Deck 23: Promoting Circulation

Question 1

The nurse could safely delegate which task to the unlicensed assistive personnel (UAP)?

A)Removal of antiemboli stockings to wash the feet and legs,then reapply the stockings
B)Assessing the client's circulation to the feet every 4 hours while wearing antiembolism stockings
C)Evaluating for presence of Homans' sign
D)Measuring and fitting the client for antiembolism stockings

Answer 1

Removal of antiemboli stockings to wash the feet and legs,then reapply the stockings

Question 2

The nurse is providing care to several clients on a medical-surgical unit.Which client does not have a contraindication for the use of antiemboli stockings?

A)Client with massive leg edema
B)Client with peripheral arterial disease
C)Obese client whose thigh measurement exceeds the largest size available
D)Postoperative client ordered to maintain complete bed rest

Answer 2

Postoperative client ordered to maintain complete bed rest

Question 3

The client is scheduled for surgery,and has a history of venous stasis problems.Which strategies would the nurse consider to reduce the risk of postoperative venous stasis?

A)Pneumatic compression device
B)Sequential compression device
C)Antiembolism stockings
D)Getting the client out of bed as soon as possible
E)Keeping the legs lower than the level of the heart

Answer 3

Pneumatic compression device
Sequential compression device
Antiembolism stockings
Getting the client out of bed as soon as possible

Question 4

Which action by the nurse is appropriate when testing for Homans' sign?

A)Pointing the client's toes down
B)Having the client point the toes up toward the calf
C)Flexing the client's toes as wide apart as possible
D)Rotating the client's foot

Question 5

The nurse receives an order to apply a sequential compression device.Which finding would cause the nurse to )this order?

A)Weak popliteal and pedal pulses bilaterally
B)Diagnosis of breast cancer
C)Diagnosis of Hodgkin's lymphoma with enlargement of the femoral lymph nodes
D)Heart rate of 110 beats per minute

Question 6

Which items are classified as venous thromboembolisms?

A)Deep vein thrombosis
B)Pulmonary embolism
C)Coronary artery thrombosis
D)Myocardial infarction
E)Aortic aneurysm

Question 7

Which finding would the nurse need to report to the health care provider as soon as possible?

A)After beginning sequential compression device application,the client's toes are found to be cool to the touch and mottled,with absent pedal pulses.
B)After applying antiemboli stockings,the client says the stockings feel snug.
C)When applying antiemboli stockings,the nurse finds they are too small for this client.
D)The client asks the nurse to wait to apply the antiembolism stockings until after breakfast.

Question 8

After fitting the sleeve of the sequential compression device onto the client's legs,which action should the nurse take next?

A)Documenting the procedure
B)Turning the machine on
C)Connecting the sleeve to the control unit
D)Adjusting the alarms

Question 9

When documenting for the client who is wearing antiemboli stockings,which item is not required in the documentation?

A)When the stockings are removed
B)When the stockings are reapplied
C)Circulation and skin assessment findings
D)When the stockings are laundered

Question 10

Which action by the nurse is not appropriate when applying antiemboli stockings?

A)Assisting the client to a lying position in bed
B)Turning the stocking right-side-out
C)Washing and drying the legs
D)Having the client point the toes