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 A

Explanation

A) This choice is correct. Intermittent claudication is a hallmark symptom of peripheral arterial disease (PAD). It refers to pain, cramping, or weakness in the legs that occurs during physical activity and is relieved by rest. This symptom is due to reduced blood flow and oxygen supply to the muscles during exercise.

B) This choice is incorrect because deep vein thrombosis (DVT) typically presents with symptoms such as swelling, warmth, and tenderness in the affected leg, but it does not cause pain that is relieved by rest.

C) This choice is incorrect because Raynaud's phenomenon primarily affects the fingers and toes, causing them to turn white, then blue, and finally red due to blood vessel spasms in response to cold or stress. It is not associated with pain in the legs during walking.

D) This choice is incorrect because chronic venous insufficiency involves symptoms such as leg swelling, skin changes, and the development of venous ulcers, but it is not characterized by pain that occurs with walking and is relieved by rest.

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 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 client with peripheral vascular disease (PAD) reports experiencing pain in their legs that occurs with walking and is relieved by rest. The nurse recognizes this symptom as:

Correct Answer is A

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 nurse is providing education to a client with peripheral vascular disease (PAD). The nurse should instruct the client to perform which exercise to improve blood flow in the legs?

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?

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 a history of hypertension, hyperlipidemia, and obesity is at risk for developing peripheral vascular disease (PAD) due to:

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?

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 nurse is providing education to a client with peripheral vascular disease (PAD) about lifestyle modifications. Which dietary recommendation should the nurse include in the client's plan of care?

A nurse is assessing a client with suspected peripheral vascular disease. Which finding is most concerning and requires immediate intervention?