A nurse is teaching a client who has venous insufficiency due to deep-vein thrombosis. Which of the following Instructions should the nurse include in the teaching?

"Limit crossing your legs at your knees to 30 minutes at a time."

"Elevate the head of the bed when sleeping at night."

"Wash your graduated compression stockings in the washing machine."

"Put on your graduated compression stockings before getting out of bed."

Answer and Explanation

The Correct Answer is D

A) Limit crossing your legs at your knees to 30 minutes at a time: Crossing the legs at the knees can restrict blood flow and increase venous pressure, which is detrimental to clients with venous insufficiency. It's generally advised to avoid crossing legs altogether rather than limiting it to 30 minutes.

B) Elevate the head of the bed when sleeping at night: Elevating the head of the bed does not significantly aid in improving venous return from the legs. Elevating the legs instead helps reduce venous pressure and promotes better circulation, which is more beneficial for venous insufficiency.

C) Wash your graduated compression stockings in the washing machine: Washing compression stockings in a washing machine can damage their elasticity and effectiveness. It's better to hand wash them and let them air dry to maintain their compression properties.

D) Put on your graduated compression stockings before getting out of bed: Putting on compression stockings before getting out of bed helps to prevent blood from pooling in the legs. This maximizes their effectiveness in reducing edema and promoting venous return throughout the day.

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Correct Answer is C

Explanation

A) Apples:
Apples are generally considered safe for individuals with gastroesophageal reflux disease (GERD). They are low in acid and do not typically contribute to reflux symptoms, making them a suitable fruit choice.

B) Potatoes:
Potatoes are bland and non-acidic, making them a good option for individuals with GERD. They do not typically trigger reflux symptoms and can be included in a reflux-friendly diet.

C) Tomatoes:
Tomatoes are highly acidic and can significantly aggravate GERD symptoms. Their acidity can weaken the lower esophageal sphincter, allowing stomach acid to reflux into the esophagus, causing discomfort and heartburn.

D) Bananas:
Bananas are low in acid and often recommended for people with GERD. They are gentle on the stomach and do not usually cause reflux symptoms, making them a good dietary choice for managing GERD.

A. A yellowed sclera B. Brisk pupil reactivity C. Client reports a curtainlike obstruction over the visual field D. Client reports seeing colored halos around lights

Correct Answer is D

Explanation

A) A yellowed sclera:
A yellowed sclera is typically associated with jaundice, which is related to liver conditions, not acute angle-closure glaucoma. This symptom is not indicative of glaucoma.

B) Brisk pupil reactivity:
In acute angle-closure glaucoma, the pupil is often mid-dilated and sluggish to react to light due to increased intraocular pressure. Brisk pupil reactivity is not a characteristic finding in this condition.

C) Client reports a curtainlike obstruction over the visual field:
A curtainlike obstruction over the visual field is usually associated with retinal detachment, not acute angle-closure glaucoma. This description does not align with the symptoms of glaucoma.

D) Client reports seeing colored halos around lights:
Seeing colored halos around lights is a classic symptom of acute angle-closure glaucoma. This occurs due to the elevated intraocular pressure affecting the corneal surface and causing light diffraction. This manifestation is a key indicator of the condition.

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A nurse is teaching a client who has venous insufficiency due to deep-vein thrombosis. Which of the following Instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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