Question

The nurse must apply an elastic bandage to support a client's sprained ankle. Which action should the nurse take during this procedure?

1.Moderately stretch the bandage and wrap it from distal extremity to proximal.
2. Wrap the extremity loosely enough to insert two fingers beneath the bandage.
3. Maintain a tight stretch with each wrap of the bandage.
4. Start proximal to the injury site and work distally.

Answer 1

The nurse should moderately stretch the bandage and wrap it from the distal extremity to the proximal for proper compression while allowing space to fit two fingers beneath the bandage to ensure proper circulation.

Step-by-step explanation:

When applying an elastic bandage to support a client's sprained ankle, the nurse should follow the best practices for compression in the management of sprains. This usually includes several key steps that align with the principles of the RICE technique which stands for Rest, Ice, Compression, and Elevation. The most appropriate action would be to moderately stretch the bandage and wrap it from the distal extremity to the proximal, which means starting from the part farthest from the body (e.g., toes) moving upwards towards the heart. This is crucial in minimizing swelling by enhancing venous return and preventing blood pooling.

A too tight compression could compromise circulation and exacerbate the injury, while too loose would fail to offer the adequate support and compression needed. It is often recommended to have enough tension to support the injured area but still be able to insert two fingers beneath the bandage to ensure circulation is not being cut off.

Answer 2

The nurse must Wrap the extremity loosely enough to insert two fingers beneath the bandage. Option 1 is correct.

Step-by-step explanation:

During the application of an elastic bandage for a sprained ankle, it is crucial for the nurse to wrap the extremity loosely enough to allow the insertion of two fingers beneath the bandage. This approach ensures that the bandage provides support without compromising blood circulation or causing additional discomfort to the client. Wrapping the bandage too tightly may lead to complications such as impaired circulation, increased pain, and potential tissue damage.

The principle behind this technique lies in maintaining an optimal balance between providing support and allowing adequate blood flow. If the bandage is too tight, it can constrict blood vessels and impede circulation, leading to complications like edema and compromised tissue viability. On the other hand, wrapping it too loosely may result in inadequate support for the injured ankle. The "two-finger rule" is a practical guideline that ensures the bandage is snug enough to offer support but not overly tight, promoting optimal healing conditions.

In summary, the nurse's choice to wrap the extremity loosely enough to insert two fingers beneath the bandage is rooted in the need for a careful balance between support and circulation. This approach aligns with best practices in wound care and injury management, aiming to facilitate the healing process while preventing potential complications associated with improper bandage application. So, Option 1 is correct.