The primary health care provider has ordered the patient to wear an elastic bandage to the left ankle owing to a severe strain. The nurse has instructed the patient on proper application of the elastic bandage
Which statement indicates the patient needs more teaching? a. "I need to wrap the bandage toward my toes."
b. "I need to make sure the bandage is smooth."
c. "I need to watch my toes for swelling and feeling cold."
d. "I need to take the bandage off and call the physician if I experience increased pain."
A
The response: "I need to wrap the bandage toward my toes" is the correct answer because the patient is wrapping the bandage from the proximal boundary to the distal boundary. Proper application of the bandage is from distal point toward proximal boundary, stretching the dressing slightly, using a variety of bandage turns to cover various body shapes. Prevent uneven dressing tension or circulatory impairment by overlapping turns by one-half to two-thirds width of dressing roll. Be sure the bandage is smooth (without creases). Evaluate circulation to dressing area every 4 hours by palpating distal pulse, palpating skin, noting temperature and observing skin color. Saying, "make sure the bandage is smooth," "watch my toes for swelling and feeling cold," and "call the physician if I experience increased pain" are all correct and require no teaching.
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