that apply.

A nurse is required to apply a binder to hold a perineal dressing in place. Which binder is preferable in this case?

What are the most common uses for the T-binder in the care of a client? Select all that apply.

Why should the nurse use Montgomery straps on a post-abdominal surgery client? Select all that apply.

A nurse is caring for a client whose leg is wrapped in a bandage. What should the nurse keep in mind when planning care for this client?

What are the purposes and therapeutic benefits of bandages and binders? Select all that apply.

What are reasons for providing compression with the use of a bandage or binder? Select all that apply.

Which client would benefit from the application of an elasticized bandage to the limb?

What is the correct sequence for application of antiembolism stockings? 1) Applying the antiembolism stockings 2) Taking measurement of the legs for proper size 3) Explaining the procedure to the client 4) Checking the integrity of the stockings

What are the most common reasons for applying a roller bandage to the client? Select all that apply.

Following a postoperative procedure, a nurse is asked to apply antiembolism stockings to the client. Which does the application of antiembolism stockings prevent?

After applying an antiembolism stocking to a client, the nurse observes paleness and cyanotic appearance of the client's toes. What could have been the reason for the change in color?

For which signs and symptoms should the nurse monitor to indicate whether there is any circulatory disturbance in the client whose leg was injured in an auto accident? Select all that apply.

What criteria should the nurse keep in mind before applying antiembolism stockings to a client? Select all that apply.

A nurse is required to apply antiembolism stockings to a client who has had surgery. What specific observations need to be completed when the nurse removes the stockings? Select all that apply.

Which assessment observations might indicate a blockage in the circulation to the extremity wrapped in an elastic roller bandage? Select all that apply.

A nurse is asked to attend to a client with multiple injuries following an accident. Which is an indication for applying an elastic roller bandage?

The Origins of Nursing

Beginning Your Nursing Career

The Healthcare Delivery System

Legal and Ethical Aspects of Nursing

Basic Human Needs

Health and Wellness

Community Health

Transcultural Healthcare

The Family

Infancy and Childhood

Adolescence

Early and Middle Adulthood

Older Adulthood and Aging

Death and Dying

Organization of the Human Body

The Integumentary System

Fluid and Electrolyte Balance

The Musculoskeletal System

The Nervous System

The Endocrine System

The Sensory System

The Cardiovascular System

The Hematologic and Lymphatic Systems

The Immune System

The Respiratory System

The Digestive System

The Urinary System

The Male Reproductive System

The Female Reproductive System

Basic Nutrition

Transcultural and Social Aspects of Nutrition

Diet Therapy and Special Diets

Introduction to the Nursing Process

Nursing Assessment

Nursing Diagnosis and Planning

Implementing and Evaluating Care

Documenting and Reporting

The Healthcare Facility Environment

Emergency Preparedness

Introduction to Microbiology

Medical Asepsis

Infection Control

Emergency Care and First Aid

Therapeutic Communication Skills

Admission, Transfer, and Discharge

Vital Signs

Data Collection in Client Care

Body Mechanics and Positioning

Beds and Bed Making

Personal Hygiene and Skin Care

Elimination

Specimen Collection

Heat and Cold Applications

Client Comfort and Pain Management

Preoperative and Postoperative Care

Surgical Asepsis

Wound Care

End-Of-Life Care

Review of Mathematics

Introduction to Pharmacology