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: Limited eye movement is not typically associated with open-angle glaucoma, which primarily affects peripheral vision.
Choice B reason: Photosensitivity can be a symptom of various eye conditions but is not the primary issue in open-angle glaucoma.
Choice C reason: This is the correct choice. Open-angle glaucoma is characterized by the gradual loss of peripheral vision, which can lead to tunnel vision if untreated.
Choice D reason: Blurred distance vision can occur in many eye conditions but is not specific to open-angle glaucoma.

A. High-pitched cry. B. Decreased lower extremity movement. C. Excessive wet diapers. D. Bulging fontanel when crying.

Correct Answer is D

Explanation

Choice A reason: While a high-pitched cry can be a sign of distress, it is not a specific indicator of increased intracranial pressure.
Choice B reason: Decreased movement in the lower extremities can indicate a neurological issue but is not a specific sign of increased intracranial pressure.
Choice C reason: Excessive wet diapers are not related to intracranial pressure.
Choice D reason: This is the correct choice. A bulging fontanel, especially when crying, can indicate increased intracranial pressure in an infant. It is important to monitor for other signs and symptoms as well.

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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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Explanation

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Correct Answer is D

Explanation

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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?