A nurse is providing discharge teaching to a client who has peripheral arterial disease (PAD). Which of the following instructions should the nurse include in the teaching?

Adjust the thermostat so that the environment is warm.

Apply a heating pad on a low setting to help relieve leg pain.

Wear antiembolic stockings during the day.

Rest with the legs above heart level.

Answer and Explanation

The Correct Answer is A

The nurse should instruct the client to adjust the thermostat so that the environment is warm because cold temperatures can cause vasoconstriction and worsen the symptoms of PAD, such as pain, numbness, and poor wound healing. The client should also avoid exposure to cold weather and wear warm clothing.

Apply a heating pad on a low setting to help relieve leg pain is wrong because it can cause burns, vasodilation, and increased blood ﬂow to the legs, which can increase the risk of bleeding and edema in PAD.
Wear antiembolic stockings during the day is wrong because they can impair arterial circulation and cause ischemia and tissue damage in PAD. Antiembolic stockings are used to prevent venous thromboembolism, not arterial disease.

Rest with the legs above heart level is wrong because it can decrease arterial blood ﬂow to the legs and worsen ischemia and pain in PAD. The client should rest with the legs at or below heart level to promote arterial circulation.

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Correct Answer is A

No explanation

Correct Answer is ["8"]

Explanation

To calculate the volume to administer, the nurse should use the following formula:

Volume (mL) = Dose (mg) / Concentration (mg/mL) x 1000

Plugging in the given values, the nurse should get:

Volume (mL) = 400 mg / 250 mg/5 mL x 1000

Volume (mL) = 8 mL

The nurse should round the answer to the nearest whole number and use a leading zero if it applies. Therefore, the nurse should administer 8 mL of valproic acid per dose.

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A nurse is providing discharge teaching to a client who has peripheral arterial disease (PAD). Which of the following instructions should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["8"]

Explanation

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