A nurse is teaching about leg and foot care to a client who has peripheral vascular disease of the lower extremities. Which of the following instructions should the nurse include?
Wear nylon socks.
Trim toenails short and round the edges.
Use lamb's wool between toes that rub together.
Apply compression stockings that fit over the knees.
The Correct Answer is C
A. Nylon socks should be avoided as they do not allow moisture to escape, which can promote fungal infections.
B. Toenails should be trimmed straight across rather than rounded to prevent ingrown toenails, which can lead to infections.
C. This is the correct answer. Clients with peripheral vascular disease (PVD) should use lamb’s wool between toes that rub together to prevent pressure ulcers and skin breakdown.
D. Compression stockings can be harmful in PVD if not prescribed by a provider because they may impair circulation further.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Close the doors and windows on the unit – This is contain, which comes after rescue and alarm.
B. Activate the fire alarm system – Important (Alarm step), but rescue comes first if clients are in immediate danger.
C. Obtain and use a fire extinguisher – This is the last step (Extinguish) and only done if safe.
D. Fire safety follows the RACE priority sequence:R – Rescue (remove clients from immediate danger);A – Alarm; C – Contain; E – Extinguish. The first priority is to protect life, so the nurse must immediately remove clients from the area of danger.
Correct Answer is B
Explanation
A. "During this test, I must not eat or drink anything." – Incorrect. There are no dietary restrictions before a nonstress test (NST). In fact, eating may stimulate fetal movement.
B. "During this test, I will push a button if my baby moves." – Correct. The client is asked to press a button when fetal movement is felt to correlate with fetal heart rate accelerations.
C. "I will get oxytocin during this test." – Incorrect. Oxytocin is used in a contraction stress test (CST), not an NST.
D. "This test will tell me if my baby has a genetic problem." – Incorrect. The NST evaluates fetal well-being and oxygenation, not genetic conditions.
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