After applying an antiembolism stocking to a client, the nurse observes paleness and cyanotic appearance of the client's toes. What could have been the reason for the change in color?
A) Excess movement of the legs by the client
B) Restriction of circulation to the extremities
C) Elevation of the legs for a long duration
D) Removal of the bandage by the client
B
Feedback:
Toes generally appear pale and cyanotic if the circulation to the limb is blocked as a result of tight application of the antiembolism stocking. Excess movement or removal of the bandage by the client does not cause skin color changes involving the extremities. It may, however, lead to delayed healing. Elevation of the legs prevents the accumulation of fluid or blood in the extremities and is beneficial.
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