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 A
Explanation
A. Muscle twitching – Hypocalcemia (normal range: 8.5–10.5 mg/dL) causes neuromuscular excitability, leading to muscle twitching, tetany, and positive Chvostek's and Trousseau's signs.
B. Hypertension – Hypocalcemia does not cause hypertension; instead, it may lead to hypotension.
C. Bounding pulse – Hypocalcemia does not cause a bounding pulse; it may cause weak and irregular pulses.
D. Hypoactive bowel sounds – Hypocalcemia is more likely to cause hyperactive bowel sounds and diarrhea rather than hypoactive bowel sounds.
Correct Answer is B
Explanation
A. Pour cool water over the client's perineum – Warm, not cool, water is more effective in relaxing the urinary sphincter to promote urination.
B. Turn on the faucets in the client's sink – The sound of running water can trigger the urge to urinate through a reflex mechanism, making this the best option.
C. Tell the client to gently stroke her lower abdomen – This is not an effective technique for stimulating urination.
D. Instruct the client to lean slightly backward – Positioning does not significantly influence urination while using a bedpan.
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