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 B

Explanation

A. Almonds – While nut allergies exist, they are not strongly associated with latex allergies.

B. Bananas – Correct. Latex-fruit syndrome is a known cross-reactivity between latex and certain fruits, including bananas, avocados, kiwis, and chestnuts. These foods contain proteins similar to latex, which can trigger allergic reactions.

C. Strawberries – Strawberries are not commonly linked to latex allergies.

D. Hazelnuts – While hazelnuts can cause allergic reactions, they are not a known cross-reactive food with latex.

A. Weigh the client every 48 hr. B. Allow the client to eat meals in his room. C. Observe the client for 1 hr after meals D. Obtain the client's vital signs every other day.

Correct Answer is C

Explanation

A. Weigh the client every 48 hr. – Clients with anorexia nervosa should be weighed daily at the same time to monitor for fluctuations in weight and refeeding complications.

B. Allow the client to eat meals in his room. – Clients should eat meals in a monitored dining area to prevent food hoarding, purging, or avoidance of meals.

C. Observe the client for 1 hr after meals. – This is the correct answer because clients with anorexia nervosa are at risk of purging or excessive exercise after meals. Close observation helps prevent these behaviors.

D. Obtain the client’s vital signs every other day. – Vital signs should be monitored daily or more frequently if the client is medically unstable.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing an admission assessment of a school-age child who has spina bifida. The parent states that the child is allergic to latex. The nurse should assess further for cross-sensitivity to which of the following foods?

Correct Answer is B

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Correct Answer is C

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