A nurse is teaching a client with peripheral vascular disease about skin care. The nurse should instruct the client to:

Use heating pads to warm cold feet.

Avoid moisturizing the skin to prevent infections.

Inspect the feet daily for any changes.

Elevate the legs above heart level for extended periods.

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because using heating pads to warm cold feet can cause burns or injuries, especially in clients with impaired sensation due to peripheral vascular disease. Clients with PAD may experience cold feet due to reduced blood flow, but external heating sources should be used with caution.

B) This choice is incorrect because moisturizing the skin is essential for individuals with peripheral vascular disease to prevent dryness and cracking, which can lead to skin breakdown and infections. Proper skin care is important to maintain skin integrity and prevent complications.

C) This choice is correct. Clients with peripheral vascular disease should inspect their feet daily for any changes, such as cuts, sores, blisters, or signs of infection. Reduced blood flow can slow down wound healing, and prompt identification and treatment of foot problems are crucial to prevent infections and potential complications.

D) This choice is incorrect because while elevating the legs above heart level can temporarily improve blood flow and reduce swelling, prolonged elevation can impede blood flow and is not recommended for extended periods. Clients with PAD should be encouraged to perform regular, moderate physical activity to improve blood circulation.

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Correct Answer is B

Explanation

A) This choice is incorrect because crossing the legs while sitting can impede blood flow and worsen symptoms of chronic venous insufficiency (CVI). Clients with CVI should avoid crossing their legs and keep them uncrossed to promote blood flow.

B) This choice is correct. Elevating the legs above heart level when resting is a beneficial self-care strategy for individuals with chronic venous insufficiency (CVI). Elevating the legs helps improve venous return, reduce swelling, and alleviate discomfort.

C) This choice is incorrect because while applying warm compresses may provide temporary relief for some individuals with CVI, it is not a primary self-care strategy for promoting venous return. Warm compresses may be more suitable for acute injuries or inflammation.

D) This choice is incorrect because while wearing compression stockings is a recommended intervention for individuals with CVI, tight-fitting compression stockings can impede blood flow and cause discomfort. Compression stockings should be fitted appropriately by a healthcare professional to ensure optimal efficacy.

A. Avoiding all physical activity to prevent leg pain. B. Walking until the pain becomes severe, then stopping. C. Engaging in a daily high-intensity exercise regimen. D. Gradually increasing walking distance over time.

Correct Answer is D

Explanation

A) This choice is incorrect because avoiding all physical activity can lead to deconditioning and worsen exercise tolerance over time. Regular exercise is beneficial for individuals with peripheral vascular disease (PAD) to improve blood flow and manage symptoms.

B) This choice is incorrect because waiting until the pain becomes severe and then stopping (known as the "stop-and-rest" method) is not recommended for individuals with PAD. This approach can lead to inadequate exercise and may not provide the benefits of regular walking.

C) This choice is incorrect because engaging in a daily high-intensity exercise regimen is not appropriate for individuals with PAD, especially if they experience intermittent claudication. High-intensity exercise can exacerbate leg pain and may not be well-tolerated.

D) This choice is correct. Gradually increasing walking distance over time is a recommended approach for individuals with PAD to improve exercise tolerance and manage intermittent claudication. The goal is to push the limits of walking distance without causing severe pain, allowing the individual to gradually build endurance and improve blood flow.

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A nurse is teaching a client with peripheral vascular disease about skin care. The nurse should instruct the client to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client with chronic venous insufficiency (CVI) about self-care strategies. What should the nurse recommend to the client to promote venous return?

Correct Answer is B

Explanation

A client with peripheral vascular disease (PAD) is experiencing intermittent claudication and reports difficulty walking. What should the nurse encourage the client to do to improve exercise tolerance?

Correct Answer is D

Explanation

A client with suspected peripheral vascular disease is scheduled for an ankle-brachial index (ABI) test. The nurse explains that this test measures:

A nurse is reviewing the medical history of a client with suspected peripheral vascular disease. Which condition is a significant risk factor for the development of atherosclerosis and peripheral vascular disease?

A nurse is caring for a client with peripheral vascular disease (PAD) who has a history of smoking. The nurse should prioritize which intervention to promote vascular health?

A nurse is providing discharge education to a client following peripheral artery bypass surgery. Which sign should the nurse instruct the client to report immediately?

A nurse is assessing a client with suspected peripheral vascular disease. Which finding is most concerning and requires immediate intervention?

A nurse is assessing a client with peripheral vascular disease. Which non-invasive test can the nurse use to assess blood flow in the legs and detect blockages?

A nurse is teaching a client about the contributing factors to peripheral vascular diseases. The nurse explains that the most common cause of peripheral artery disease (PAD) is:

A client with peripheral vascular disease (PAD) reports experiencing pain in their legs that occurs with walking and is relieved by rest. The nurse recognizes this symptom as: