After an assessment, the nurse determines that a client’s sequential c

After an assessment, the nurse determines that a client’s sequential compression devices need to be removed. What should the nurse document about this client’s status in the medical record?

1. Client ambulating without assistance.
2. Client complains of numbness, tingling, and leg pain with the sequential compression devices.
3. Client requested devices to be removed.
4. Client to wear sequential compression devices during sleep.

ANSWER

Correct Answer: 2
Rationale 1: The devices should be worn as prescribed.
Rationale 2: The nurse should remove the devices if the client complains of numbness, tingling, or leg pain.
Rationale 3: The devices should be worn as prescribed.
Rationale 4: The devices should be worn as prescribed.