The nurse caring for a client diagnosed with peripheral vascular disease who is at risk for impaired skin integrity would include which of the following in the plan of care?
1. Keep the skin clean, dry, and moisturize areas of dryness
2. Dietary consult for low-protein diet
3. Restrict fluids
4. Encourage bed rest with legs elevated on pillows
1. Keep the skin clean, dry, and moisturize areas of dryness
Rationale:
The client with peripheral vascular disease who is at risk for impaired skin integrity should have meticulous skin care to keep the skin clean, dry, and well-moisturized to prevent skin breakdown. A low-protein diet is not beneficial for wound healing and may not be indicated for this client. A fluid restriction would dry tissues and not promote good skin turgor. Bed rest with legs elevated on pillows could increase the client's pain and would not help with preventing skin breakdown.
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