A nurse is providing care for a client diagnosed with diabetic ketoacidosis (DK

Exercise

Elevation of legs

Intermittent pneumatic compression pumps

Ankle-brachial index test

Layered wraps

Answer and Explanation

Correct Answer : A,B,C,E

Choice A reason: Exercise

Exercise is a crucial component in the management of peripheral venous disease (PVD). Regular physical activity helps improve blood circulation and reduces symptoms such as pain and swelling. Walking, in particular, is highly recommended as it promotes venous return and enhances overall cardiovascular health. Exercise also helps in weight management, which can alleviate the pressure on the veins and improve symptoms of PVD.

Choice B reason: Elevation of Legs

Elevating the legs is a simple yet effective way to reduce swelling and improve blood flow in patients with PVD1. By raising the legs above the level of the heart, gravity helps to reduce the pooling of blood in the lower extremities, thereby decreasing edema and discomfort. This practice is especially beneficial when done regularly, such as during rest periods or while sleeping.

Choice C reason: Intermittent Pneumatic Compression Pumps

Intermittent pneumatic compression (IPC) pumps are devices used to enhance blood flow in the legs. These devices consist of inflatable sleeves that wrap around the legs and periodically inflate and deflate, mimicking the natural muscle contractions that help push blood back toward the heart. IPC pumps are particularly useful for patients who are immobile or have difficulty engaging in physical activity, as they help prevent blood clots and reduce swelling.

Choice D reason: Ankle-Brachial Index Test

The ankle-brachial index (ABI) test is a diagnostic tool used to assess the severity of peripheral artery disease (PAD), not peripheral venous disease. The test compares the blood pressure in the ankle with the blood pressure in the arm to determine the presence of arterial blockages. While the ABI test is important for diagnosing PAD, it is not a treatment or management strategy for PVD. Therefore, it is not included in the plan of care for PVD.

Choice E reason: Layered Wraps

Layered wraps, also known as compression bandages, are used to manage symptoms of PVD by providing consistent pressure to the legs. These wraps help reduce swelling, improve venous return, and prevent the formation of ulcers. Compression therapy is a cornerstone in the management of chronic venous insufficiency and related conditions, making layered wraps an essential part of the care plan for patients with PVD.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A Reason:

Taking levothyroxine with high-protein foods can interfere with the absorption of the medication. High-protein foods can bind to the medication, reducing its effectiveness. Therefore, it is not recommended to take levothyroxine with high-protein foods.

Choice B Reason:

While it is important to take levothyroxine with a full glass of water to ensure the tablet is swallowed properly and to aid in its absorption, taking it with fruit juice is not recommended. Certain juices, like grapefruit juice, can interfere with the absorption of levothyroxine.

Choice C Reason:

Levothyroxine should be taken on an empty stomach, ideally 30 to 60 minutes before breakfast or at least 3 to 4 hours after the last meal. This timing helps ensure optimal absorption of the medication. Food can significantly reduce the absorption of levothyroxine, making it less effective.

Choice D Reason:

Taking levothyroxine during a meal is not recommended because food can interfere with the absorption of the medication. It is best to take it on an empty stomach to ensure maximum absorption and effectiveness.

A. The client who had a myocardial infarction and required stent placement. B. The client whose mother and uncle were diagnosed with this same condition. C. The client who is recovering from a recent illness that caused vomiting and diarrhea. D. The client who is out of work and has been experiencing increased stress.

Correct Answer is A

Explanation

Choice A Reason:

A history of myocardial infarction (heart attack) and the need for stent placement are significant risk factors for developing atrial flutter. Atrial flutter is often associated with structural heart disease, including coronary artery disease, which can lead to myocardial infarction. The damage to the heart muscle and the changes in the heart’s electrical system following a myocardial infarction can predispose a person to atrial flutter.

Choice B Reason:

While a family history of atrial flutter can indicate a genetic predisposition to arrhythmias, it is not as strong a risk factor as having a history of myocardial infarction and stent placement. Genetic factors can play a role, but they are typically less influential compared to direct cardiac events.

Choice C Reason:

Recovering from an illness that caused vomiting and diarrhea is not a direct risk factor for atrial flutter. These conditions can lead to electrolyte imbalances, which might temporarily affect heart rhythm, but they do not typically cause atrial flutter.

Choice D Reason:

Increased stress can contribute to various health issues, including heart problems, but it is not a primary risk factor for atrial flutter. Chronic stress can exacerbate existing heart conditions, but it is not as significant a risk factor as a history of myocardial infarction.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is providing care for a client diagnosed with diabetic ketoacidosis (DK

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has hypothyroidism and has been prescribed levothyroxine. Which of the following medication instructions would the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is teaching a group of clients about risk factors for developing atrial flutter. Which of the following clients should the nurse understand is at highest risk for developing atrial flutter?

Correct Answer is A

Explanation

A nurse is providing care for an older adult client who has hyperosmolar hyperglycemic syndrome (HHS). Which of the following clinical manifestations support the diagnosis? Select all that apply.

A nurse is providing care for a client who has diabetes insipidus (DI). Which of the following is a cause of acquired central diabetes insipidus?

A nurse is teaching a client who has peripheral venous disease about management of symptoms. Which of the following client statements indicates to the nurse an understanding of the teaching?

A nurse is preparing to administer medications to a client who has pericarditis. Which of the following medications should the nurse anticipate administering to this client? (Select All that Apply.)

Teaching a patient who has hyperosmolar hyperglycemic syndrome (HHS). Which of the following topics should be prioritized?The nurse is caring for a patient with type 2 diabetes mellitus who has been prescribed doses of insulin.

A nurse is providing education about insulin management to a client newly diagnosed with type 1 diabetes mellitus. Which of the following statements by the nurse about injection site selection is accurate?

A nurse is assessing a client who has peripheral venous disease. Which of the following findings should the nurse recognize as a manifestation of venous disease?

A nurse is reviewing a client’s laboratory results and sees that their hemoglobin A1C is 9. Which of the following statements from the nurse is appropriate?