A client with an arterial ischemic leg ulcer is being discharged from the hospital. Which instruction is most important for the nurse to include in this client's discharge teaching plan?

Trim toenails straight across.

Inspect feet daily for skin breakdown.

Keep legs elevated as much as possible.

Wear shoes and socks while awake.

Answer and Explanation

The Correct Answer is B

Choice A reason: Trimming toenails straight across is a general foot care recommendation but is not the most critical for preventing complications from an arterial ischemic leg ulcer.
Choice B reason: This is the correct choice. Daily inspection of the feet for skin breakdown is crucial for early detection and prevention of complications associated with arterial ischemic leg ulcers.
Choice C reason: Keeping legs elevated can help reduce swelling but is not as critical as daily foot inspection for preventing ulcer-related complications.
Choice D reason: Wearing shoes and socks is important for protecting the feet but does not directly prevent complications from an arterial ischemic leg ulcer.

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Correct Answer is C

Explanation

Choice A reason: Limiting green, leafy vegetables is not typically necessary for patients with liver disease and esophageal varices unless they are on anticoagulant therapy.
Choice B reason: While passive range of motion exercises are beneficial for maintaining joint mobility, they are not directly related to the prevention of hematemesis.
Choice C reason: This is the correct choice. Lifting heavy objects can increase abdominal pressure and the risk of bleeding from esophageal varices.
Choice D reason: Midodrine is a medication used to treat low blood pressure, not specifically for esophageal varices or hematemesis.

A. School-age B. Preschool-age C. Toddler D. Adolescence

Correct Answer is A

Explanation

Choice A reason: School-age children, typically between the ages of 6 and 12, begin to understand the finality of death. They can grasp that death is irreversible and permanent, affecting all living beings.

Choice B reason: Preschool-age children often perceive death as a temporary or reversible state. They may not fully comprehend its permanence until they are older.

Choice C reason: Toddlers are too young to understand complex concepts like the permanence of death. Their cognitive development at this stage is focused on more concrete and immediate experiences.

Choice D reason: By adolescence, individuals have a clear understanding of the permanence of death, but this awareness typically develops during the school-age years. Adolescents may explore more complex ideas about life and death, but the basic understanding of permanence is already established.

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A client with an arterial ischemic leg ulcer is being discharged from the hospital. Which instruction is most important for the nurse to include in this client's discharge teaching plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with liver disease and esophageal varices is admitted for an episode of hematemesis. Which patient teaching should the nurse provide prior to discharge?

Correct Answer is C

Explanation

At which stage of development are children able to understand the permanence of death?

Correct Answer is A

Explanation

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