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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Rationale:
A. Consider having the teen's caregiver wait in the clinic reception area: Adolescents with ASD may experience heightened anxiety in unfamiliar environments. Having their caregiver nearby can offer a sense of security and comfort, making the experience less overwhelming.
B. Encourage the adolescent to handle the physical exam instruments: Allowing the adolescent to touch and explore the equipment before use helps reduce sensory-related anxiety. It also increases cooperation by promoting a sense of predictability and control.
C. Allow time for talking before beginning the physical assessment: Taking time to communicate and build rapport before initiating the assessment helps reduce anxiety and fosters trust. Many adolescents with ASD need more time to process information and adjust to new interactions.
D. Familiarize the adolescent with the clinic setting and healthcare staff: Gradual exposure to the physical space and people helps reduce sensory overload and builds comfort with the environment. Structured familiarity can prevent overstimulation and improve cooperation.
E. Make every effort to establish eye contact with the adolescent: Insisting on eye contact can increase distress, as many individuals with ASD find direct eye contact uncomfortable or overwhelming. Respecting their communication style is more effective than imposing neurotypical expectations.
Correct Answer is B
Explanation
Rationale:
A. Meningitis B: This vaccine is not routinely indicated during or after pregnancy unless there is a specific risk factor or outbreak. It is not a standard postpartum immunization.
B. Measles, mumps, rubella: The MMR vaccine is live and contraindicated during pregnancy due to potential fetal harm. It should be given postpartum if the client is non-immune to prevent future infection.
C. Diphtheria, pertussis, tetanus: The Tdap vaccine is safe and recommended during each pregnancy, ideally between 27 and 36 weeks gestation, to provide passive immunity to the newborn.
D. Influenza vaccine: Inactivated influenza vaccine is recommended during pregnancy to protect both mother and baby. It should not be delayed until after pregnancy.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
