Question

The charge nurse assists a student nurse preparing to apply knee-length compression stockings onto a client with chronic venous insufficiency. Which actions by the student nurse would cause the charge nurse to intervene? Select all that apply.

a) Applying the stockings with the seams aligned along the back of the leg.
b) Rolling the stockings down to the ankle before application.
c) Ensuring the stockings are snug but not excessively tight.
d) Allowing wrinkles to remain in the stockings after application.

Answer 1

The charge nurse would need to intervene if the student nurse allows wrinkles to remain after applying knee-length compression stockings as it could lead to discomfort or circulatory issues. Proper application includes aligning seams rolling down the stockings for a smooth fit and ensuring a snug but not tight fit.

Step-by-step explanation:

The charge nurse would intervene in the following actions by the student nurse when preparing to apply knee-length compression stockings onto a client with chronic venous insufficiency:

• Allowing wrinkles to remain in the stockings after application, as wrinkles can cause uneven pressure on the skin leading to discomfort potential skin damage or even impeding the therapeutic effectiveness of the stockings.

Proper application of compression stockings would require:

• Aligning the seams properly
• Rolling the stockings down before application to ensure a smooth fit
• Ensuring the fit is snug but not excessively tight to maintain proper blood flow and pressure

It is essential to apply compression stockings correctly to avoid complications such as skin breakdown poor circulation, or decreased effectiveness of the stockings. The charge nurse must ensure that the student nurse is adept in these procedures to provide optimal care for clients with venous insufficiency.