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Which statements by the client indicate a good understanding of foot care in peripheral vascular disease? (Select all that apply.)

"A good abrasive pumice stone will keep my feet soft.”.

"I always wear shoes, even if I can only buy cheap flip-flops.”.

"I will keep my feet dry, especially between the toes.”.

"Lotion is important to keep my feet smooth and soft.”.

"Washing my feet in room-temperature water is best.”.

"I will inspect my feet daily.”.

Answer and Explanation

Correct Answer : C,E,F

Choice A rationale

Abrasive pumice stones should be avoided in peripheral vascular disease. The reduced blood flow and neuropathy in this condition make the skin more fragile and susceptible to injury. Abrasions or small cuts from a pumice stone can lead to non-healing ulcers and serious infections due to poor circulation.

Choice B rationale

Wearing cheap flip-flops is not a good practice. They offer inadequate support and protection. Clients with peripheral vascular disease often have reduced sensation (neuropathy), making them unaware of foot injuries from ill-fitting or unprotected footwear. Properly fitting, supportive shoes are essential for foot protection.

Choice C rationale

Keeping feet dry, especially between the toes, prevents maceration and fungal infections like athlete's foot. In peripheral vascular disease, even minor skin breaks can become entry points for pathogens, leading to severe infections and ulcers that are difficult to heal due to compromised circulation.

Choice D rationale

Applying lotion is beneficial for dry skin but it should not be applied between the toes. Applying lotion between the toes can create a moist environment that promotes fungal growth. Fungal infections can lead to skin breakdown, which is a significant risk for ulceration and infection in clients with poor circulation.

Choice E rationale

Washing feet in room-temperature water is critical for client safety. Clients with peripheral vascular disease often have sensory deficits (neuropathy) and may not be able to accurately perceive temperature. Using hot water could easily cause burns, which in a client with poor circulation can lead to severe, non-healing wounds.

Choice F rationale

Daily inspection of the feet is a cornerstone of self-care for peripheral vascular disease. Clients should be taught to look for any cuts, sores, blisters, or redness. Early detection of these issues allows for prompt intervention before they can progress into serious, difficult-to-treat infections or ulcers.

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Correct Answer is A

Explanation

Choice A rationale

Peripheral arterial disease causes reduced blood flow to the extremities, making them highly susceptible to thermal injury. A heating pad can cause a severe burn because the compromised circulation prevents adequate heat dissipation, and the impaired sensation often associated with PAD means the client may not feel the excessive heat.

Choice B rationale

Crossing legs compresses the popliteal artery and other vessels, further impeding already compromised arterial blood flow to the lower extremities. This action increases resistance and reduces tissue perfusion, exacerbating the ischemic symptoms and potentially worsening the disease progression.

Choice C rationale

Wearing warm, heavy socks is a safe and effective way to promote warmth and vasodilation in the feet without the risk of burns. By maintaining warmth, it helps to prevent vasospasm and promotes better collateral blood flow to the affected extremities, improving comfort and circulation.

Choice D rationale

Smoking causes intense vasoconstriction through nicotine's effects on the sympathetic nervous system and damages the endothelial lining of blood vessels, accelerating the atherosclerotic process. Quitting smoking is the single most effective intervention to slow the progression of PAD and reduce cardiovascular risk.

Correct Answer is ["300"]

Explanation

Step 1 is 300 mL ÷ 60 minutes = 5 mL/min.

Step 2 is 5 mL/min × 60 min/hr = 300 mL/hr. The final answer is 300 mL/hr.

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Which statements by the client indicate a good understanding of foot care in peripheral vascular disease? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has peripheral arterial disease (PAD). What statement by the client indicates a misunderstanding about self-management activities?

Correct Answer is A

Explanation

Linezolid 600 mg IV once a day is ordered for a patient. The linezolid is dissolved in 300 mL of NS and should infuse over 60 minutes. Using an IV controller, how many milliliters per hour should the linezolid be infused?

Correct Answer is ["300"]

Explanation

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