The nurse is caring for a client with peripheral arterial disease. Which statement, by the client, indicates that they need additional teaching?

"I should not exercise if I develop a leg ulcer."

"I should buy my shoes in the afternoon."

"I should dangle my legs when sitting."

"I must wear compression stockings at all times."

Answer and Explanation

The Correct Answer is D

A.   While it's true that ulcers can be a serious complication of PAD and require careful management, exercise is generally encouraged in patients with PAD as long as it is safe and supervised. Patients should consult their healthcare provider about appropriate exercise, but not exercising altogether can worsen their condition.
B.   Buying shoes in the afternoon is advisable because feet can swell throughout the day. It helps ensure a better fit and reduces the risk of blisters or skin breakdown, which is particularly important for clients with PAD.
C.   This statement is generally correct, as dangling the legs can help improve circulation in some cases. Clients with PAD often experience relief when their legs are in a dependent position, as it may help increase blood flow to the extremities. However, they should also be encouraged to avoid prolonged periods of sitting.
D.   This statement may indicate a misunderstanding. Compression stockings are typically used for venous issues rather than arterial diseases like PAD. In patients with PAD, wearing compression stockings may not be appropriate and could potentially compromise arterial blood flow.

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Correct Answer is A

Explanation

A. Ascites is a condition where excess fluid accumulates in the abdominal cavity. It is a common finding in advanced-stage ovarian cancer as the cancer can spread to the abdominal organs and lymph nodes, leading to fluid buildup.
B. Chest pressure is not a typical symptom of advanced-stage ovarian cancer. It might be associated with other conditions, such as heart disease or lung problems.
C. Painful urination is not a common symptom of advanced-stage ovarian cancer. It might be associated with other conditions, such as urinary tract infections or bladder problems.
D. Excessive flatus is not a typical symptom of advanced-stage ovarian cancer. It might be associated with other gastrointestinal conditions.

A. Encourage the use of incentive spirometry B. report 8/10 incisional pain C. Assess popliteal pulses D. Early ambulation

Correct Answer is D

Explanation

A. This option is primarily aimed at promoting lung expansion and preventing atelectasis (collapse of the lung). While it's an important post-operative intervention, it does not directly reduce the risk of embolic events related to venous thromboembolism.
B. Reporting significant pain (8/10) may indicate complications such as infection or improper healing, but it does not directly relate to reducing the risk of embolic events. While managing pain is important for recovery, simply reporting it does not contribute to preventing VTEs.
C. Assessing popliteal pulses is part of a thorough circulatory assessment, but it mainly focuses on blood flow to the lower extremities rather than preventing embolic events. It can help identify existing DVT but does not actively reduce the risk of embolism.
D. This statement is true and is the best choice for decreasing the risk of an embolic event. Early ambulation promotes venous return, improves circulation, and significantly lowers the risk of DVT and pulmonary embolism in post-operative patients. Encouraging patients to get out of bed and move around as soon as they are stable is a key nursing intervention in post-operative care.

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Blood Cell	Normal Ranges
Red blood cells (mature, circulating)	Male 4.51-6.01 million/mm3 Female: 4.01-5.51 million/mm3
Hemoglobin	Adult (15-64 yr) Male 14-17.3 g/dL Female 11.7-15.5 g/dL
Hematocrit	42% -52% in males 36% -48% in females
Reticulocytes	0.5% -2.5% of total RBC count
White blood cells (total)	4.5-11.1 103/mm3
Neutrophils	59% Bands 3% Segs-56%
Eosinophils	2.7%
Basophils	0.5%
Lymphocytes	34%
Monocytes	4%
Platelets	150,000-450,000/mm3

The nurse is caring for a client with peripheral arterial disease. Which statement, by the client, indicates that they need additional teaching?

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Correct Answer is A

Explanation

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Explanation

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