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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
A) This choice is correct. Elevating the legs above heart level while sitting can improve venous return, reducing swelling and promoting blood circulation in the legs. This position helps counteract the effects of gravity on blood flow.
B) This choice is incorrect because applying direct heat to the affected extremities is not a recommended method for improving blood circulation in peripheral vascular disease. Heat can cause vasodilation, which may exacerbate symptoms such as swelling and pain.
C) This choice is incorrect because crossing the legs while seated can impede venous return and contribute to blood pooling in the legs. It is not a recommended activity for individuals with peripheral vascular disease.
D) This choice is incorrect because limiting physical activity is not recommended for individuals with peripheral vascular disease. Regular physical activity, such as walking, can actually improve blood circulation and overall vascular health. However, individuals with peripheral vascular disease should be cautious not to overexert themselves and should consult with their healthcare provider regarding appropriate levels of physical activity.
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