A client with an arterial ischemic leg ulcer is being discharged from the hospital. Which instruction is most important for the nurse to include in this client's discharge teaching plan?
Trim toenails straight across.
Inspect feet daily for skin breakdown.
Keep legs elevated as much as possible.
Wear shoes and socks while awake.
The Correct Answer is B
Choice A reason: Trimming toenails straight across is a general foot care recommendation but is not the most critical for preventing complications from an arterial ischemic leg ulcer.
Choice B reason: This is the correct choice. Daily inspection of the feet for skin breakdown is crucial for early detection and prevention of complications associated with arterial ischemic leg ulcers.
Choice C reason: Keeping legs elevated can help reduce swelling but is not as critical as daily foot inspection for preventing ulcer-related complications.
Choice D reason: Wearing shoes and socks is important for protecting the feet but does not directly prevent complications from an arterial ischemic leg ulcer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: A CVA typically does not present with fever and rash.
Choice B reason: This is the correct choice. The symptoms described are classic for meningococcal meningitis, a bacterial infection of the membranes covering the brain and spinal cord.
Choice C reason: Rocky Mountain spotted fever presents with a rash but not typically with nuchal rigidity.
Choice D reason: Intracerebral hemorrhage may cause a severe headache but would not typically present with fever or a petechial rash.
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. Enlarged painless, firm cervical lymph nodes are a classic sign of Hodgkin’s disease.
Choice B reason: A protuberant, firm abdomen is not a specific finding associated with Hodgkin’s disease.
Choice C reason: A soft to hard, nontender mass in the pelvic area could indicate various conditions but is not specific to Hodgkin’s disease.
Choice D reason: Painful lymph nodes are more commonly associated with infections, not Hodgkin’s disease.
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