Which of the following findings would indicate that instruction ...

[soccerdreamer_17]

Which of the following findings would indicate that instruction to a client with peripheral vascular disease was effective?
 
  1. The client is observed sitting in a chair with left leg crossed over the right.
   2. The client is seen washing the lower extremities with mild soap, drying the legs, and applying a light moisturizer.
   3. The client is observed smoking a pipe instead of cigarettes.
   4. The client is observed sitting in a chair with a pillow behind knees.

Question 2

The nurse practicing in a small community hospital has a client who does not seem to be responding well to nursing care. The nurse plans to help the client by:
 
  1. Trying a different approach to care against policy.
   2. Networking on-line with other nurses giving similar care.
   3. Proposing a nursing research project to the manager.
   4. Asking the doctor for a new nursing approach to care.

[softEldritch]

Answer to Question 1

3. The client is seen washing the lower extremities with mild soap, drying the legs, and applying a light moisturizer.

Rationale:
The client who is observed washing the legs with mild soap, drying the legs, and applying a moisturizer is putting into practice the instruction regarding peripheral vascular disease. Sitting in a chair with legs crossed or with a pillow behind the knees would indicate further instruction was needed. The client smoking a pipe instead of cigarettes needs additional instruction regarding the hazards of tobacco.

Answer to Question 2

2. Networking on-line with other nurses giving similar care.

Rationale:
The nurse in a small community hospital may not have access to the latest in nursing research. In order to improve care, the nurse might access research journals or network with other nurses to determine if there is any evidence that would support changes in the client's nursing care. The nurse should not breach hospital policy even if the client were to benefit. Proposing a research project is an excellent way to improve client care, but this nurse needs a more immediate solution to the client's problems. The physician is not involved in solving nursing problems.