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The nurse is providing a client with teaching regarding a new diagnosis of peripheral venous disease (PVD). Which client statement indicates the client understood the education provided? (Select all that apply)

"I will apply my compression stockings.

"I will limit long periods of standing."

"I may develop a brownish discoloration to my lower extremities."

"With this problem, I may have lower extremity hair loss."

"I will only take my cholesterol lowering medication every other day in the afternoon

Question Solution

Correct Answer : A,B,C,D

A) "I will apply my compression stockings." Compression stockings are a standard recommendation for clients with peripheral venous disease (PVD). They help improve venous return and reduce symptoms like swelling and discomfort, indicating that the client understands the importance of managing their condition.

B) "I will limit long periods of standing." This statement reflects an understanding of the need to avoid activities that can exacerbate venous stasis and contribute to worsening symptoms in PVD. Limiting long periods of standing helps promote better blood flow and reduces the risk of complications.

C) "I may develop a brownish discoloration to my lower extremities." This statement indicates an awareness of a potential complication of PVD, often caused by venous stasis and pooling of blood. Brownish discoloration, or stasis dermatitis, can occur in the lower extremities, showing the client’s understanding of the condition.

D) "With this problem, I may have lower extremity hair loss." This statement is accurate as well; hair loss on the lower extremities can occur with PVD due to reduced blood flow and oxygen supply to the tissues. This recognition indicates that the client understands the potential effects of their diagnosis.

E) "I will only take my cholesterol lowering medication every other day in the afternoon." This statement reflects a misunderstanding of medication management. Clients with PVD should take prescribed medications as directed to manage their condition effectively, and altering the dosing schedule without consulting a healthcare provider can lead to adverse outcomes.

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A. "Diuretics are the first line therapy to control hypertension." B. "Reaching your goal blood pressure will occur within 2 months." C. "Plan to add saturated fats to 10 percent of your daily calorie intake." D. "Limit your alcohol consumption to three drinks a day."

Correct Answer is A

Explanation

A. "Diuretics are the first line therapy to control hypertension.": This statement is accurate. Thiazide diuretics are commonly recommended as first-line treatment for mild hypertension, as they help reduce blood volume and lower blood pressure effectively.

B. "Reaching your goal blood pressure will occur within 2 months.": While treatment can lead to improvements in blood pressure, the timeline for reaching target levels can vary significantly among individuals based on adherence to lifestyle changes and medication. It's important to communicate that achieving the goal may take longer than two months.

C. "Plan to add saturated fats to 10 percent of your daily calorie intake.": This recommendation is misleading. Guidelines generally suggest limiting saturated fats to less than 10 percent of total daily calories to promote heart health, not adding them.

D. "Limit your alcohol consumption to three drinks a day.": This statement is also inaccurate. For most adults, the recommendation is to limit alcohol to no more than two drinks per day for men and one drink per day for women to help manage blood pressure effectively.

A. Apply cold therapy to the affected leg. B. Monitor Homan's sign. C. Obtain a venous duplex ultrasound. D. Obtain impedance plethysmography.

Correct Answer is C

Explanation

A) Apply cold therapy to the affected leg: Cold therapy may be used for certain conditions to reduce swelling and pain, but in the case of suspected deep vein thrombosis (DVT) indicated by redness, warmth, tenderness, and pain in the calf, cold therapy is not appropriate. Instead, the focus should be on confirming the diagnosis before applying any treatment.

B) Monitor Homan's sign: Homan's sign involves dorsiflexion of the foot to assess for pain in the calf, which can suggest DVT. However, it is no longer considered a reliable diagnostic tool. Instead, confirmation through imaging or other diagnostic measures is preferred, so simply monitoring this sign would not be sufficient in this situation.

C) Obtain a venous duplex ultrasound: A venous duplex ultrasound is the gold standard for

diagnosing DVT. Given the client’s symptoms—redness, warmth, tenderness, and pain in the calf—the appropriate order is to obtain this ultrasound to confirm the presence of a thrombus. This imaging study provides critical information for diagnosis and subsequent management.

D) Obtain impedance plethysmography: While impedance plethysmography can assess venous flow and help diagnose DVT, it is less commonly used than venous duplex ultrasound. The more direct and widely accepted method for diagnosing DVT in this scenario is the ultrasound, making this option less suitable as the initial order.

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The nurse is providing a client with teaching regarding a new diagnosis of peripheral venous disease (PVD). Which client statement indicates the client understood the education provided? (Select all that apply)

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Correct Answer is A

Explanation

Correct Answer is C

Explanation

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Take full exam for free The nurse is providing a client with teaching regarding a new diagnosis of peripheral venous disease (PVD). Which client statement indicates the client understood the education provided? (Select all that apply)

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A nurse is teaching a client just diagnosed with mild hypertension. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who reports an area of redness, warmth, tenderness and pain in the right calf. The nurse anticipates which of the following orders when notifying the provider of this finding?

Correct Answer is C

Explanation

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The nurse is providing a client with teaching regarding a new diagnosis of peripheral venous disease (PVD). Which client statement indicates the client understood the education provided? (Select all that apply)