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17. Vascular disease disorders often require the use of elastic stockings. Which action should the nurse implement when caring for a patient with elastic stockings? a. Apply the stockings and roll down the cuff. b. Remove the stockings for skin inspection two times a day. c. Remove the stockings when the patient is ambulating. d. Inspect the skin for pressure or irritation daily. ANS: B Elastic stockings improve blood flow. They should be applied early in the morning. They should be removed twice daily for 20 to 30 minutes, and the skin integrity of the feet should be examined. DIF: Cognitive Level: Application REF: p. 746 OBJ: 5 TOP: Vascular Disease and Elastic Stockings KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 18. Which instruction is most appropriate for a patient with arterial insufficiency?
b. Rub the legs vigorously. c. Stand often to keep blood flow in the legs. d. Walk barefoot. ANS: A Dangling legs can use gravity to help with arterial circulation. Vigorous rubbing of the legs is contraindicated, and prolonged standing strains the vascular system. The patient should never walk barefoot. DIF: Cognitive Level: Comprehension REF: p. 745-746 OBJ: 4 TOP: Home Instruction for the Patient with a Vascular Disorder KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 19. A nurse is preparing to administer low-molecular-weight heparin (LMWH). What is a major advantage related to the administration of LMWH? DIF: Cognitive Level: Comprehension REF: p. 751 OBJ: 4 TOP: Anticoagulant Drug Therapy KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological Therapies 20. Which statement made by a patient indicates to the nurse that a teaching plan for the use of warfarin was not effective? DIF: Cognitive Level: Application REF: p. 751 OBJ: 5 TOP: Anticoagulant Therapy KEY: Nursing Process Step: Evaluation MSC: NCLEX: Physiological Integrity: Pharmacological Therapies