The clinic nurse is caring for a 57-year-old client who reports experiencing leg pain whenever she walks several blocks
The patient has type 1 diabetes and has smoked a pack of cigarettes every day for the past 40 years. The physician diagnoses intermittent claudication. The nurse should provide what instruction about long-term care to the client?
A) "Be sure to practice meticulous foot care."
B) "Consider cutting down on your smoking."
C) "Reduce your activity level to accommodate your limitations."
D) "Try to make sure you eat enough protein."
Ans: A
Feedback:
The patient with peripheral vascular disease or diabetes should receive education or reinforcement about skin and foot care. Intermittent claudication and other chronic peripheral vascular diseases reduce oxygenation to the feet, making them susceptible to injury and poor healing; therefore, meticulous foot care is essential. The patient should stop smoking—not just cut down—because nicotine is a vasoconstrictor. Daily walking benefits the patient with intermittent claudication. Increased protein intake will not alleviate the patient's symptoms.
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