How should the nurse position a client who has leg ulcers that are venous in origin?

Elevate the client’s lower extremities

Dangle the client’s legs over the bed

Keep the client’s knees bent and supported with pillows

Keep the client’s legs flat and straight

Answer and Explanation

The Correct Answer is A

Choice A reason: Elevating the legs promotes venous return and reduces edema, which is essential in managing venous ulcers.

Choice B reason: Dangling the legs increases venous pressure and worsens edema, delaying healing.

Choice C reason: Bent knees may impede circulation and are not recommended for ulcer management.

Choice D reason: Keeping legs flat does not optimize venous return and may contribute to stasis.

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Correct Answer is D

Explanation

Choice A reason: IV dextrose is reserved for severe hypoglycemia when the client is unconscious or unable to swallow.

Choice B reason: Cheese and crackers are not fast-acting carbohydrates. They are better for long-term stabilization after initial treatment.

Choice C reason: Rechecking without intervention delays treatment and risks worsening hypoglycemia.

Choice D reason: Orange juice provides a rapid source of glucose and is appropriate for treating mild hypoglycemia in an alert client.

A. There is a bounding radial pulse in the affected extremity. B. There is pain at the injury site unrelieved by analgesics. C. There is stiffness in the fingers. D. There is a small amount of bloody drainage on the cast.

Correct Answer is B

Explanation

Choice A reason: A bounding pulse may indicate increased circulation, but it is not typically a red flag unless accompanied by other symptoms. It does not require immediate reporting.

Choice B reason: Unrelieved pain despite analgesics is a hallmark sign of compartment syndrome, a medical emergency. It indicates increased pressure within the cast that can compromise circulation and nerve function.

Choice C reason: Finger stiffness may occur due to immobilization but is not an urgent concern unless accompanied by numbness, pallor, or pain.

Choice D reason: A small amount of bloody drainage may be expected initially. However, excessive or foul-smelling drainage would warrant concern. In this case, the amount described does not require immediate action.

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How should the nurse position a client who has leg ulcers that are venous in origin?

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Naxlex Comprehensive Predictor Exams

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