An older client with Type 2 diabetes reports experiencing leg pain when walking short distances, and that the pain is relieved by rest. Which client behavior indicates an understanding of healthcare teaching to promote more effective arterial circulation?
Frequently elevates legs throughout the day.
Consistently applies TED hose before getting dressed in the morning.
Inspects feet daily for any irritation or skin breakdown.
Completely stops cigarette/cigar smoking.
The Correct Answer is D
A. Elevating the legs is beneficial for venous circulation, but not for arterial circulation, which can worsen with elevation.
B. TED hose are primarily used to promote venous return and prevent deep vein thrombosis, not to enhance arterial circulation.
C. Inspecting feet daily is essential for managing diabetes-related foot complications, but it does not directly improve arterial circulation.
D. Smoking cessation is critical for improving arterial circulation as smoking is a major risk factor for peripheral artery disease. Stopping smoking can significantly enhance blood flow and reduce pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Mixing the dose with food is not recommended as it might affect the absorption of the medication and does not address the immediate situation.
B. Withholding the dose is appropriate because it is uncertain how much of the medication was absorbed. Administering another dose could lead to toxicity.
C. Giving another dose without knowing how much was absorbed could cause an overdose.
D. Administering a half dose now is not recommended because the exact amount absorbed is unknown, risking either underdose or overdose.
Correct Answer is ["121"]
Explanation
To calculate the dosage of gentamicin for a client who weighs 160 pounds, first convert the weight to kilograms, knowing that 1 kilogram equals 2.2 pounds. The client's weight in kilograms is approximately 72.73 kg (160 ÷ 2.2).
The prescription is for 5 mg/kg/day, so the total daily dosage is 363.65 mg (72.73 kg × 5 mg). Since the medication is to be divided into doses every 8 hours, divide the total daily dosage by 3, because there are three 8-hour intervals in 24 hours.
Therefore, each dose should be approximately 121.22 mg. 121 mg rounded off to the nearest whole number.
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