A nurse is caring for a client who is wearing antiembolic stockings. Which of the following interventions should the nurse include in the plan of care?
Explanation & Rationale
A. Fold the top of the stocking over neatly: Folding the top of antiembolic stockings can create a tourniquet effect, restricting venous return and increasing the risk of skin injury or deep vein thrombosis. Stockings should lie flat without folds to maintain proper circulation. B. Massage the client's legs once every 8 hr while the stockings are in place: Massaging the legs while antiembolic stockings are on is contraindicated because it can dislodge a thrombus if present, potentially causing a pulmonary embolism. Leg massage should be avoided in clients at risk for thromboembolic events. C. Determine if the stockings are binding: Assessing whether the stockings are binding or causing constriction is essential. Improperly fitted stockings can impair circulation, lead to skin breakdown, and reduce the prophylactic effect against venous thromboembolism. D. Apply the stockings after the client is in a chair: Antiembolic stockings should be applied while the client is supine with legs elevated to prevent edema and ensure even pressure distribution. Applying them while seated can reduce effectiveness and increase the risk of skin injury.