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. A nurse should explain surgical risks to a client. – Incorrect. The provider (physician or surgeon) is responsible for explaining surgical risks, benefits, and alternatives. The nurse only verifies that informed consent was obtained and clarifies questions.
B. A client who is unable to write cannot provide informed consent. – Incorrect. A client who cannot write may provide consent verbally or with an "X" if witnessed appropriately.
C. A client can refuse a procedure after signing an informed consent form. – Correct. Clients have the right to withdraw consent at any time before the procedure is performed.
D. A client who is blind needs a guardian to provide informed consent. – Incorrect. A blind client can provide informed consent as long as they understand the procedure. The consent form can be read aloud if needed.
Correct Answer is C
Explanation
A. "Symptoms of Lyme disease appear 2 days after being bitten by an infected tick." – Incorrect. Symptoms of Lyme disease typically develop 3 to 30 days after a tick bite, not within 2 days.
B. "If bitten by a tick, testing for Lyme disease should occur within 2 weeks." – Incorrect. Testing immediately or within two weeks may yield a false-negative result because antibodies take time to develop. The CDC recommends waiting 4 to 6 weeks for accurate testing.
C. "Use a product with DEET on your skin and clothes when you are walking in a wooded area." – Correct. DEET is an effective tick repellent and should be applied to exposed skin and clothing to reduce the risk of tick bites, which can transmit Lyme disease.
D. "Remove embedded ticks by squeezing the body with tweezers." – Incorrect. The proper method for tick removal is to grasp it close to the skin with fine-tipped tweezers and pull straight out. Squeezing the tick’s body can cause it to release infectious fluids into the bite site, increasing the risk of disease transmission.
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