The nurse is caring for a client with a large venous ulcer on the leg. What intervention should the nurse implement to promote healing and prevent infection?

Apply an antibiotic ointment on the surrounding skin with each dressing change

Apply a clean occlusive dressing once daily and whenever soiled

Abstain from wearing graduated compression stockings

Provide a high-calorie, high-protein diet

Answer and Explanation

The Correct Answer is D

A. Routine use of antibiotic ointment on surrounding skin is not standard unless infection is present.
B. Occlusive dressings help maintain a moist wound environment but must be managed carefully; frequency depends on wound status.
C. Graduated compression stockings are recommended to improve venous return and aid ulcer healing; abstaining from them is not advised.
D. A high-calorie, high-protein diet supports tissue repair and immune function, promoting healing and preventing infection in clients with venous ulcers.

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Correct Answer is A

Explanation

A. Hypomagnesemia is common in chronic alcoholism and can cause increased blood pressure, hyperactive reflexes, abdominal issues, and mood changes.
B. Hypermagnesemia typically causes decreased reflexes and hypotension.
C. Hypocalcemia can cause neuromuscular irritability but is less directly associated with these symptoms in alcoholism.
D. Hypercalcemia generally causes decreased reflexes and lethargy.

A. Include foods high in starch and protein B. Avoid foods high in fat C. Include foods high in fiber D. Avoid foods high in sodium

Correct Answer is B

Explanation

A. While starch and protein are important, the key dietary modification is to reduce fat intake to minimize gallbladder stimulation.
B. Avoiding high-fat foods helps prevent biliary colic by reducing gallbladder contractions.
C. Fiber is beneficial for overall digestion but is not the primary focus for managing biliary colic.
D. Sodium restriction is not specifically related to managing biliary colic or cholecystitis.

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The nurse is caring for a client with a large venous ulcer on the leg. What intervention should the nurse implement to promote healing and prevent infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has a history of Chronic alcoholism and is experiencing increased blood pressure, hyperactive deep tendon reflexes, abdominal distention, and mood changes. Which electrolyte imbalance does the client have?

Correct Answer is A

Explanation

A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?

Correct Answer is B

Explanation

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