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A nurse is reinforcing teaching to a client who has peripheral venous disease about management of symptoms. Which of the following client statements indicates to the nurse an understanding of the teaching?

A.

“I will decrease my activity to prevent added stress on my legs."

B.

“I will need to massage my legs frequently to prevent a buildup of fluid."

C.

“I will inspect my legs every day for changes in color, size, and temperature."

D.

“I will keep my legs in a dependent position."

Answer and Explanation

The Correct Answer is C

A. Decreasing activity is not advisable; clients with peripheral venous disease should engage in regular, moderate exercise to improve venous circulation.  

 

B. Massaging the legs is not recommended as it can exacerbate venous insufficiency and potentially lead to complications such as thrombosis.  

 

C. Inspecting the legs daily for changes in color, size, and temperature is crucial for early detection of complications and indicates an understanding of self-monitoring.  

 

D. Keeping the legs in a dependent position can worsen venous pooling; the client should elevate their legs when resting to promote venous return.


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Correct Answer is D

Explanation

A. While seeking help for transportation may be prudent, this statement does not specifically indicate understanding of the risks associated with arrhythmogenic cardiomyopathy.

B. Frequent hiccups are not a typical concern associated with this condition and do not relate to the risk of sudden cardiac death.

C. Constipation is not directly linked to arrhythmogenic cardiomyopathy or its risks.

D. Avoiding competitive recreational sports is critical as it minimizes the risk of arrhythmias and potential sudden cardiac death, indicating a good understanding of the condition’s risks.

Correct Answer is A

Explanation

A. Dysphagia increases the risk of aspiration, especially when swallowing difficulties are present, making it essential to monitor for signs of aspiration.

B. Gastroesophageal reflux disease (GERD) is not directly related to dysphagia from a stroke.

C. Dumping syndrome occurs after certain types of gastric surgery and is not associated with dysphagia post-stroke.

D. Peptic ulcer disease is not a typical complication of dysphagia following a stroke.

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