A nurse is reinforcing discharge teaching with a client who has undergone a vein stripping of the right leg. Which of the following instructions should the nurse include in the teaching?

Maintain bed rest for 48 hr.

Keep legs in a dependent position.

Wrap the leg with an elastic bandage.

Implement a sodium-restricted diet.

Answer and Explanation

The Correct Answer is C

The client should wrap the leg with an elastic bandage to reduce swelling and promote healing.

The client should not maintain bed rest, as this can increase the risk of thrombosis and infection.

The client should elevate the leg above the heart level, not keep it in a dependent position, as this can reduce venous pressure and edema.

The client does not need to implement a sodium-restricted diet, as this is not related to vein stripping.

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Correct Answer is D

Explanation

The correct answer is D. Muscle pain is a sign of rhabdomyolysis, a rare but serious condition that can occur with statin use and can lead to kidney failure. The nurse should instruct the client to report any muscle pain, weakness, or tenderness to the provider immediately.

A. Tinnitus B. Constipation C. Joint pain D. Blurry vision

Correct Answer is D

Explanation

Answer: D. Blurry vision

Rationale: Blurry vision, along with yellow-green halos around lights, is a sign of digoxin toxicity that can occur when the serum level of the drug exceeds 2 ng/mL. Other signs of digoxin toxicity include nausea, vomiting, anorexia, confusion, arrhythmias, and bradycardia. Tinnitus, constipation, and joint pain are not related to digoxin toxicity.

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A nurse is reinforcing discharge teaching with a client who has undergone a vein stripping of the right leg. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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