A nurse is monitoring an assistive personnel (AP) who is applying elastic antiembolic stockings for a client who has phlebitis. Which of the following actions by the AP indicates that they are performing the skill correctly?
Explanation & Rationale
A. Massages the legs before applying the stockings: Massaging a leg with phlebitis can dislodge a thrombus and lead to a potentially life-threatening pulmonary embolism. Leg massage is contraindicated in clients at risk for deep vein thrombosis or with active venous inflammation. B. Positions the client in a chair before applying the stockings: Applying elastic stockings while the client is seated can allow gravity to increase venous pressure, making application more difficult and potentially reducing effectiveness. This positioning is not recommended for safety or optimal fit. C. Rolls the extra stocking material down to the client's knee: Rolling or folding the stockings creates constrictive bands that can impede circulation, increasing the risk of venous stasis or skin injury. Stockings should be applied smoothly without folds or wrinkles. D. Elevates the legs before applying the stockings: Elevating the legs allows gravity to assist venous return, reduces edema, and facilitates proper application of elastic stockings. This technique ensures even pressure distribution and supports the prevention of thrombus formation.