NCLEX Practice Test

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?

1. Instructs client that stockings will be worn only at night

2. Measures circumference of both calves at the widest point

3. Rolls down any excess length at the top of the stocking

4. Selects a size larger to avoid friction against a leg laceration

The correct answer is: Instructs client that stockings will be worn only at night

Wearing knee-length compression stockings is an important part of managing chronic venous insufficiency. These stockings are designed to provide graduated compression, which helps improve blood flow and decreases swelling throughout the day. When applied correctly, they can reduce the risk of complications associated with venous insufficiency. The action of instructing the client that the stockings will be worn only at night is problematic because it does not align with standard practice for managing chronic venous insufficiency. These stockings should typically be worn during the day when the patient is most active, helping to maintain venous return while applying pressure to the veins and preventing blood from pooling. Limiting their use to nighttime can negate their therapeutic effects and lead to worsened symptoms, such as leg swelling and discomfort. Proper education on the use of compression stockings necessitates that the client understands the importance of wearing them during the day for maximum efficacy and symptom relief. This is why the involvement of the charge nurse is warranted in this situation.