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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A) This choice is incorrect because asthma is not directly associated with an increased risk of atherosclerosis or peripheral vascular disease. Asthma is a chronic respiratory condition that affects the airways, not the blood vessels.

B) This choice is incorrect because osteoarthritis is a degenerative joint disease and is not directly linked to an increased risk of atherosclerosis or peripheral vascular disease.

C) This choice is incorrect because while hypothyroidism can impact cardiovascular health, it is not a primary risk factor for atherosclerosis or peripheral vascular disease. Hypothyroidism can lead to elevated cholesterol levels, but hypercholesterolemia is the specific condition related to increased cholesterol levels and atherosclerosis.

D) This choice is correct. Hypercholesterolemia, characterized by high levels of cholesterol in the blood, is a significant risk factor for atherosclerosis, which is the buildup of plaque in the arterial walls. Atherosclerosis is a common cause of peripheral vascular disease, leading to reduced blood flow to the extremities and various cardiovascular complications.

A. Elevating the legs above heart level for 15 minutes daily. B. Applying compression bandages to the legs. C. Soaking the legs in hot water to reduce swelling. D. Encouraging long periods of standing to promote circulation.

Correct Answer is B

Explanation

A) This choice is incorrect because elevating the legs above heart level for only 15 minutes daily may not provide sufficient benefit for managing edema and skin changes in clients with chronic venous insufficiency (CVI). Continuous and prolonged elevation, along with compression therapy, is more effective in reducing swelling.

B) This choice is correct. Applying compression bandages or stockings is a standard intervention for managing edema and skin changes in clients with chronic venous insufficiency (CVI). Compression helps improve venous return and reduce swelling in the lower legs.

C) This choice is incorrect because soaking the legs in hot water is not recommended for clients with chronic venous insufficiency (CVI). Hot water may cause skin irritation and worsen skin changes associated with CVI.

D) This choice is incorrect because encouraging long periods of standing can worsen symptoms in clients with CVI. Prolonged standing increases venous pressure in the legs and can lead to further swelling and discomfort.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical history of a client with suspected peripheral vascular disease. Which condition is a significant risk factor for the development of atherosclerosis and peripheral vascular disease?

Correct Answer is D

Explanation

A client with chronic venous insufficiency (CVI) presents with edema and skin changes in the lower legs. What should the nurse include in the plan of care to manage these symptoms?

Correct Answer is B

Explanation

A client with peripheral vascular disease (PAD) is experiencing intermittent claudication and reports difficulty walking. What should the nurse encourage the client to do to improve exercise tolerance?

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A client reports experiencing leg pain while walking that improves with rest. The nurse should suspect which peripheral vascular disease?

A nurse is caring for a client with chronic venous insufficiency (CVI). Which intervention should the nurse include in the client's plan of care?

A client with diabetes asks a nurse about the increased risk of peripheral vascular disease (PAD) in diabetes. The nurse explains that diabetes contributes to PAD primarily through:

A nurse is providing education to a client with chronic venous insufficiency (CVI) about self-care strategies. What should the nurse recommend to the client to promote venous return?