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."

Answer and Explanation

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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Correct Answer is D

Explanation

A. Vomiting:

Vomiting can lead to metabolic alkalosis due to the loss of hydrochloric acid from the stomach, resulting in increased bicarbonate levels in the blood. It does not directly contribute to metabolic acidosis.

B. Hyperventilation:

Hyperventilation can lead to respiratory alkalosis due to excessive elimination of carbon dioxide (CO2) through increased respiratory rate and depth. It is not associated with metabolic acidosis.

C. Diarrhea:

Diarrhea can lead to metabolic acidosis due to the loss of bicarbonate-rich fluid from the gastrointestinal tract, resulting in decreased bicarbonate levels in the blood. While diarrhea can contribute to metabolic acidosis, it is not the case in this scenario.

D. Salicylate intoxication:

Salicylate intoxication, such as aspirin overdose, can lead to metabolic acidosis due to the accumulation of salicylic acid, which is a weak acid that dissociates in the body, contributing to an increased anion gap metabolic acidosis. This is a direct cause of metabolic acidosis in this scenario.

A. Shiny, thin hairless skin on the lower extremities B. Dusky, red color of the feet when dangling C. Pitting edema D. Thickened toenails

Correct Answer is C

Explanation

(A) Re-collection of data: Re-collection of data is not the next step after planning. It might be done as part of the evaluation step or if there are significant changes in the client’s condition.

(B) Implementation: This is the most appropriate answer. After the planning step of the nursing process, the nurse moves on to the implementation step. This is where the nurse executes the interventions that were identified during the planning step.

(C) Data Collection: Data collection is typically the first step in the nursing process, where the nurse gathers information about the client’s health status. It is not the next step after planning.

(D) Evaluation: Evaluation is the final step of the nursing process. It involves assessing the client’s response to the nursing interventions and determining whether the client’s goals have been met. It is not the next step after planning.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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