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 C

Explanation

A. Healthy weight – A BMI between 18.5 and 24.9 is classified as healthy. Since the client's BMI is 17.2, they do not fall within this range.

B. Overweight – Overweight is defined as a BMI between 25.0 and 29.9. The client's BMI of 17.2 is far below this range.

C. Underweight – A BMI below 18.5 is classified as underweight. Since the client's BMI is 17.2, they fall into this category. Clients with Crohn’s disease often experience malabsorption and weight loss, leading to a low BMI.

D. Obesity class 1 – Obesity is categorized as a BMI of 30.0 or higher. The client’s BMI is far below this classification.

A. Lubricate the catheter with water-soluble gel. B. Attach a prefilled syringe to the indwelling catheter inflation hub C. Cleanse the client's meatus with antiseptic solution. D. Position the client with her knees flexed and legs apart.

Correct Answer is D

Explanation

A. Close the doors and windows on the unit – While containing the fire is important, it is not the first priority. Activating the fire alarm ensures facility-wide response and safety protocols.

B. Activate the fire alarm system – This is the first action because it alerts emergency responders and allows evacuation protocols to begin. Timely activation prevents the fire from spreading and ensures prompt intervention.

C. Obtain and use a fire extinguisher – Fire extinguishers are used only for small, contained fires and should be handled by trained personnel after activating the alarm.

D. Evacuate clients from the area – While evacuation is critical, activating the fire alarm ensures a coordinated evacuation plan rather than causing panic.

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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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Explanation

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Correct Answer is D

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