The nurse notes the patient’s lower legs are brown and discolored and their feet are cold and slightly blue in color when in the dependent position. Which of the following actions should the nurse take?
Assist the patient to the chair for breakfast.
Check the presence of lower extremity pulses
Apply non-skid socks to feet
Perform deep tissue massage on bilateral lower extremities to improve blood flow.
The Correct Answer is B
A. Assist the patient to the chair for breakfast. Moving the patient to a chair may exacerbate venous stasis and worsen circulation in this case. This is not the correct action.
B. Check the presence of lower extremity pulses. Brown discoloration and cold, blue feet suggest poor circulation or chronic venous insufficiency. The nurse should assess the pulses to evaluate arterial blood flow in the lower extremities.
C. Apply non-skid socks to feet. While non-skid socks are generally used to prevent falls, this action does not address the circulatory concern indicated by the patient's symptoms.
D. Perform deep tissue massage on bilateral lower extremities to improve blood flow. Massage could be harmful, especially if there is a possibility of a blood clot or poor arterial circulation. This is not a recommended action in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Assist the patient to the chair for breakfast. Moving the patient to a chair may exacerbate venous stasis and worsen circulation in this case. This is not the correct action.
B. Check the presence of lower extremity pulses. Brown discoloration and cold, blue feet suggest poor circulation or chronic venous insufficiency. The nurse should assess the pulses to evaluate arterial blood flow in the lower extremities.
C. Apply non-skid socks to feet. While non-skid socks are generally used to prevent falls, this action does not address the circulatory concern indicated by the patient's symptoms.
D. Perform deep tissue massage on bilateral lower extremities to improve blood flow. Massage could be harmful, especially if there is a possibility of a blood clot or poor arterial circulation. This is not a recommended action in this scenario.
Correct Answer is D
Explanation
A. "A weight loss program will increase my LDL cholesterol levels." Weight loss typically reduces LDL (low-density lipoprotein) cholesterol levels, which lowers the risk of heart disease.
B. "Exercising regularly will bring down my HDL cholesterol levels." Regular exercise actually helps increase HDL (high-density lipoprotein) cholesterol levels, which is beneficial as HDL helps remove excess cholesterol from the bloodstream.
C. "Increasing the intake of foods containing trans-fatty acids in my diet can lower my risk of heart disease." Trans fats raise LDL cholesterol and lower HDL cholesterol, which significantly increases the risk of coronary artery disease.
D. "Adding foods containing omega-3 fatty acids to my diet will lower my risk of heart disease." Omega-3 fatty acids (found in fish, flaxseeds, and walnuts) are heart-healthy fats that help lower triglyceride levels and reduce inflammation, thereby reducing the risk of coronary artery disease. This statement shows correct understanding.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.