Brunner and Suddarth's Textbook of Medical Surgical Nursing; Chapter 30 Exam: Assessment and Management of Patients With Vascular Disorders || Questions & Answers (Graded A+)

Brunner and Suddarth's Textbook of Medical Surgical Nursing; Chapter 30 Exam: Assessment and Management of Patients With Vascular Disorders || Questions & Answers (Graded A+) Brunner and Suddarth's Textbook of Medical Surgical Nursing; Chapter 30 Exam: Assessment and Management of Patients With Vascular Disorders || Questions & Answers (Graded A+) The nurse is caring for a patient with a large venous leg ulcer. What intervention should the nurse implement to promote healing and prevent infection? -Provide a highcalorie, highprotein diet. -Apply a clean occlusive dressing once daily and whenever soiled. -Irrigate the wound with hydrogen peroxide once daily. -Apply an antibiotic ointment on the surrounding skin with each dressing change. - ANSWER - Answer: Provide a highcalorie, highprotein diet. Feedback: Wound healing is highly dependent on adequate nutrition. The diet should be sufficiently high in calories and protein. Antibiotic ointments are not normally used on the skin surrounding a leg ulcer and occlusive dressings can exacerbate impaired blood flow. Hydrogen peroxide is not normally used because it can damage granulation tissue. The nurse is caring for a patient who returned from the tropics a few weeks ago and who sought care with signs and symptoms of lymphedema. The nurse's plan of care should prioritize what nursing diagnosis? - Risk for infection related to lymphedema -Disturbed body image related to lymphedema -Ineffective health maintenance related to lymphedema -Risk for deficient fluid volume related to lymphedema - ANSWER - answer: Risk for infection related to lymphedema Feedback: Lymphedema, which is caused by accumulation of lymph in the tissues, constitutes a significant risk for infection. The patient's body image is likely to be disturbed, and the nurse should address this, but infection is a more significant threat to the patient's physiological wellbeing. Lymphedema is unrelated to ineffective health maintenance and deficient fluid volume is not a significant risk. An occupational health nurse is providing an educational event and has been asked by an administrative worker about the risk of varicose veins. What should the nurse suggest as a proactive preventative measure for varicose veins? - Sit with crossed legs for a few minutes each hour to promote relaxation. -Walk for several minutes every hour to promote circulation. -Elevate the legs when tired. -Wear snugfitting ankle socks to decrease edema.