A client arrives for an annual physical exam and reports having calf pain. The client's health history includes peripheral arterial disease. Which question should the nurse ask the client about expected findings related to chronic arterial symptoms?
Were your legs ever suddenly swollen, red, warm, and painful?
Did you receive treatment for weeping ulcers on lower legs?
Have you experienced ankle edema and varicose veins?
Does the calf pain occur when walking short distances?
The Correct Answer is D
Choice A reason: Sudden swelling, redness, warmth, and pain are more indicative of acute conditions like deep vein thrombosis rather than chronic arterial symptoms.
Choice B reason: Weeping ulcers on lower legs are more commonly associated with venous insufficiency rather than arterial disease.
Choice C reason: Ankle edema and varicose veins are typically associated with venous disorders, not arterial disease.
Choice D reason: Intermittent claudication, which is pain during walking that subsides with rest, is a hallmark of peripheral arterial disease and is an expected finding in clients with this condition.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Discussing symptomless partners may give false reassurance, as herpes can be transmitted even when symptoms are not present.
Choice B reason: Notifying sexual partners is crucial for public health and the prevention of further transmission of STIs.
Choice C reason: While it's true that STIs are reported, this does not provide the client with actionable advice for their situation.
Choice D reason: Most contraceptives do not protect against STIs like genital herpes, which is spread by skin-to-skin contact.
Correct Answer is A
Explanation
Choice A reason: Understanding the reason for taking aspirin is crucial because it could be for a chronic condition that requires antiplatelet action, which ibuprofen does not provide. Aspirin is often prescribed for its antiplatelet effect to prevent blood clots, while ibuprofen is primarily used for pain and inflammation.
Choice B reason: While the dosage of ibuprofen is important, it is secondary to understanding the purpose of the aspirin therapy. Overdosing on ibuprofen can lead to serious side effects, but the immediate risk of stopping aspirin without a suitable substitute could be more critical.
Choice C reason: Assessing the amount of pain control is important to evaluate the effectiveness of ibuprofen as a substitute for aspirin. However, this does not address the potential risks associated with the cessation of aspirin, especially if it was prescribed for cardiovascular reasons.
Choice D reason: The presence of gastric pain could indicate an adverse reaction to ibuprofen, which is known to cause gastrointestinal issues. However, this information is not as immediately necessary as understanding the reason for aspirin therapy, which could have significant implications for the client's health.
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