The nurse is planning care for a client with peripheral vascular disease (PVD)who is at risk for Impaired Skin Integrity.Which intervention is appropriate for the nurse to include in the plan of care?
A) Restrict fluids.
B) Keep the skin clean and dry, and moisturize areas of dryness.
C) Encourage bed rest with legs elevated on pillows.
D) Consult a dietitian for low-protein diet.

Question

Quizplus · Accepted Answer

A) 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.
B) 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.
C) 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.
D) 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.

The Nurse Is Planning Care for a Client with Peripheral