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 A

Explanation

Choice A reason: This is the correct choice. The level of consciousness is the most direct and immediate indicator of brain function following an injury.
Choice B reason: Gross motor skill function is important but may not be the best immediate indicator of brain function.
Choice C reason: Pupil response is a good indicator of brain function but is part of a broader neurological assessment that includes the level of consciousness.
Choice D reason: Vital signs are important to monitor but do not directly indicate brain function like the level of consciousness does.

A. An orogastric tube fails to pass at birth. B. The infant has a low birth weight. C. It is visually identified at the time of delivery. D. Dry mouth and nares, little to no oral secretions at delivery.

Correct Answer is A

Explanation

Choice A reason: This is the correct choice. If an orogastric tube fails to pass, it may indicate a blockage or abnormal connection, such as a tracheoesophageal fistula.
Choice B reason: Low birth weight can be associated with many conditions and is not specific to TEF.
Choice C reason: TEF is not typically visible without special imaging or procedures; it cannot be visually identified at delivery.
Choice D reason: Dry mouth and nares with little to no oral secretions could indicate other conditions and are not specific to TEF. TEF often presents with excessive oral secretions.

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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

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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