An older adult client with Type 2 diabetes reports experiencing leg pain when walking short distances, and that the pain is relieved by rest. Which client behavior indicates an understanding of healthcare teaching to promote more effective arterial circulation?

Consistently applies TED hose before getting dressed in the morning.

Inspects feet daily for any irritation or skin breakdown.

Frequently elevates legs throughout the day.

Completely stops cigarette/cigar smoking.

Answer and Explanation

The Correct Answer is D

Rationale:

A. Consistently applies TED hose before getting dressed in the morning: TED hose are designed to promote venous return, not arterial circulation. They may actually worsen arterial insufficiency by further reducing peripheral perfusion.

B. Inspects feet daily for any irritation or skin breakdown: Daily foot inspection is essential for diabetes management but does not directly improve arterial circulation or relieve claudication symptoms.

C. Frequently elevates legs throughout the day: Leg elevation reduces venous congestion but may decrease arterial blood flow to the extremities, worsening symptoms of peripheral artery disease.

D. Completely stops cigarette/cigar smoking: Smoking cessation significantly improves arterial circulation by reducing vasoconstriction and atherosclerotic progression, directly addressing the underlying cause of intermittent claudication.

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Correct Answer is ["A","D","E"]

Explanation

Rationale:

A. Instruct the client to shower and wash her hair thoroughly: Decontamination by showering is essential to remove any anthrax spores from the skin and hair. Thorough washing reduces the risk of further spread and protects healthcare personnel and other patients.

B. Clean all surfaces touched by the client with vinegar and water: Vinegar and water are not effective against anthrax spores. Proper decontamination requires specific agents, such as a 0.5% hypochlorite (bleach) solution, under the guidance of hazardous materials protocols.

C. Place the client in a room with lead doors to contain airborne anthrax: Lead doors are used for radiation containment, not for biological threats like anthrax. Anthrax is not typically airborne unless aerosolized, so this intervention is unnecessary and ineffective.

D. Bag the clothes the client is wearing in plastic bags: Contaminated clothing can carry anthrax spores. Placing clothes in sealed plastic bags is a critical step in preventing environmental contamination and ensuring safe disposal.

E. Place the client on airborne precautions: While anthrax is not usually spread from person to person, airborne precautions are used if aerosol exposure is suspected, as in bioterrorism events. This helps contain spores until full decontamination is completed.

A. Avoid using cosmetics that block sebaceous glands. B. Wear water shoes in the public shower. C. Do not share a brush or comb with anyone. D. Use moisturizing creams to retain skin moisture.

Correct Answer is B

Explanation

Rationale:

A. Avoid using cosmetics that block sebaceous glands: This advice is more relevant to preventing acne rather than tinea pedis. Tinea pedis, or athlete's foot, is caused by a fungal infection, not by clogged sebaceous glands.

B. Wear water shoes in the public shower: Tinea pedis is commonly transmitted in moist, communal environments like showers and locker rooms. Wearing protective footwear minimizes contact with contaminated surfaces, helping prevent infection.

C. Do not share a brush or comb with anyone: This applies to the prevention of tinea capitis (fungal scalp infection), not tinea pedis. Hair grooming items are not typically involved in the transmission of athlete’s foot.

D. Use moisturizing creams to retain skin moisture: Fungi thrive in warm, moist environments. Applying moisturizers excessively, especially between the toes, can promote fungal growth rather than prevent it. Dry, clean feet are key to prevention.

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An older adult client with Type 2 diabetes reports experiencing leg pain when walking short distances, and that the pain is relieved by rest. Which client behavior indicates an understanding of healthcare teaching to promote more effective arterial circulation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","D","E"]

Explanation

The camp nurse is teaching adolescents about the prevention of tinea pedis. Which instruction should the nurse include in the teaching plan?

Correct Answer is B

Explanation

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