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 C
Explanation
A. Protective environment – Incorrect. Protective environment precautions are for immunocompromised clients (e.g., those with neutropenia).
B. Airborne – Incorrect. Airborne precautions are used for tuberculosis, measles, and varicella, not bacterial meningitis.
C. Droplet – Correct. Bacterial meningitis is transmitted through large respiratory droplets, requiring droplet precautions (mask, gown, and gloves when within 3 feet of the client).
D. Contact – Incorrect. Contact precautions alone are insufficient for bacterial meningitis, which spreads via droplets.
Correct Answer is B
Explanation
A. Asthma is not a contraindication for niacin therapy.
B. This is the correct answer. Niacin can cause hepatotoxicity and is contraindicated in clients with active liver disease.
C. Hyperthyroidism is not directly affected by niacin use.
D. High blood pressure is a precaution but not an absolute contraindication.
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