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 C

Explanation

A) This choice is incorrect because increasing sodium intake can lead to fluid retention and exacerbate swelling, which is counterproductive for clients with peripheral vascular disease (PAD).

B) This choice is incorrect because limiting fluid intake can lead to dehydration and is not typically recommended for individuals with PAD. Adequate hydration is important for overall health and vascular function.

C) This choice is correct. A low-fat and low-cholesterol diet is essential for individuals with peripheral vascular disease (PAD) to reduce the buildup of plaque in the arteries (atherosclerosis) and improve blood flow. Lowering dietary intake of saturated fats and cholesterol helps manage cardiovascular risk factors.

D) This choice is incorrect because consuming high amounts of caffeine can lead to increased heart rate and blood pressure, which may be detrimental for clients with PAD. Moderate caffeine intake is generally recommended.

A. Arterial insufficiency. B. Venous insufficiency. C. Peripheral nerve compression. D. Systemic inflammation.

Correct Answer is A

Explanation

A) This choice is correct. Numbness and tingling in the feet are symptoms associated with arterial insufficiency in peripheral vascular disease (PAD). Reduced blood flow to the extremities can lead to sensory changes and discomfort, including numbness and tingling.

B) This choice is incorrect because venous insufficiency is more commonly associated with symptoms such as leg swelling, skin changes, and the development of venous ulcers, but it does not typically cause numbness and tingling in the feet.

C) This choice is incorrect because peripheral nerve compression can cause localized numbness and tingling, but it is not a primary symptom of peripheral vascular disease. Peripheral nerve compression may occur due to various factors, such as nerve impingement or entrapment.

D) This choice is incorrect because systemic inflammation is not a direct cause of numbness and tingling in the feet in peripheral vascular disease. Systemic inflammation can contribute to other conditions, but it is not the primary cause of sensory changes associated with PAD.

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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 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?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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