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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Permanent mobility impairment is a possible complication, but it is not the most common concern immediately following a closed reduction and cast placement.
Choice B reason:Older adults are at a higher risk for delayed healing of fractures due to factors such as reduced bone density, slower cellular repair mechanisms, and potential comorbidities like diabetes or osteoporosis. While permanent mobility impairment, malalignment, and bone infections are possible complications of fractures, they are less common in routine cases of closed reduction and casting, especially if proper care and follow-up are provided. Delayed healing is a more likely complication due to age-related changes in bone health.
Choice C reason: Malalignment of healed bones is a potential long-term complication, but it is not the immediate concern post-cast placement.
Choice D reason: Bone infections (osteomyelitis) are rare following closed fractures treated with casting, especially when there is no open wound. Infections are more likely with open fractures or surgical interventions.
Correct Answer is C
Explanation
Choice A reason: While individuals with obsessive-compulsive personality disorder may seek advice, it is not typically to an excessive amount, and this does not capture the essence of the disorder.
Choice B reason: Using physical appearance to gain attention is not a characteristic of obsessive-compulsive personality disorder; it is more associated with histrionic personality disorder.
Choice C reason: Being preoccupied with order and following rigid rules is a core feature of obsessive-compulsive personality disorder, reflecting a need for control and perfectionism.
Choice D reason: Believing one's achievements are superior to others is indicative of narcissistic personality disorder, not obsessive-compulsive personality disorder.
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