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Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?

A.

Obtain a pair of slipper socks for the client.

B.

Increase the client's oral fluid intake.

C.

Rub the client's feet briskly for several minutes.

D.

Place a moist heating pad under the client's feet.

Answer and Explanation

The Correct Answer is A

A. Obtain a pair of slipper socks for the client. Slipper socks can provide warmth without applying direct heat, which is safer for clients with impaired circulation.

 

B. Increase the client's oral fluid intake. Increasing fluids does not directly address cold feet and may be contraindicated depending on the client’s condition.

 

C. Rub the client's feet briskly for several minutes. Rubbing can damage skin and tissue in clients with poor circulation and should be avoided.

 

D. Place a moist heating pad under the client's feet. Heating pads can cause burns and further impair circulation in clients with vascular issues.


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View Related questions

Correct Answer is D

Explanation

A. Creatinine phosphokinase (CPK): CPK levels peak within 24 hours after an MI and return to normal within 2-3 days.

B. Myoglobin: Myoglobin rises within hours but returns to normal within 24 hours after MI.

C. Creatinine kinase-MB (CK-MB): CK-MB peaks 12-24 hours post-MI and returns to baseline within 2-3 days.

D. Troponin T: Troponin T remains elevated for up to 10-14 days after an MI, providing long-term evidence of myocardial injury.

Correct Answer is C

Explanation

A. 25 gtt/min: Calculating the correct rate reveals that this is not the correct answer.

B. 1500 gtt/min: This rate is too high; the calculation does not support this answer.

C. 50 gtt/min: To calculate: (100 mL / 120 min) × 30 gtt/mL = 50 gtt/min.

D. 83 gtt/min: This is too high based on the calculation.

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