The nurse provides discharge teaching to a patient with venous leg ulcers.
Which statement made by the patient indicates the need for further education?

"I will take a walk daily.”

"I will try to lose at least 20 pounds.”

"I will put on my stockings after I get out of bed each day.”

"I will not wear knee-high socks that are tight around my calf.”

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Taking a daily walk is a beneficial activity for patients with venous leg ulcers. Walking promotes blood circulation, which can aid in wound healing. This statement indicates that the patient understands the importance of physical activity for their condition.

Choice B rationale:

Trying to lose weight is another positive step for a patient with venous leg ulcers, especially if the patient is overweight. Excess body weight can put additional pressure on the veins in the legs, worsening venous insufficiency. Losing weight can alleviate this pressure and improve venous circulation, supporting the healing process of leg ulcers.

Choice C rationale:

Wearing stockings after getting out of bed is a proper technique for managing venous leg ulcers. Compression stockings help improve blood flow in the legs and reduce swelling, which is beneficial for patients with venous insufficiency and leg ulcers. This statement indicates that the patient understands the importance of wearing compression stockings consistently.

Choice D rationale:

Not wearing knee-high socks that are tight around the calf is essential advice for patients with venous leg ulcers. Tight clothing, including socks or stockings, can impede blood circulation in the legs, worsening venous insufficiency and delaying wound healing. This statement indicates the need for further education because the patient should avoid any tight clothing around the affected area to promote optimal blood flow and wound healing.

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Correct Answer is D

Explanation

The correct answer is choice d. pH = 7.52, PaCO2 = 24 mm Hg, PaO2 = 85 mm Hg, and HCO3 = 24 mEq/L.

Rationales:

Choice A rationale:

pH = 7.46: This value is slightly alkalotic.
PaCO2 = 44 mm Hg: This is within the normal range (35-45 mm Hg), indicating that the respiratory system is not contributing to alkalosis.
PaO2 = 95 mm Hg: This is a normal oxygen level.
HCO3 = 36 mEq/L: This is elevated, indicating metabolic alkalosis rather than respiratory alkalosis.

Choice B rationale:

pH = 7.27: This value is acidic, indicating acidosis.
PaCO2 = 70 mm Hg: This is elevated, indicating respiratory acidosis.
PaO2 = 80 mm Hg: This is slightly low, indicating mild hypoxemia.
HCO3 = 26 mEq/L: This is within the normal range, indicating no metabolic compensation.

Choice C rationale:

pH = 7.30: This value is acidic, indicating acidosis.
PaCO2 = 35 mm Hg: This is within the normal range, indicating that the respiratory system is not contributing to acidosis.
PaO2 = 70 mm Hg: This is low, indicating hypoxemia.
HCO3 = 20 mEq/L: This is low, indicating metabolic acidosis.

Choice D rationale:

pH = 7.52: This value is alkalotic.
PaCO2 = 24 mm Hg: This is low, indicating respiratory alkalosis.
PaO2 = 85 mm Hg: This is a normal oxygen level.
HCO3 = 24 mEq/L: This is within the normal range, indicating no metabolic compensation.

Choice D corresponds with respiratory alkalosis because the pH is alkalotic, and the PaCO2 is low, indicating that the respiratory system is causing the alkalosis. The HCO3 is within the normal range, showing no metabolic compensation.

A. Drinks 14 glasses of water daily. B. Shaves once a day using an electric razor. C. Uses an alcohol-based mouthwash twice a day. D. Brushes teeth with a soft-bristle toothbrush twice a day.

Correct Answer is C

Explanation

The correct answer is choice C. Uses an alcohol-based mouthwash twice a day.

Choice A rationale:

Drinking 14 glasses of water daily is generally beneficial as it helps maintain hydration and supports overall health. However, it is important to balance fluid intake to avoid overhydration.

Choice B rationale:

Shaving with an electric razor is recommended for patients with thrombocytopenia because it reduces the risk of cuts and bleeding compared to using a traditional razor.

Choice C rationale:

Using an alcohol-based mouthwash can cause dryness and irritation of the oral mucosa, which can lead to bleeding, especially in patients with thrombocytopenia. It is better to use a non-alcoholic mouthwash.

Choice D rationale:

Brushing teeth with a soft-bristle toothbrush is advised to minimize the risk of gum bleeding and maintain oral hygiene.

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The nurse provides discharge teaching to a patient with venous leg ulcers.Which statement made by the patient indicates the need for further education?

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Correct Answer is C

Explanation

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The nurse provides discharge teaching to a patient with venous leg ulcers.
Which statement made by the patient indicates the need for further education?