A client has peripheral arterial disease (PAD). What statement by the client indicates misunderstanding about self-management activities?

"I should not cross my legs when sitting or lying down."

"I will go out and buy some warm, heavy socks to wear."

"It's going to be really hard but I will stop smoking."

"I can use a heating pad on my legs if it's set on low."

Answer and Explanation

The Correct Answer is B

A. Not crossing legs is an important self-management strategy for PAD. It helps improve circulation and prevent further vascular damage. This statement is correct.

B. Warm, heavy socks can be harmful for PAD clients because they may reduce circulation. Clients should avoid excessive warmth and use loose-fitting socks instead. This statement indicates misunderstanding.

C. Smoking cessation is crucial for PAD management, as smoking worsens circulation. This statement is correct.

D. Heating pads can be dangerous for clients with PAD due to the risk of burns from impaired circulation. Low settings may still be too high, so this statement requires further education.

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Correct Answer is B

Explanation

A. Stool frequency does not directly evaluate the prevention of stress ulcers or gastrointestinal bleeding.

B. Fecal occult test directly assesses for hidden gastrointestinal bleeding, making it the best evaluation method.

C. Bowel sounds, while important for general gastrointestinal assessment, bowel sounds do not directly evaluate the effectiveness of Esomeprazole in preventing bleeding.

D. Abdominal distention may indicate a variety of issues but is not specific to assessing the effectiveness of a proton pump inhibitor.

A. "The client meets the criteria for the chronic asymptomatic HIV infection phase." B. "The clients CD4+ T cell count is within normal range." C. "The client meets the criteria for the acute HIV infection phase." D. "The client has developed Acquired Immunodeficiency Syndrome (AIDS)."

Correct Answer is D

Explanation

A. Chronic asymptomatic HIV infection refers to a phase with no opportunistic infections and higher CD4+ counts.

B. A CD4+ T cell count below 200 cells/μL is abnormal and diagnostic of AIDS, not within the normal range.

C. The acute HIV infection phase occurs shortly after exposure, characterized by flu-like symptoms and high viral load, not opportunistic infections.

D. The presence of Pneumocystis jiroveci pneumonia (an AIDS-defining illness) and a CD4+ T cell count below 200 cells/μL confirms a diagnosis of AIDS.

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A client has peripheral arterial disease (PAD). What statement by the client indicates misunderstanding about self-management activities?

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Naxlex Comprehensive Predictor Exams

The proton pump inhibitor Esomeprazole (Nexium) is prescribed for a client who incurred extensive burn injuries 5 days ago. Which nursing assessment would best evaluate the effectiveness of the drug?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

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