A client with peripheral vascular disease (PAD) is experiencing cold feet due to reduced blood flow. Which self-care measure should the nurse recommend to the client?

Soaking the feet in hot water to increase circulation.

Wearing thick socks to insulate the feet.

Using an electric blanket to keep warm.

Avoiding exposure to cold temperatures.

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because soaking the feet in hot water is not recommended for individuals with peripheral vascular disease (PAD) or cold feet. Hot water can cause burns or injuries, especially in clients with reduced sensation due to PAD.

B) This choice is incorrect because while wearing thick socks can provide some insulation, it is not a comprehensive solution for managing cold feet caused by reduced blood flow.

C) This choice is incorrect because using an electric blanket may not be specific to the feet and may not effectively address the issue of cold feet due to PAD.

D) This choice is correct. Avoiding exposure to cold temperatures is a recommended self-care measure for individuals with peripheral vascular disease (PAD) experiencing cold feet. Cold temperatures can further constrict blood vessels and reduce blood flow to the extremities. Clients should keep their feet warm and protect them from cold weather using appropriate footwear and clothing.

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Correct Answer is B

Explanation

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.

A. Avoiding all physical activity to prevent leg pain. B. Walking until the pain becomes severe, then stopping. C. Engaging in a daily high-intensity exercise regimen. D. Gradually increasing walking distance over time.

Correct Answer is D

Explanation

A) This choice is incorrect because avoiding all physical activity can lead to deconditioning and worsen exercise tolerance over time. Regular exercise is beneficial for individuals with peripheral vascular disease (PAD) to improve blood flow and manage symptoms.

B) This choice is incorrect because waiting until the pain becomes severe and then stopping (known as the "stop-and-rest" method) is not recommended for individuals with PAD. This approach can lead to inadequate exercise and may not provide the benefits of regular walking.

C) This choice is incorrect because engaging in a daily high-intensity exercise regimen is not appropriate for individuals with PAD, especially if they experience intermittent claudication. High-intensity exercise can exacerbate leg pain and may not be well-tolerated.

D) This choice is correct. Gradually increasing walking distance over time is a recommended approach for individuals with PAD to improve exercise tolerance and manage intermittent claudication. The goal is to push the limits of walking distance without causing severe pain, allowing the individual to gradually build endurance and improve blood flow.

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A client with peripheral vascular disease (PAD) is experiencing cold feet due to reduced blood flow. Which self-care measure should the nurse recommend to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A client with peripheral vascular disease (PAD) is experiencing intermittent claudication and reports difficulty walking. What should the nurse encourage the client to do to improve exercise tolerance?

Correct Answer is D

Explanation

A nurse is providing education to a client with peripheral vascular disease (PAD). The nurse should instruct the client to perform which exercise to improve blood flow in the legs?

A client with peripheral vascular disease is scheduled for an arteriography. The nurse should provide pre-procedure education, including informing the client that:

A client with peripheral vascular disease (PAD) reports experiencing numbness and tingling in their feet. The nurse should suspect:

A nurse is assessing a client with suspected peripheral vascular disease. Which finding is most concerning and requires immediate intervention?

A client with peripheral vascular disease (PAD) reports experiencing pain in their legs that occurs with walking and is relieved by rest. The nurse recognizes this symptom as:

A nurse is providing discharge education to a client following peripheral artery bypass surgery. Which sign should the nurse instruct the client to report immediately?

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?

A nurse is caring for a client with peripheral vascular disease (PAD) who undergoes angioplasty with stent placement. Which post-procedure instruction should the nurse include in the client's education?