When assessing both lower extremities (BLE) of a client who has chronic venous insufficiency, the nurse identifies bilateral stasis dermatitis and an ulcer on the medial surface of the left ankle. To promote effective self-care, which client teaching should the nurse provide?

Apply compression stockings before ambulation.

Soak feet to soften nails before trimming.

Keep legs dependent to promote blood flow.

Medicate inflamed skin areas with an antibiotic ointment.

Answer and Explanation

The Correct Answer is A

Choice A: Applying compression stockings before ambulation is a key aspect of self-care for a client with chronic venous insufficiency. Compression stockings help improve venous return and reduce edema.

Choice B: Soaking feet to soften nails before trimming is not a specific intervention for chronic venous insufficiency and should be done with caution in individuals with open ulcers.

Choice C: Keeping legs dependent to promote blood flow is not advisable in chronic venous insufficiency, as it can worsen venous pooling and edema.

Choice D: Medicating inflamed skin areas with an antibiotic ointment may be part of wound care but does not address the primary intervention of using compression stockings for chronic venous insufficiency.

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Correct Answer is ["591"]

Explanation

One ounce is equivalent to 29.57 mL, so 12 ounces of coffee is equal to 354.84 mL. The cup of milk is usually measured as 8 ounces, which is 236.59 mL.

The oatmeal may also contain some fluid, but the amount is not given, so it cannot be counted.

Therefore, the total fluid intake at breakfast is 354.84 + 236.59 = 591.43 mL.

The nurse should document this value in the client's record, rounding it to the nearest whole number, which is 591 mL.

A. Eat a high protein diet three times a day. B. Restrict sodium rich foods and excessive oral fluids. C. Follow low carbohydrate diet with low glycemic index foods. D. Avoid foods high in potassium.

Correct Answer is B

Explanation

Choice A: A high protein diet is generally not recommended for clients with glomerulonephritis, as it can put additional strain on the kidneys.

Choice B: In glomerulonephritis, there is impaired kidney function, and sodium and fluid restrictions are often necessary to manage fluid balance and blood pressure.

Therefore, the nurse should instruct the client to restrict sodium-rich foods and excessive oral fluids.

Choice C: A low carbohydrate diet with low glycemic index foods is not a specific dietary recommendation for managing glomerulonephritis.

Choice D: Dietary potassium restriction may vary depending on the individual client's potassium levels and needs, so it should be determined by the healthcare provider. It is not a blanket recommendation for all clients with glomerulonephritis.

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When assessing both lower extremities (BLE) of a client who has chronic venous insufficiency, the nurse identifies bilateral stasis dermatitis and an ulcer on the medial surface of the left ankle. To promote effective self-care, which client teaching should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse assesses a client's fluid intake at breakfast, which consisted of oatmeal, a cup of milk, and 12 ounces of coffee. How many mL should the nurse document in the client's record? (Enter numerical value only.)

Correct Answer is ["591"]

Explanation

A client with glomerulonephritis is preparing for discharge and asks the nurse which kind of diet to follow upon returning home. Which dietary teaching should the nurse include in the discharge instructions?

Correct Answer is B

Explanation

When conducting diet teaching for a client diagnosed with hypokalemia, which foods should the nurse encourage the client to eat?

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