Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client’s comfort?

Rub the client’s feet briskly for several minutes.

Obtain a pair of slipper socks for the client.

Increase the client’s oral fluid intake.

Place a moist heating pad under the client’s feet.

Answer and Explanation

The Correct Answer is B

A. Rub the client’s feet briskly for several minutes.

Rubbing the feet briskly may not be appropriate for a client with vascular occlusion. Vigorous rubbing could potentially cause damage to already compromised blood vessels, and the increased friction may not be well-tolerated.

B. Obtain a pair of slipper socks for the client.

Providing slipper socks is a non-invasive and appropriate measure to help keep the client's feet warm. Slipper socks can offer comfort without the need for vigorous interventions or potential harm. They provide insulation and can be easily applied.

C. Increase the client’s oral fluid intake.

While staying well-hydrated is generally important for overall health, increasing oral fluid intake may not directly address the specific issue of cold feet associated with vascular occlusion. It is essential to address the underlying circulatory issue causing the symptom.

D. Place a moist heating pad under the client’s feet.

Applying heat, especially in the form of a moist heating pad, may not be recommended for a client with vascular occlusion. Heat can dilate blood vessels and potentially exacerbate the issue by increasing blood flow to the compromised extremity. It's important to avoid interventions that could worsen the vascular compromise.

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Correct Answer is C

Explanation

A. Jog or run three times a week.

This option is not a recommended joint protection strategy for osteoarthritis. High-impact activities like jogging or running can potentially exacerbate symptoms and increase stress on weight-bearing joints.

B. Choose soft, pillowed chairs for sitting.

While comfortable seating is important for general comfort, it is not a specific joint protection strategy for osteoarthritis. The emphasis for osteoarthritis management is on maintaining joint function through appropriate exercise and weight management.

C. Maintain the recommended body weight.

This is the correct choice. Maintaining the recommended body weight is a crucial joint protection strategy for individuals with osteoarthritis, as excess body weight can contribute to increased stress on weight-bearing joints, leading to worsened symptoms.

D. Reduce the amount of purine in the diet.

This recommendation is more relevant for conditions like gout, which is characterized by the deposition of uric acid crystals in joints. It is not a specific joint protection strategy for osteoarthritis.

A. Keep the prosthesis in direct contact with the residual limb. B. Apply a moisturizing lotion or oil to the stump daily. C. Dry the prosthesis socket completely before applying it to the limb. D. Expect some skin irritation from the prosthesis.

Correct Answer is C

Explanation

A. Keep the prosthesis in direct contact with the residual limb.

This statement is incorrect. Prosthetic care typically involves using a liner or sock between the residual limb and the prosthesis. This helps to provide cushioning, absorb sweat, and reduce friction, contributing to comfort and preventing skin irritation.

B. Apply a moisturizing lotion or oil to the stump daily.

Moisturizing the skin on the residual limb is generally advisable to prevent dryness and irritation. However, it's crucial to ensure that the skin is completely dry before attaching the prosthesis. Moisturizing can help maintain skin health and comfort.

C. Dry the prosthesis socket completely before applying it to the limb.

This statement is correct. Ensuring that the prosthesis socket is thoroughly dry before application is crucial to prevent skin irritation and ensure a secure fit. Moisture between the skin and the prosthesis can contribute to discomfort and skin-related issues.

D. Expect some skin irritation from the prosthesis.

While it is common to experience minor skin irritation initially as the individual adjusts to the prosthesis, persistent or severe irritation should be addressed. The goal is to achieve a proper fit and minimize skin-related problems through appropriate care and adjustments.

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Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client’s comfort?

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