A client has a history of smoking, diabetes, and hypertension. The nurse should recognize that these risk factors contribute to the development of which peripheral vascular disease?
Deep vein thrombosis (DVT)
Raynaud's disease
Peripheral artery disease (PAD)
Varicose veins
The Correct Answer is C
A) This choice is incorrect because while smoking can be a risk factor for deep vein thrombosis (DVT), diabetes and hypertension are not significant risk factors for this condition. DVT is more commonly associated with prolonged immobility, surgery, or trauma.
B) This choice is incorrect because Raynaud's disease is not directly related to smoking, diabetes, or hypertension. Raynaud's disease involves blood vessel spasms and is more commonly associated with exposure to cold temperatures or stress.
C) This choice is correct. Peripheral artery disease (PAD) involves the narrowing or blockage of arteries in the extremities, leading to reduced blood flow. Smoking, diabetes, and hypertension are significant risk factors for the development of PAD. Smoking damages blood vessels, diabetes increases the risk of atherosclerosis (plaque buildup in arteries), and hypertension can lead to arterial damage and narrowing.
D) This choice is incorrect because varicose veins are typically caused by weakened or damaged valves in the veins, leading to the pooling of blood and the development of enlarged and twisted veins. Smoking, diabetes, and hypertension are not primary risk factors for varicose veins.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This choice is incorrect because using heating pads to warm cold feet can cause burns or injuries, especially in clients with impaired sensation due to peripheral vascular disease. Clients with PAD may experience cold feet due to reduced blood flow, but external heating sources should be used with caution.
B) This choice is incorrect because moisturizing the skin is essential for individuals with peripheral vascular disease to prevent dryness and cracking, which can lead to skin breakdown and infections. Proper skin care is important to maintain skin integrity and prevent complications.
C) This choice is correct. Clients with peripheral vascular disease should inspect their feet daily for any changes, such as cuts, sores, blisters, or signs of infection. Reduced blood flow can slow down wound healing, and prompt identification and treatment of foot problems are crucial to prevent infections and potential complications.
D) This choice is incorrect because while elevating the legs above heart level can temporarily improve blood flow and reduce swelling, prolonged elevation can impede blood flow and is not recommended for extended periods. Clients with PAD should be encouraged to perform regular, moderate physical activity to improve blood circulation.
Correct Answer is A
Explanation
A) This choice is correct. As individuals age, the risk of peripheral vascular diseases increases due to several factors, including the weakening of arterial walls and the accumulation of plaque in the arteries (atherosclerosis). Aging is associated with changes in blood vessels, such as decreased elasticity and increased stiffness, which can contribute to the development of peripheral vascular diseases.
B) This choice is incorrect because while physical fitness can influence the risk of cardiovascular diseases, age-related changes in blood vessels can still increase the risk of peripheral vascular diseases, even in physically fit individuals.
C) This choice is incorrect because the risk of peripheral vascular diseases does not remain stable with no significant changes. Aging is associated with various physiological changes that can impact cardiovascular health and increase the risk of peripheral vascular diseases.
D) This choice is incorrect because while gender and ethnicity can influence the risk of certain conditions, age is a significant independent risk factor for the development of peripheral vascular diseases. The age-related changes in blood vessels apply to individuals of all genders and ethnicities.
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