The nurse is providing education to a client with chronic arterial insufficiency. Which client statement indicates the need for additional teaching?

"I will apply a heating pad to my feet at night to increase the circulation and warmth in my feet."

"I will change my position every hour and avoid long periods of sitting with my legs down."

"I will wear loose clothing that doesn't bind across my legs or waist."

"For about 40 minutes each day, I will walk to the point of pain, then rest, then walk again until I develop pain."

Answer and Explanation

The Correct Answer is A

A. Applying a heating pad is not recommended because clients with arterial insufficiency may have decreased sensation and could suffer burns or tissue damage without realizing it.
B. Changing position frequently and avoiding prolonged sitting with legs down helps improve circulation and prevent complications.
C. Wearing loose clothing prevents constriction and promotes better blood flow.
D. Walking to the point of pain and resting is part of a supervised exercise regimen to improve circulation and build tolerance.

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Correct Answer is D

Explanation

A. Creatinine 0.9 mg/dL is within normal limits.
B. Hematocrit 40% is within normal limits.
C. Potassium 3.8 mEq/L is within normal limits.
D. WBC count of 20,000/mm³ indicates infection or inflammation and should be reported before surgery.

A. Keep a loose seal between the lips and the mouthpiece. B. Inhale as rapidly as possible. C. After maximum inspiration, hold the breath for 20 seconds and exhale. D. The best results are achieved when sitting up or with the head of the bed elevated 45 to 90 degrees.

Correct Answer is D

Explanation

A. A tight seal between the lips and mouthpiece is necessary to effectively use the incentive spirometer.
B. Inhalation should be slow and deep, not rapid, to maximize lung expansion.
C. The breath should be held for about 3 to 5 seconds, not 20 seconds, to prevent dizziness.
D. Sitting up or elevating the head of the bed improves lung expansion and enhances the effectiveness of the incentive spirometer.

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The nurse is providing education to a client with chronic arterial insufficiency. Which client statement indicates the need for additional teaching?

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Correct Answer is D

Explanation

The nurse is preparing a preoperative teaching plan about using an incentive spirometer. Which of the following should the nurse include in the teaching plan?

Correct Answer is D

Explanation

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