A client with peripheral arterial disease (PAD) has a non-healing ulcer on the foot. The nurse should prioritize which action in the client's plan of care?

Administering analgesics for pain relief.

Initiating prophylactic antibiotics.

Elevating the affected foot.

Promoting regular foot inspections.

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because while administering analgesics for pain relief is important for the client's comfort, it is not the priority in this situation. The non-healing ulcer may require further assessment and interventions beyond pain relief.

B) This choice is correct. In a client with peripheral arterial disease (PAD) and a non-healing foot ulcer, there is a risk of infection due to reduced blood flow and compromised tissue healing. Initiating prophylactic antibiotics is a priority to prevent or manage infection and promote wound healing.

C) This choice is incorrect because elevating the affected foot can be beneficial to improve blood flow in individuals with venous insufficiency or edema but may not be as effective for individuals with peripheral arterial disease (PAD).

D) This choice is incorrect because promoting regular foot inspections is essential for clients with peripheral vascular diseases, but in this case, the non-healing ulcer requires immediate attention. Proper wound care, including assessment, cleaning, and dressing, should be part of the client's plan of care, but antibiotic therapy is the priority in this situation.

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Correct Answer is A

Explanation

A) This choice is correct. As individuals age, the risk of peripheral vascular diseases increases due to several factors, including the weakening of arterial walls and the accumulation of plaque in the arteries (atherosclerosis). Aging is associated with changes in blood vessels, such as decreased elasticity and increased stiffness, which can contribute to the development of peripheral vascular diseases.

B) This choice is incorrect because while physical fitness can influence the risk of cardiovascular diseases, age-related changes in blood vessels can still increase the risk of peripheral vascular diseases, even in physically fit individuals.

C) This choice is incorrect because the risk of peripheral vascular diseases does not remain stable with no significant changes. Aging is associated with various physiological changes that can impact cardiovascular health and increase the risk of peripheral vascular diseases.

D) This choice is incorrect because while gender and ethnicity can influence the risk of certain conditions, age is a significant independent risk factor for the development of peripheral vascular diseases. The age-related changes in blood vessels apply to individuals of all genders and ethnicities.

Questions

A. Crossing the legs while sitting to reduce leg swelling. B. Elevating the legs above heart level when resting. C. Applying warm compresses to the legs to relieve discomfort. D. Wearing tight-fitting compression stockings throughout the day.

Correct Answer is B

Explanation

A) This choice is incorrect because crossing the legs while sitting can impede blood flow and worsen symptoms of chronic venous insufficiency (CVI). Clients with CVI should avoid crossing their legs and keep them uncrossed to promote blood flow.

B) This choice is correct. Elevating the legs above heart level when resting is a beneficial self-care strategy for individuals with chronic venous insufficiency (CVI). Elevating the legs helps improve venous return, reduce swelling, and alleviate discomfort.

C) This choice is incorrect because while applying warm compresses may provide temporary relief for some individuals with CVI, it is not a primary self-care strategy for promoting venous return. Warm compresses may be more suitable for acute injuries or inflammation.

D) This choice is incorrect because while wearing compression stockings is a recommended intervention for individuals with CVI, tight-fitting compression stockings can impede blood flow and cause discomfort. Compression stockings should be fitted appropriately by a healthcare professional to ensure optimal efficacy.

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A client with peripheral arterial disease (PAD) has a non-healing ulcer on the foot. The nurse should prioritize which action in the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client about risk factors for peripheral vascular diseases. The client asks about the role of age in developing these conditions. The nurse explains that as individuals age, the risk of peripheral vascular diseases:

Correct Answer is A

Explanation

A nurse is providing education to a client with chronic venous insufficiency (CVI) about self-care strategies. What should the nurse recommend to the client to promote venous return?

Correct Answer is B

Explanation

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A nurse is providing education to a client with peripheral vascular disease (PAD) about lifestyle modifications. Which dietary recommendation should the nurse include in the client's plan of care?

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