A nurse is providing teaching to a client who has severe peripheral arterial vascular disease. Which of the following information should the nurse include?

Restrict fluids to decrease lower extremity swelling.

Limit exercise to 10 min twice a day.

Use ice packs to decrease leg pain.

Sit with legs dependent when having pain.

Answer and Explanation

The Correct Answer is D

A) Restrict fluids to decrease lower extremity swelling: Restricting fluids is generally not recommended for managing peripheral arterial disease (PAD). Fluid restriction may not address the underlying vascular issues causing swelling and might lead to dehydration. The focus should be on improving circulation and managing PAD symptoms.

B) Limit exercise to 10 min twice a day: Exercise is a critical component of managing PAD, and limiting it to only 10 minutes twice a day may not provide sufficient benefit. Patients with PAD are often encouraged to engage in regular, supervised exercise programs to improve circulation and reduce symptoms.

C) Use ice packs to decrease leg pain: Using ice packs is not advisable for PAD. Cold can constrict blood vessels and potentially worsen symptoms. Warmth or gentle heat may be more beneficial for improving circulation and relieving pain.

D) Sit with legs dependent when having pain: Sitting with the legs dependent (hanging down) can help alleviate pain associated with PAD. This position helps increase blood flow to the lower extremities and can reduce pain caused by intermittent claudication, a common symptom of PAD.

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Correct Answer is C

Explanation

A) Administering risperidone 25 mg IM is not typically appropriate for treating a panic attack. Risperidone is an antipsychotic medication used for treating conditions like schizophrenia and bipolar disorder, not for the immediate management of panic attacks. Immediate pharmacological intervention is not generally the first line of treatment in acute panic attacks unless the client has a specific medication prescribed for such episodes.

B) Teaching the client how to perform guided imagery can be beneficial for long-term anxiety management but is not the most effective intervention during an acute panic attack. During a panic attack, the client's ability to focus and learn new techniques may be impaired, making it less effective in the immediate situation.

C) Staying with the client until the panic attack subsides is the most appropriate action. Presence and reassurance from the nurse can help the client feel safer and more grounded. This approach provides emotional support and can help reduce the severity and duration of the panic attack by addressing the client's immediate need for security and stability.

D) Encouraging the client to take quick, shallow breaths can exacerbate hyperventilation and increase anxiety during a panic attack. Instead, slow, deep breathing techniques are recommended to help calm the client's physiological response and reduce the intensity of the panic attack.

A. The client is preoccupied with a supposed body defect. B. The client compulsively bites fingernails. C. The client exhibits hoarding behaviors. D. The client puts off making decisions.

Correct Answer is D

Explanation

A. "The client is preoccupied with a supposed body defect.": This manifestation is more characteristic of body dysmorphic disorder rather than generalized anxiety disorder (GAD).

B. "The client compulsively bites fingernails.": Nail-biting is often associated with obsessive-compulsive disorder (OCD) or other stress-related behaviors rather than GAD.

C. "The client exhibits hoarding behaviors.": Hoarding is typically associated with obsessive-compulsive disorder (OCD) and not generalized anxiety disorder.

D. "The client puts off making decisions.": Individuals with generalized anxiety disorder often experience indecisiveness and procrastination due to excessive worry and fear of making the wrong choice. This is a common manifestation of GAD

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A nurse is providing teaching to a client who has severe peripheral arterial vascular disease. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is reviewing the medical record for a client who has generalized anxiety disorder. Which of the following manifestations should the nurse expect to see included in the client's medical record?

Correct Answer is D

Explanation

A nurse is creating a plan of care for a client who has generalized anxiety disorder and was recently admitted following a stressful life event. Which of the following interventions should the nurse include in the plan?

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