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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A hemoglobin level of 12 g/dL is within the expected range for an infant.
B. An iron level of 74 mcg/dL is normal for a 9-month-old.
C. This is the correct answer. A lead level of 18 mcg/dL is elevated (≥5 mcg/dL is concerning) and should be reported, as lead toxicity can lead to neurological damage.
D. A hematocrit of 35% is within the expected range for an infant.
Correct Answer is A
Explanation
A. A child who has acute epiglottitis and is drooling – This is the priority because drooling, stridor, and respiratory distress suggest airway obstruction, which is life-threatening. Immediate intervention is required to secure the airway.
B. A child who has a urinary tract infection and bright red blood in her urine – Hematuria can be concerning but is not immediately life-threatening.
C. A child who has mononucleosis and reports severe fatigue – Fatigue is common with mononucleosis but does not require immediate intervention.
D. A child who has Wilms' tumor and an abdominal mass – While Wilms' tumor is serious, it does not present an immediate airway or hemodynamic emergency.
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