The nurse is teaching a client who is diagnosed with peripheral arterial disease about the benefits of walking to exercise. What information should the nurse reinforce with this client?

Continue walking to the point of pain

Do not walk if a leg ulcer develops

Elevate the feet for 30 minutes after walking

Avoid exercise that places the feet in a dependent position

Answer and Explanation

The Correct Answer is A

A.   Clients with PAD often experience claudication (pain in the legs due to inadequate blood flow) during exercise. They should be encouraged to walk to the point of pain, then rest until the pain subsides, and then continue walking. This approach can improve circulation over time.
B.   While it’s crucial to monitor leg ulcers, exercise can still be beneficial unless advised otherwise by a healthcare provider. Walking can promote circulation, which is important for healing. However, if a leg ulcer is present, the client should consult their healthcare provider about appropriate activity levels.
C.   While elevating the feet can help reduce swelling, it's generally more beneficial for clients with PAD to keep their legs in a dependent position after walking. This position encourages blood flow to the legs, which can help alleviate symptoms and improve circulation.
D.   Exercise that encourages movement and maintains blood flow to the legs is important for those with PAD. While certain positions may exacerbate symptoms, exercises like walking should be encouraged. Keeping the feet in a dependent position can help with blood flow post-exercise.

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Correct Answer is B

Explanation

A. Sun exposure is not related to drug metabolism, and excessive sun exposure can be harmful.
B. Increasing fluid intake can help prevent kidney damage, a potential side effect of trimethoprim- sulfamethoxazole.
C. While it's important to take medications consistently, there's no specific requirement to take trimethoprim-sulfamethoxazole at the same time as hydrochlorothiazide. The dosing schedule should be as prescribed by the healthcare provider.
D. Kaopectate can interfere with the absorption of certain medications and may not be effective in preventing diarrhea caused by trimethoprim-sulfamethoxazole.

A. Instruct the client how to perform biofeedback exercises B. Place the client's residual limb in the dependent position C. Explain to the client his left leg has been amputated D. Medicate the client with narcotic analgesic immediately

Correct Answer is D

Explanation

A. While biofeedback can be a helpful technique for managing pain in the long term, it is not an immediate intervention for acute pain. The client is expressing urgent pain that requires prompt action, so this option does not address the immediate need.
B. Placing the residual limb in a dependent position (below the level of the heart) can increase swelling and may worsen the pain. After surgery, the limb should typically be elevated to minimize swelling, especially in the early postoperative period.

C. While it is important for clients to understand their situation, explaining the amputation does not provide immediate relief for acute pain. The client is likely already aware of the amputation and is in distress, so this option is not a priority at this moment.
D. This is the most appropriate intervention. The client is experiencing significant pain, and administering a narcotic analgesic can provide immediate relief. Pain management is a priority in the postoperative setting, especially in the first few hours after surgery.

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The nurse is teaching a client who is diagnosed with peripheral arterial disease about the benefits of walking to exercise. What information should the nurse reinforce with this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client is receiving a trimethoprim-sulfamethoxazole. What information should the nurse include in the teaching about this medication?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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