Which action should the nurse take when applying anti-embolism (thrombo-embolic deterrent) stockings to an adult client in order to promote venous return and permit ongoing neurovascular assessment?
Select a size that fits tightly over the calf even if the heel pocket is mis-aligned.
Apply the stockings while the client sits on the edge of the bed with legs dangling.
Fold the top of each stocking down to form a snug cuff that prevents rolling.
Position the inspection opening at the ball or sole of the foot so the toes can be checked for colour and temperature.
The nurse should place the stocking so that the built-in inspection opening (toe window) lies at the ball or underside of the foot. This positioning allows quick assessment of toe colour, warmth and movement without removing the garment. Folding the top edge creates a constricting band that can impede venous return; applying the stockings while the legs are dependent defeats the purpose because blood has already pooled; using a size that distorts the heel pocket indicates an incorrect fit that can either occlude arterial flow (too small) or fail to provide therapeutic compression (too large).
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