The home care nurse has given instructions to a client who was recently discharged from the hospital regarding the care of their extremities due to peripheral arterial disease. The nurse determines that there is a need for further teaching if the client makes which statement?
"I should cut my toenails straight across when clipping them."
"I should wear shoes and socks instead of open toed shoes."
1 should inspect my feet daily for any cuts."
"I should raise my legs above the level of my heart periodically."
The Correct Answer is D
A. Cutting toenails straight across is an appropriate action for PAD clients because it prevents injury or infection, as clipping nails too short or rounding the edges can cause cuts or ingrown nails.
B. Wearing shoes and socks instead of open-toed shoes is recommended to protect the feet from injury, as individuals with PAD have decreased sensation in their feet, increasing the risk of unnoticed injury.
C. Inspecting the feet daily for cuts is a crucial step in PAD management to detect early signs of infection or injury, which can lead to complications such as gangrene or amputation.
D. Raising the legs above the heart level can worsen symptoms in PAD by further reducing arterial blood flow to the lower extremities, where circulation is already compromised. This technique is typically used in venous insufficiency, not PAD.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Bilateral lower extremity reddening when legs are dangled could be seen in other conditions like deep vein thrombosis (DVT) but is not typical of CVI.
B. Shiny white skin with "hole-punch" ulcers is more characteristic of arterial insufficiency rather than venous insufficiency.
C. Chronic venous insufficiency (CVI) is characterized by impaired venous return, which leads to fluid buildup, skin changes, and ulcer formation. The skin becomes leathery and brown due to hemosiderin deposition from blood pooling in the lower extremities. Ulcers often occur around the ankles and have irregular borders.
D. Red, swollen, tender areas in one calf are more indicative of DVT, not chronic venous insufficiency.
Correct Answer is D
Explanation
A. Electrode patches relate to ECG, not TEE.
B. Keeping a leg straight is relevant for procedures involving femoral access, like cardiac catheterization.
C. Lying quietly on one side is not specific to TEE preparation.
D. Sedation helps patients tolerate the TEE, which involves passing a probe down the esophagus.
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