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A nurse is preparing to apply a sequential compression device to a client's lower extremities. Before applying the sleeves, which of the following would be least appropriate for the nurse to apply to the client's legs?

a) Antiembolism stockings
b) Ace wraps
c) Stockinette wraps
d) Knee-high cotton socks

User Flaxon
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Final answer:

Ace wraps would be the least appropriate to apply before sequential compression device sleeves because they can disrupt even pressure application. Antiembolism stockings or knee-high cotton socks would typically be more suitable. Compression helps prevent blood pooling, which is crucial after surgery and during periods of immobility.

Step-by-step explanation:

When preparing to apply a sequential compression device to a client's lower extremities, it is essential to select the correct undergarments that will not interfere with the function of the device. For instance, antiembolism stockings or knee-high cotton socks are often used to provide a consistent base compression and are compatible with such devices. On the other hand, certain types of wraps may not be appropriate beneath compression sleeves as they could disrupt the distribution of pressure or create uneven areas that might hinder circulation.

Specifically, Ace wraps would be the least appropriate to use before applying a sequential compression device's sleeves. Ace wraps could lead to an uneven application of pressure, potentially resulting in circulatory issues or discomfort. In contrast, stockinette wraps may provide a smooth surface to place under the sleeves, and knee-high cotton socks might be suitable if they do not bunch up or create pressure points.

To prevent blood accumulation and the associated risks of swelling and fainting, applying graduated compression can help maintain blood flow. This principle underpins the use of compression devices after surgical procedures or during long periods of immobility, such as long-haul flights or when prolonged standing or sitting is expected.

User Bretik
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