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 ["A","C","E"]
Explanation
A. Urinate every 4 to 6 hours or when you first feel the urge: Regular urination helps prevent bladder overdistention and can reduce the risk of urinary retention and incontinence episodes.
B. Decrease fluid intake to lessen the severity of symptoms: While it might seem logical to reduce fluid intake to decrease urinary frequency, it is essential to maintain adequate hydration. Instead, fluid intake should be managed appropriately, avoiding large volumes at one time, particularly in the evening.
C. Limit your intake of alcohol and caffeine: Alcohol and caffeine can irritate the bladder and increase urinary frequency and urgency, exacerbating BPH symptoms.
D. Refrain from exercise because it can lead to incontinent episodes: Exercise is beneficial for overall health and can help manage weight, which is important for BPH management. Clients should be encouraged to exercise regularly.
E. Avoid cough or cold remedies that contain pseudoephedrine or phenylephrine: These medications can constrict the urethra, worsening urinary retention and other BPH symptoms.
F. Schedule yearly prostate-specific antigen blood test: While monitoring PSA levels can be part of managing prostate health, it is not specific to daily living with symptomatic BPH and thus not one of the top three areas of education in this context.
Correct Answer is ["21"]
Explanation
To calculate the flow rate in gtt/min, you can use the formula: (Volume in mL * Drop factor) / Time in minutes.
For 1 L of lactated Ringer's IV, which is 1000 mL, to be infused over 12 hours (720 minutes), with a drop factor of 15 gtt/mL, the calculation would be: (1000 mL * 15 gtt/mL) / 720 minutes = 15000 gtt / 720 minutes ≈ 20.83 gtt/min.
Therefore, the nurse should regulate the infusion to approximately 21 gtt/min.
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