Question

The nurse is teaching the client with PVD. Which interventions should the nurse discuss with the client? Select all that apply.

a. Wash your feet in antimicrobial soap.
b. Wear comfortable, well-fitting shoes.
c. Cut your toenails in an arch.
d. Keep the area between the toes dry.
e. Use a heating pad when feet are cold.

Answer 1

The nurse should instruct the client with PVD to wear comfortable, well-fitting shoes and keep the area between the toes dry. Suggestions for toenail trimming and using a heating pad should be approached with caution and under guidance from a healthcare provider.

Step-by-step explanation:

The nurse discussing interventions with a client who has peripheral vascular disease (PVD) should focus on promoting good foot hygiene, preventing injury, and maintaining skin integrity to manage symptoms and prevent complications. Among the listed interventions, the following should be discussed:

• Wear comfortable, well-fitting shoes: This helps avoid undue pressure on any one part of the foot, which can lead to skin breakdown or sores, particularly important for PVD patients.
• Keep the area between the toes dry: Moisture can lead to skin breakdown and infection, so it's important to maintain a dry environment between the toes.

Regarding the other options provided:

• Washing feet with antimicrobial soap may be beneficial, but it's important to avoid overuse, which could lead to skin dryness or irritation.
• Cutting toenails in an arch could potentially lead to ingrown toenails and subsequent infections. It's generally recommended to cut toenails straight across and file any sharp edges.
• Using a heating pad when feet are cold should be done with caution, as PVD can cause decreased sensation, leading to accidental burns. Appropriate warming methods should be discussed with the healthcare provider.