A client with peripheral vascular disease (PAD) is prescribed cilostazol, a medication that improves blood flow in the legs. The nurse should instruct the client to:

Increase the dosage if experiencing leg pain.

Take the medication on an empty stomach.

Avoid grapefruit juice while on cilostazol.

Use compression stockings to promote blood flow.

Answer and Explanation

The Correct Answer is C

For a client with peripheral vascular disease (PAD) who is prescribed cilostazol, the nurse should provide the following instruction:

C) Avoid grapefruit juice while on cilostazol.

Grapefruit juice can interact with certain medications, including cilostazol, and may lead to increased levels of the medication in the bloodstream. This can potentially cause adverse effects or interfere with the intended therapeutic effects of cilostazol. Therefore, clients taking cilostazol should be advised to avoid grapefruit juice.

The other options are not appropriate:

A) Increasing the dosage of cilostazol without consulting a healthcare provider is not recommended and can be dangerous.

B) Cilostazol can be taken with or without food, so taking it on an empty stomach is not necessary.

D) While compression stockings can be used for some individuals with PAD, their use should be discussed with the healthcare provider and is not specific to cilostazol instructions.

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Correct Answer is C

Explanation

A) This choice is incorrect because using heating pads to warm cold feet can cause burns or injuries, especially in clients with impaired sensation due to peripheral vascular disease. Clients with PAD may experience cold feet due to reduced blood flow, but external heating sources should be used with caution.

B) This choice is incorrect because moisturizing the skin is essential for individuals with peripheral vascular disease to prevent dryness and cracking, which can lead to skin breakdown and infections. Proper skin care is important to maintain skin integrity and prevent complications.

C) This choice is correct. Clients with peripheral vascular disease should inspect their feet daily for any changes, such as cuts, sores, blisters, or signs of infection. Reduced blood flow can slow down wound healing, and prompt identification and treatment of foot problems are crucial to prevent infections and potential complications.

D) This choice is incorrect because while elevating the legs above heart level can temporarily improve blood flow and reduce swelling, prolonged elevation can impede blood flow and is not recommended for extended periods. Clients with PAD should be encouraged to perform regular, moderate physical activity to improve blood circulation.

A. Soaking the feet in hot water to increase circulation. B. Wearing thick socks to insulate the feet. C. Using an electric blanket to keep warm. D. Avoiding exposure to cold temperatures.

Correct Answer is D

Explanation

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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A client with peripheral vascular disease (PAD) is prescribed cilostazol, a medication that improves blood flow in the legs. The nurse should instruct the client to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client with peripheral vascular disease about skin care. The nurse should instruct the client to:

Correct Answer is C

Explanation

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?

Correct Answer is D

Explanation

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