A nurse is teaching a client who has a new diagnosis of venous insufficiency. Which of the following instructions should the nurse include?

"Apply ice packs to your legs."

"Place your legs in a dependent position while in bed."

"Remain on bed rest."

"Use elastic stockings."

Answer and Explanation

The Correct Answer is D

Using elastic stockings is an eﬀective way to improve venous return and prevent edema, stasis, and ulceration in clients who have venous insufficiency. The stockings should be applied before getting out of bed and worn throughout the day.

"Apply ice packs to your legs." is not appropriate, as ice packs can cause vasoconstriction and impair blood ﬂow to the legs, worsening the condition.

"Place your legs in a dependent position while in bed." is not advisable, as dependent position can increase venous pressure and ﬂuid accumulation in the legs, leading to edema, pain, and skin breakdown

"Remain on bed rest." is not necessary, as bed rest can reduce muscle contraction and impair venous return. The client should be encouraged to perform regular exercise, such as walking, to enhance circulation and prevent complications.

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Correct Answer is C

Explanation

Performing neurovascular checks with vital signs is an important action to take following a cardiac catheterization accessed through the femoral artery, as it can help monitor for complications such as bleeding, hematoma, infection, thrombosis, or embolism. The nurse should assess the color, temperature, sensation, movement, and pulses of the aﬀected leg, as well as the blood pressure, heart rate, and oxygen saturation of the client.

Instructing the client to perform range-of-motion exercises to his lower extremities is not appropriate, as it can increase the risk of bleeding or dislodging the arterial sheath or closure device. The client should keep the aﬀected leg straight and avoid bending or lifting it for several hours after the procedure, or as directed by the provider.

Restricting the client's ﬂuid intake is not necessary, as ﬂuid intake can help prevent dehydration and contrast- induced nephropathy following a cardiac catheterization. The client should be encouraged to drink ﬂuids, unless contraindicated.

dAmbulating the client 1 hr following the procedure is not advisable, as it can cause bleeding, hematoma, or vascular injury. The client should remain on bed rest for 2 to 6 hours after the procedure, or as directed by the provider, and resume ambulation gradually and with assistance.

A. "Limit your alcohol consumption to three drinks a day." B. "Plan to lower saturated fats to 10 percent of your daily calorie intake." C. "Diuretics are the first type of medication to control hypertension." D. "Reaching your goal blood pressure will occur within 2 months."

Correct Answer is A

Explanation

Planning to lower saturated fats to 10 percent of the daily calorie intake is a good dietary recommendation for a client who has hypertension, as it can help lower cholesterol, prevent atherosclerosis, and reduce the risk of cardiovascular complications.

a. "Limit your alcohol consumption to three drinks a day." is not correct, as it is too high for a client who has hypertension. The client should limit alcohol consumption to no more than one drink a day for women and two drinks a day for men, as alcohol can increase blood pressure and interfere with medication eﬀectiveness.

c. "Diuretics are the first type of medication to control hypertension." is not accurate, as diuretics are not always the first choice of medication for hypertension. The choice of medication depends on the client's individual factors, such as age, race, comorbidities, and contraindications. Diuretics are one of the classes of antihypertensive drugs that can be used alone or in combination with other drugs.

d. "Reaching your goal blood pressure will occur within 2 months." is not realistic, as reaching the goal blood pressure may take longer than 2 months, depending on the client's baseline blood pressure, response to treatment, adherence to lifestyle modifications, and presence of other conditions. The client should monitor his blood pressure regularly and follow up with the provider as needed.

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A nurse is teaching a client who has a new diagnosis of venous insufficiency. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client following a cardiac catheterization accessed through his femoral artery. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

A nurse is teaching a middle-age client about hypertension. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

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