A nurse is reinforcing teaching with a client who has peripheral arterial disease (PAD). Which of the following instructions should the nurse include in the teaching?
"incorporate walking into your daily routine."
"Elevate your legs while in bed."
"Shop for new shoes during the morning hours."
"Wear knee length stockings."
The Correct Answer is A
(A) “Incorporate walking into your daily routine.”: This is the most appropriate instruction for a client with peripheral arterial disease (PAD). Regular exercise, such as walking, can help improve circulation, increase the distance a person can walk without pain, and promote overall cardiovascular health. It’s important to start slow and gradually increase the duration and intensity of the exercise as tolerated. The client should be advised to stop and rest if they experience any pain.
(B) “Elevate your legs while in bed.”: While elevating the legs can help reduce swelling in some conditions, it’s not typically recommended for clients with PAD. Elevation can actually decrease arterial blood flow to the legs, which could worsen symptoms.
(c) “Shop for new shoes during the morning hours.”: This instruction is more relevant for clients with conditions that cause foot swelling, such as heart failure or venous insufficiency. In PAD, the size of the feet does not typically change throughout the day.
(D) “Wear knee length stockings.”: Compression stockings are often used to improve venous circulation in conditions like deep vein thrombosis or chronic venous insufficiency. However, they’re not typically recommended for clients with PAD as they can restrict arterial blood flow.
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Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
(A) Agency for Healthcare Research and Quality (AHRQ) website: The AHRQ is a reputable source of information for healthcare professionals. It provides evidence-based information on healthcare outcomes, quality, cost, use, and access.
(B) American Association of Critical Care Nurses (AACN) website: The AACN is a credible source of information for nurses working in critical care. It provides resources, education, and advocacy to ensure optimal care for critically ill patients.
(C) Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN) website: AWHONN is a reputable organization that promotes the health of women and newborns. Its website provides evidence-based clinical practice guidelines and other resources for nurses.
(D) A pamphlet about hypoglycemia from the American Diabetes Association: The American Diabetes Association is a reputable source of information on diabetes. A pamphlet from this organization about hypoglycemia would be based on the latest research and would be a credible source of information.
(E) Cumulative Index of Nursing and Allied Health Literature (CINAHL) website: CINAHL is a comprehensive source of full-text for nursing & allied health journals, providing full text for more than 610 journals indexed in CINAHL. This is a highly respected research tool for nurses and allied health professionals.
Correct Answer is D
Explanation
(A) Metabolic alkalosis: This condition is characterized by a high blood pH (>7.45) and a high bicarbonate level (>26 mEq/L). The client’s pH and bicarbonate levels are both lower than normal, which rules out metabolic alkalosis.
(B) Respiratory acidosis: This condition is characterized by a low blood pH (<7.35) and a high PaCO2 level (>45 mm Hg). Although the client’s pH is low, the PaCO2 level is also low, which rules out respiratory acidosis.
(c) Respiratory alkalosis: This condition is characterized by a high blood pH (>7.45) and a low PaCO2 level (<35 mm Hg). The client’s pH is low, which rules out respiratory alkalosis.
(D) Metabolic acidosis: This condition is characterized by a low blood pH (<7.35) and a low bicarbonate level (<22 mEq/L). The client’s pH is 7.26 and bicarbonate level is 14 mEq/L, both of which are lower than normal. This indicates metabolic acidosis, which is common in clients with acute kidney injury as the kidneys are unable to excrete hydrogen ions and reabsorb bicarbonate. Therefore, the nurse should identify that the client is experiencing metabolic acidosis.
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