Question 1

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

Accepted Answer

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

Question 2

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

Accepted Answer

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

Question 3

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

Accepted Answer

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 
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 B

Question 4

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?

Accepted Answer

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 
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

Question 5

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

Accepted Answer

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 
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?

Accepted Answer

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

Question 7

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

Accepted Answer

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 
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

Question 8

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?

Accepted Answer

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 
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

Question 9

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

Accepted Answer

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. 
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 10

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

Accepted Answer

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 
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

Exam 23: Promoting Circulation

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

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

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

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?

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

Which items are classified as venous thromboembolisms?

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

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?

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

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

Foundational Skills

Vital Signs

Health Assessment

Diagnostic Testing

Client Hygiene

Bed-Making

Infection Control

Heat and Cold Therapy

Pain Management

Positioning the Client

Mobilizing the Client

Fall Prevention and Restraints

Maintaining Joint Mobility

Drug Calculations

Administering Oral and Enteral Medications

Administering Topical Medications

Administering Parenteral Medications

Administering Intravenous Therapy

Feeding Clients

Assisting With Urinary Elimination

Assisting With Fecal Elimination

Caring for Clients With Peritoneal Dialysis

Breathing Exercises

Oxygen Therapy

Suctioning

Caring for the Client With a Tracheostomy

Assisting With Mechanical Ventilation

Caring for the Client With Chest Tube Drainage

Administering Emergency Measures to the Hospitalized Client

Performing Wound and Pressure Ulcer Care

Orthopedic Care

Performing Perioperative Care

End-Of-Life Care

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