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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Potassium level – Valproic acid does not significantly affect potassium levels, so this is not a necessary baseline test.

B. Thyroid function tests – Valproic acid is not known to significantly impact thyroid function, making this an unnecessary test.

C. Uric acid level – Uric acid levels are more relevant for conditions like gout, and valproic acid does not typically cause hyperuricemia.

D. Liver function tests – This is the correct answer because valproic acid is metabolized in the liver and can cause hepatotoxicity. Baseline liver function tests (LFTs) should be reviewed before starting the medication to assess liver health.

A. Irritability B. Increased head circumference C. Hypotonicity D. Decreased auditory startle response

Correct Answer is A

Explanation

A. Irritability – This is the expected finding. Newborns exposed to cocaine in utero often exhibit irritability, hypertonia, tremors, and a high-pitched cry due to withdrawal symptoms and central nervous system excitability.

B. Increased head circumference – Cocaine use is associated with intrauterine growth restriction (IUGR), leading to smaller head circumferences rather than increased head size.

C. Hypotonicity – Cocaine-exposed newborns typically exhibit hypertonicity (increased muscle tone) rather than hypotonia.

D. Decreased auditory startle response – These newborns usually have an exaggerated Moro (startle) reflex rather than a decreased response.

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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?

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Naxlex Comprehensive Predictor Exams

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