For a postoperative client requiring thigh-length sequential compression sleeves, what is the proper nursing action?

The correct nursing action in this scenario involves ensuring that two fingers can fit under the sleeves. This is an important safety measure to verify that the sleeves are not too tight, which could compromise circulation to the legs. Proper fit is crucial for the effectiveness of sequential compression devices, as they are designed to promote venous return, prevent deep vein thrombosis (DVT), and avoid pressure injuries.

Maintaining some space (where two fingers can fit) also helps to ensure patient comfort and allows for normal movement without causing undue pressure. If the sleeves are too tight, they might lead to complications rather than preventing them.

In contrast, placing a sleeve over the top of each leg with the opening at the knee would not provide the necessary compression as intended. Similarly, while setting the ankle pressure at 65 mmHg might be relevant in certain contexts, it's not typically a standard nursing action that directly relates to applying the sleeves correctly. Assisting the client to a prone position is also not appropriate, as patients with sequential compression sleeves should generally be positioned comfortably in a supine or slight elevation position to allow for effective compression.