A client has peripheral arterial disease (PAD). What statement by the client indicates misunderstanding about self-management activities?

"I should not cross my legs when sitting or lying down."

"I will go out and buy some warm, heavy socks to wear."

"It's going to be really hard but I will stop smoking."

"I can use a heating pad on my legs if it's set on low."

Answer and Explanation

The Correct Answer is B

A. Not crossing legs is an important self-management strategy for PAD. It helps improve circulation and prevent further vascular damage. This statement is correct.

B. Warm, heavy socks can be harmful for PAD clients because they may reduce circulation. Clients should avoid excessive warmth and use loose-fitting socks instead. This statement indicates misunderstanding.

C. Smoking cessation is crucial for PAD management, as smoking worsens circulation. This statement is correct.

D. Heating pads can be dangerous for clients with PAD due to the risk of burns from impaired circulation. Low settings may still be too high, so this statement requires further education.

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Correct Answer is ["A","B","E"]

Explanation

A. LDL of 160 mg/dL is elevated, which is a risk factor for atherosclerosis.

B. Total cholesterol of 280 mg/dL is above the recommended level, increasing the risk of atherosclerosis.

C. Serum albumin is within the normal range and does not indicate atherosclerosis risk.

D. HDL cholesterol at 50 mg/dL is considered within a normal protective range and is not indicative of atherosclerosis risk.

E. Triglycerides of 200 mg/dL are also elevated, contributing to the risk for atherosclerosis.

A. Client who needs a beta blocker, and has a blood pressure of 98/58 mm Hg. B. Hypertensive client with a blood pressure of 156/90 mm Hg. C. Client who needs pain medication prior to a dressing change of a surgical wound. D. Client who had a first dose of captopril and needs to use the bathroom.

Correct Answer is A

Explanation

A. A client with low blood pressure (98/58 mm Hg) who requires a beta blocker should be seen first because beta blockers can lower blood pressure further, possibly leading to hypotension or dizziness.

B. A hypertensive client with a blood pressure of 156/90 mm Hg is stable and does not require immediate intervention.

C. While pain medication is important, it is not as urgent as addressing a client with low blood pressure and a medication that can worsen the condition.

D. The client who just had captopril can wait to use the bathroom, as the priority is addressing their blood pressure and captopril's effect.

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A client has peripheral arterial disease (PAD). What statement by the client indicates misunderstanding about self-management activities?

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