The nurse is teaching a client with peripheral arterial disease. Which information should the nurse include in the teaching plan?
Soak feet in warm water for an hour each day
Set heating pads on a low temperature.
Use callus remover for corns or calluses
Wear fitted closed toe shoes daily.
The Correct Answer is D
Wear fitted closed toe shoes daily: It is important for clients with peripheral arterial disease to wear properly fitted closed toe shoes. This helps protect the feet from injury and provides support. Closed toe shoes also help maintain warmth and prevent heat loss, which is especially important for individuals with impaired circulation.
Let's review the other options and explain why they may not be appropriate:
Soak feet in warm water for an hour each day: Soaking the feet in warm water for a prolonged period can actually worsen symptoms in individuals with peripheral arterial disease. It can cause further dilation of blood vessels, leading to increased blood pooling and potential tissue damage. Therefore, soaking the feet for extended periods of time is not recommended.
Set heating pads on a low temperature: Using heating pads, especially at high temperatures, can be harmful to individuals with peripheral arterial disease. It can increase the risk of burns or thermal injury due to reduced sensation in the affected areas. Heating pads should be used with caution and on a low temperature setting, if necessary.
Use callus remover for corns or calluses: Individuals with peripheral arterial disease have reduced blood flow to the lower extremities, which can impair wound healing. It is important to avoid self-treatment of corns or calluses, as it can increase the risk of skin breakdown and infection. Clients should be advised to consult a healthcare professional, such as a podiatrist, for appropriate management of corns and calluses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
An ABI of 0.89 indicates a reduced blood flow to the lower extremities, which is suggestive of peripheral arterial disease (PAD). In PAD, there is narrowing or blockage of the arteries that supply blood to the legs and feet. Medications like clopidogrel and simvastatin are commonly prescribed for individuals with PAD to manage the condition and reduce the risk of complications.
Here's an explanation of why the other options are not the most appropriate interventions:
Document the information as a normal finding: An ABI of 0.89 is not considered a normal finding. An ABI value below 0.9 is generally indicative of PAD or reduced blood flow to the lower extremities.
Prepare the client for an arterial bypass: An ABI value of 0.89 alone does not warrant immediate preparation for an arterial bypass. Arterial bypass surgery is typically considered for severe cases of PAD with significant symptoms that significantly impact the client's quality of life and other conservative treatments have not been successful.
Educate the client about the use of compression stockings: While compression stockings may be a part of the overall management of PAD, the ABI result alone does not indicate an immediate need for education about compression stockings. Other interventions, such as medication management, lifestyle modifications, and possibly revascularization procedures, may be more appropriate based on the severity of the PAD.
Correct Answer is D
Explanation
Sinus bradycardia with a heart rate of 32 beats/min and accompanying hypotension and symptoms of feeling faint indicates significant hemodynamic compromise. In such cases, the first-line intervention is to provide external cardiac pacing through transcutaneous pacemaker (TCP) pads. TCP can help increase the heart rate and improve cardiac output by delivering electrical impulses to the heart.
Administering the scheduled dose of diltiazem (Cardizem), a calcium channel blocker, is not appropriate in this situation. Diltiazem can further lower the heart rate and blood pressure, exacerbating the client's symptoms and potentially leading to adverse effects.
Repositioning the patient on the left side or having the patient perform the Valsalva maneuver are not effective interventions for treating sinus bradycardia with hemodynamic compromise. These actions may be used in specific situations, but in this case, the client requires immediate intervention to address the low heart rate and blood pressure.
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