A nurse is providing care for a client diagnosed with diabetic ketoacidosis (DK
Exercise
Elevation of legs
Intermittent pneumatic compression pumps
Ankle-brachial index test
Layered wraps
Correct Answer : A,B,C,E
Choice A reason: Exercise
Exercise is a crucial component in the management of peripheral venous disease (PVD). Regular physical activity helps improve blood circulation and reduces symptoms such as pain and swelling. Walking, in particular, is highly recommended as it promotes venous return and enhances overall cardiovascular health. Exercise also helps in weight management, which can alleviate the pressure on the veins and improve symptoms of PVD.
Choice B reason: Elevation of Legs
Elevating the legs is a simple yet effective way to reduce swelling and improve blood flow in patients with PVD1. By raising the legs above the level of the heart, gravity helps to reduce the pooling of blood in the lower extremities, thereby decreasing edema and discomfort. This practice is especially beneficial when done regularly, such as during rest periods or while sleeping.
Choice C reason: Intermittent Pneumatic Compression Pumps
Intermittent pneumatic compression (IPC) pumps are devices used to enhance blood flow in the legs. These devices consist of inflatable sleeves that wrap around the legs and periodically inflate and deflate, mimicking the natural muscle contractions that help push blood back toward the heart. IPC pumps are particularly useful for patients who are immobile or have difficulty engaging in physical activity, as they help prevent blood clots and reduce swelling.
Choice D reason: Ankle-Brachial Index Test
The ankle-brachial index (ABI) test is a diagnostic tool used to assess the severity of peripheral artery disease (PAD), not peripheral venous disease. The test compares the blood pressure in the ankle with the blood pressure in the arm to determine the presence of arterial blockages. While the ABI test is important for diagnosing PAD, it is not a treatment or management strategy for PVD. Therefore, it is not included in the plan of care for PVD.
Choice E reason: Layered Wraps
Layered wraps, also known as compression bandages, are used to manage symptoms of PVD by providing consistent pressure to the legs. These wraps help reduce swelling, improve venous return, and prevent the formation of ulcers. Compression therapy is a cornerstone in the management of chronic venous insufficiency and related conditions, making layered wraps an essential part of the care plan for patients with PVD.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D"]
Explanation
Choice A Reason
Acetaminophen is often used to manage pain and fever, but it is not the primary treatment for pericarditis. While it can help alleviate discomfort, it does not address the inflammation associated with pericarditis12.
Choice B Reason:
Amiodarone is an antiarrhythmic medication used to treat and prevent various types of serious irregular heartbeats, such as ventricular tachycardia or ventricular fibrillation. It is not typically used for treating pericarditis, as it does not address the inflammation or pain associated with the condition.
Choice C Reason:
Colchicine is recommended as part of the first-line treatment for pericarditis. It helps reduce inflammation and the risk of recurrent pericarditis when used in conjunction with NSAIDs5. Colchicine is effective in managing symptoms and preventing recurrences.
Choice D Reason:
Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that is effective in reducing inflammation and pain associated with pericarditis. NSAIDs are commonly prescribed for pericarditis to help manage symptoms and reduce inflammation. Indomethacin, along with other NSAIDs like ibuprofen, is often part of the first-line treatment for this condition.
Choice E Reason:
Nitroglycerine is primarily used to treat angina (chest pain) and heart failure by dilating blood vessels and reducing the heart’s workload. It is not typically used for treating pericarditis, as it does not address the inflammation or pain associated with the condition.
Correct Answer is D
Explanation
Choice A reason: Hypertension is not directly caused by hypokalemia. While potassium levels can influence blood pressure, hypokalemia is more critically associated with cardiac issues rather than hypertension alone.
Choice B reason: Ketosis is a metabolic state resulting from the body burning fat for fuel instead of carbohydrates. It is not directly related to hypokalemia. Hypokalemia does not cause ketosis, and monitoring for ketosis in a client with hypokalemia is not a priority.
Choice C reason: Insulin resistance is a condition where the body’s cells do not respond properly to insulin. While potassium levels can affect insulin secretion and action, hypokalemia is not primarily associated with insulin resistance. Therefore, it is not the main concern for a nurse monitoring a client with hypokalemia.
Choice D reason: Cardiac arrhythmias are a significant concern in clients with hypokalemia. Potassium is crucial for proper cardiac function, and low levels can lead to abnormal heart rhythms. This is why monitoring for cardiac arrhythmias is essential in clients with hypokalemia.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today