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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Free Nursing Study Resources

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.

A. "I will be sure that all of my bottles contain BPA." B. "I can keep a can of concentrated formula in the refrigerator for 3 days after I open it." C. "I should boil tap water for 2 minutes and cool it before I mix it with the powdered formula." D. "I can dilute the ready-to-feed formula with water when my baby wants more than 4 ounces at a feeding."

Correct Answer is C

Explanation

A. BPA (bisphenol A) is harmful, and bottles should be BPA-free.

B. Concentrated formula should be used within 24–48 hours after opening if refrigerated, not 3 days.

C. This is the correct answer. Boiling tap water for 1–2 minutes and cooling it before mixing with powdered formula helps eliminate bacteria, ensuring safe consumption for newborns.

D. Diluting ready-to-feed formula is unsafe and can lead to inadequate nutrition for the baby.

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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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