Deck 53: Bandages and Binders

Question 1

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

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

Answer 1

Support a limb or joint
Support a wound or incision
Hold dressings in place
Hold a pad to absorb wound drainage

Question 2

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

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

Answer 2

To promote venous return
To prevent edema
To prevent contractures

Question 3

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

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

Answer 3

A client with a sprained ankle

Question 4

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

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 5

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

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

Question 6

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

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

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

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 8

How often should the nurse rewrap an abdominal binder?

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

Question 9

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

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

Question 10

What is the recommended frequency for monitoring a client's peripheral vascular status when a bandage has been applied to an extremity?

A) At least every hour
B) At least every 2 hours
C) At least every 3 hours
D) At least every 4 hours

Question 11

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

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 12

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.

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

Question 13

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

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.

Question 14

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

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 15

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

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

Question 16

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?

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

Question 17

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?

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 18

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?

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 19

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

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 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.

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

Question 21

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.

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.