The nurse is caring for a patient with venous stasis ulcers. What actions should the nurse take?

Instruct the patient to wear constrictive clothing.

Encourage the patient to keep legs in a dependent position.

Encourage frequent ambulation.

Apply compression stockings.

Answer and Explanation

The Correct Answer is D

Choice A reason: Instructing the patient to wear constrictive clothing is incorrect, as it can worsen venous stasis ulcers by impeding blood flow.

Choice B reason: Encouraging the patient to keep legs in a dependent position is not recommended, as elevation helps in reducing venous pressure.

Choice C reason: Frequent ambulation is encouraged to promote blood circulation and prevent stasis.

Choice D reason: Applying compression stockings is a standard care practice to help reduce venous pressure and prevent fluid from pooling in the legs.

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Correct Answer is C

Explanation

Choice A reason: The use of a heating pad on the operative site is not typically recommended immediately post-surgery due to the risk of bleeding and swelling.

Choice B reason: Patients are encouraged to mobilize as soon as possible after surgery to prevent complications such as deep vein thrombosis and pulmonary embolism.

Choice C reason: The use of a CPM machine is common after total hip replacement surgery to help restore joint function and prevent stiffness.

Choice D reason: Using a special soap the evening before surgery is part of the preoperative preparation to reduce the risk of infection.

A. Get plenty of outdoor exercise all year. B. Keep affected body areas covered at all times. C. Take vasopressors to prevent exacerbation of symptoms. D. Avoid stimulation that causes vasoconstriction.

Correct Answer is D

Explanation

Choice A reason: Getting plenty of outdoor exercise all year is beneficial for overall health but does not specifically prevent Raynaud's attacks, especially in cold weather.

Choice B reason: Keeping affected body areas covered, especially in cold weather, helps prevent Raynaud's attacks by maintaining warmth.

Choice C reason: Taking vasopressors is not a measure to prevent Raynaud's attacks; vasopressors could potentially worsen the condition by causing further vasoconstriction.

Choice D reason: Avoiding stimulation that causes vasoconstriction, such as stress and cold temperatures, is key to preventing Raynaud's attacks.

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The nurse is caring for a patient with venous stasis ulcers. What actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing preoperative teaching to a client who is undergoing total hip replacement surgery. Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

The nurse is reinforcing teaching provided to a patient with Raynaud's disease. Which measure should the nurse include to prevent an attack?

Correct Answer is D

Explanation

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