Nokea
The nurse is teaching the client with peripheral vascular disease. Which interventions should the nurse discuss with the client? Select all that apply.
- A. Wash your feet in antimicrobial soap.
- B. Wear comfortable, well-fitting shoes.
- C. Cut your toenails in an arch.
- D. Keep the area between the toes dry.
- E. Use a heating pad when feet are cold.
Correct Answer: B,D
Rationale: Well-fitting shoes (B) prevent injury, and dry toes (D) prevent infection in PVD. Antimicrobial soap (A) is unnecessary, arched toenails (C) risk ingrown nails, and heating pads (E) risk burns.
You may also like to solve these questions
Which dietary recommendation should the nurse provide to a client with hypertension?
- A. Follow the DASH diet.
- B. Increase red meat consumption.
- C. Drink caffeinated beverages daily.
- D. Use table salt liberally.
Correct Answer: A
Rationale: The DASH diet, rich in fruits, vegetables, and low-fat dairy, is proven to lower blood pressure.
The nurse is teaching a class on venous insufficiency. The nurse would identify which condition as the most serious complication of chronic venous insufficiency?
- A. Arterial thrombosis.
- B. Deep vein thrombosis.
- C. Venous ulcerations.
- D. Varicose veins.
Correct Answer: C
Rationale: Venous ulcerations (C) are the most serious complication of chronic venous insufficiency, causing infection risk and impaired healing. Arterial thrombosis (A) is unrelated, DVT (B) is a separate condition, and varicose veins (D) are less severe.
The nurse is monitoring a client post-percutaneous coronary intervention (PCI). Which finding requires immediate action?
- A. Heart rate of 80 beats per minute
- B. Bleeding at the catheter site
- C. Blood pressure of 130/85 mmHg
- D. Mild discomfort at the insertion site
Correct Answer: B
Rationale: Bleeding at the catheter site can indicate a hematoma or hemorrhage, requiring immediate intervention.
Which nursing instruction is most beneficial in helping relieve the client's symptoms caused by varicose veins?
- A. Elevate your legs frequently during the day.
- B. Keep the room temperature above 70°F (21°C).
- C. Massage your calves when experiencing leg cramps.
- D. Modify your lifestyle to include sedentary activities.
Correct Answer: A
Rationale: Elevating the legs promotes venous return, reducing swelling and discomfort associated with varicose veins.
Which intervention should the nurse include in the plan of care for a client with pericarditis? Select all that apply.
- A. Monitor for signs of cardiac tamponade.
- B. Administer anti-inflammatory medications.
- C. Encourage deep breathing exercises.
- D. Elevate the head of the bed.
- E. Restrict all physical activity.
- F. Check vital signs every 8 hours.
Correct Answer: A,B,D,E
Rationale: Monitoring for tamponade, administering anti-inflammatories, elevating the bed, and restricting activity manage pericarditis effectively.