Med Surg 2 Final ATI book

Med Surg 2 Final ATI book A nurse is caring for a client who has chronic venous insufficiency and a prescription for thigh high compression stockings. Which action should the nurse take? a. elevate legs for 10 min, 2-3 times a day while wearing stockings b. apply the stockings in the morning upon awakening and before getting out of bed c. roll the stockings down to the knees to relieve discomfort on the legs d. remove the stockings while out of bed for 1 hour, 4 times a day, to allow the legs to rest - CORRECT ANSWER B. Applying the stockings in the morning upon waking up before getting out of bed reduces venous stasis and assists in the venous return of blood to the heart. A nurse is assessing a client who has PAD. Which of the following should the nurse expect? a. edema around ankles and feet b. ulceration around the medial malleoli c. scaling edema of the lower legs with stasis dermatitis d. pallor on elevation of the limbs, and rubber when the limbs are dependent - CORRECT ANSWER D. In a client who has PAD, pallor is seen in the extremities when the limbs are elevated, and rubor occurs when they are lowered A nurse is teaching a client who has a new diagnosis of severe peripheral arterial disease. Which should the nurse include? a. Wear tightly fitting insulated socks with shoes when going outside b. elevate both legs above heart when resting c. apply a heating pad to both legs for comfort d. place both legs in dependent position while sleeping - CORRECT ANSWER D. Such as hanging off of the bed. This can alleviate swelling and discomfort of the legs A nurse is teaching a client who has a new prescription for clopidogrel. Select all that the nurse should include. a. avoid consumption of grapefruit b. monitor black and tarry stools c. take this when you have pain d. schedule weekly PT test e. Limit food sources containing vit. K while taking this - CORRECT ANSWER