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

Deep vein thrombosis (DVT)

Peripheral artery disease (PAD)

Raynaud's disease

Varicose veins

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because deep vein thrombosis (DVT) is a condition where a blood clot forms in a deep vein, typically in the legs. DVT is characterized by swelling, warmth, and redness in the affected leg, but it does not cause leg pain that improves with rest.

B) This choice is correct. Peripheral artery disease (PAD) is a condition where there is a narrowing or blockage of the arteries in the extremities, leading to reduced blood flow. The hallmark symptom of PAD is intermittent claudication, which is leg pain that occurs during walking or physical activity and improves with rest.

C) This choice is incorrect because Raynaud's disease is a disorder that affects the blood vessels in the fingers and toes, causing them to spasm and turn white, then blue, and finally red. It is not characterized by leg pain while walking.

D) This choice is incorrect because varicose veins are enlarged and twisted veins, usually in the legs, that can cause discomfort and cosmetic concerns. However, they do not typically cause leg pain that improves with rest.

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Correct Answer is C

Explanation

A) This choice is incorrect because angiography is an invasive procedure that involves the injection of contrast dye into the blood vessels to visualize their structure and blood flow. It is not a non-invasive test.

B) This choice is incorrect because venography is an imaging test that involves the injection of contrast dye into a vein to visualize its flow. It is not commonly used to assess blood flow and blood pressure in the legs.

C) This choice is correct. Doppler ultrasound is a non-invasive test that uses sound waves to assess blood flow and blood pressure in the legs. It helps identify areas of reduced blood flow, blockages, and abnormalities in the blood vessels.

D) This choice is incorrect because magnetic resonance imaging (MRI) is a diagnostic imaging technique that provides detailed images of the body's internal structures using a magnetic field and radio waves. While it can be used to assess blood vessels, it is not the primary test for evaluating blood flow in peripheral vascular diseases.

A. Limiting fluid intake to prevent swelling. B. Avoiding walking for the first 24 hours. C. Taking dual antiplatelet therapy as prescribed. D. Applying ice packs to the incision site.

Correct Answer is C

Explanation

A) This choice is incorrect because limiting fluid intake is not a standard post-procedure instruction following angioplasty with stent placement. Adequate hydration is important for recovery and overall health.

B) This choice is incorrect because walking is generally encouraged following angioplasty with stent placement. Early mobilization helps prevent complications such as blood clots and promotes blood flow through the treated vessel.

C) This choice is correct. After angioplasty with stent placement, clients are often prescribed dual antiplatelet therapy, which typically includes aspirin and another antiplatelet medication such as clopidogrel. Dual antiplatelet therapy helps prevent blood clots from forming around the stent and reduces the risk of stent re-narrowing (restenosis).

D) This choice is incorrect because applying ice packs to the incision site is not a standard post-procedure instruction after angioplasty with stent placement. Ice packs are not typically used for this type of procedure, and the incision site is usually managed with sterile dressings and wound care.

Questions

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a client for a non-invasive test to assess blood flow and blood pressure in the legs. The nurse informs the client that this test is called:

Correct Answer is C

Explanation

A nurse is caring for a client with peripheral vascular disease (PAD) who undergoes angioplasty with stent placement. Which post-procedure instruction should the nurse include in the client's education?

Correct Answer is C

Explanation

A nurse is providing discharge education to a client following peripheral artery bypass surgery. Which sign should the nurse instruct the client to report immediately?

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?

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?

A nurse is providing education to a client with peripheral vascular disease about ways to improve blood circulation. Which activity should the nurse recommend?

A client with peripheral vascular disease (PAD) is experiencing cold feet due to reduced blood flow. Which self-care measure should the nurse recommend to the client?

A nurse is assessing a client with peripheral vascular disease. Which condition is a significant risk factor for the development of venous insufficiency?

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 client with peripheral vascular disease (PAD) is scheduled for a percutaneous transluminal angioplasty (PT with stent placement. What pre-procedure information should the nurse provide to the client?