A nurse is assessing a woman pregnant with her third child. She has a history of pregnancy-related varicosities. Which action by the nurse takes priority?
A.
Advising the woman not to cross her legs while pregnant
B.
Assessing the woman's pedal pulses and circulation
C.
Having the woman rate her leg pain on a 1-to-10 scale
D.
Teaching the woman to wear knee-high stockings
ANS: B
Assessment is the first step of the nursing process, and issues related to airway, breathing, and circulation are priorities for all patients. The nurse should first assess the patient's circulation, including pedal pulses, warmth, skin color, and capillary refill. After a circulatory assessment is complete, the nurse should assess pain. After a thorough assessment, the nurse can plan teaching. Self-care measures include not crossing the legs, not wearing constrictive clothing such as knee-high stockings, and elevating the legs at least twice a day.
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