A nurse is teaching about leg and foot care to a client who has peripheral vascular disease of the lower extremities. Which of the following instructions should the nurse include?

Wear nylon socks.

Trim toenails short and round the edges.

Use lamb's wool between toes that rub together.

Apply compression stockings that fit over the knees.

Answer and Explanation

The Correct Answer is C

A. Nylon socks should be avoided as they do not allow moisture to escape, which can promote fungal infections.

B. Toenails should be trimmed straight across rather than rounded to prevent ingrown toenails, which can lead to infections.

C. This is the correct answer. Clients with peripheral vascular disease (PVD) should use lamb’s wool between toes that rub together to prevent pressure ulcers and skin breakdown.

D. Compression stockings can be harmful in PVD if not prescribed by a provider because they may impair circulation further.

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Correct Answer is C

Explanation

A. Protective environment – Incorrect. Protective environment precautions are for immunocompromised clients (e.g., those with neutropenia).

B. Airborne – Incorrect. Airborne precautions are used for tuberculosis, measles, and varicella, not bacterial meningitis.

C. Droplet – Correct. Bacterial meningitis is transmitted through large respiratory droplets, requiring droplet precautions (mask, gown, and gloves when within 3 feet of the client).

D. Contact – Incorrect. Contact precautions alone are insufficient for bacterial meningitis, which spreads via droplets.

A. "Would you tell me more about the changes you see in your body?" B. "How long have you had these feelings of uselessness? C. "Did anything in particular make you feel this way? D. "Do you ever think about harming yourself?"

Correct Answer is D

Explanation

A. Asking about body changes is important for understanding the client’s self-perception, but it does not address immediate safety concerns.

B. Inquiring about the duration of feelings of uselessness is helpful for assessing depressive symptoms, but it is not the priority over assessing for suicidal intent.

C. Exploring triggers for these feelings is useful for emotional support and planning interventions but is secondary to assessing for immediate risk of self-harm.

D. This question assesses for suicidal ideation, which is the nurse’s priority because older adults experiencing feelings of uselessness or hopelessness are at higher risk for depression and suicide. Early identification of suicidal thoughts ensures prompt intervention and support.

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A nurse is teaching about leg and foot care to a client who has peripheral vascular disease of the lower extremities. Which of the following instructions should the nurse include?

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