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. MRSA is a serious infection but is not nationally required to be reported to health departments in all cases.

B. This is the correct answer. Pulmonary tuberculosis (TB) is a reportable disease due to its public health risk, as it is highly contagious and requires monitoring.

C. Herpes simplex virus is not a reportable disease.

D. Fibromyalgia syndrome is a chronic pain condition and is not infectious or reportable.

A. Call the nurse who made the error to discuss the medication error. B. File an incident report within 24 hr. C. Notify the facility's pharmacist within 1 hr of the incident. D. Place an incident report in the client's medical record.

Correct Answer is B

Explanation

Rationale:

A. Call the nurse who made the error to discuss the medication error – This is not the appropriate action. The focus should be on client safety and proper reporting, not on discussing the error with the previous nurse.

B. File an incident report within 24 hr – This is the correct action. Incident reports should be completed promptly to document the error and ensure proper follow-up.

C. Notify the facility's pharmacist within 1 hr of the incident – While the pharmacist may be informed if a medication reversal or adjustment is needed, this is not the primary action to take.

D. Place an incident report in the client’s medical record – Incident reports are internal documents and should not be placed in the medical record to avoid legal concerns.

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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

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