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

Increased blood viscosity.

Hypercoagulability of the blood.

Impaired cardiac function.

Formation of atherosclerotic plaques.

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because increased blood viscosity (thickness) is not primarily associated with hypertension, hyperlipidemia, or obesity. It is more commonly associated with conditions such as polycythemia or dehydration.

B) This choice is incorrect because hypercoagulability of the blood is not a direct risk factor associated with hypertension, hyperlipidemia, or obesity. Hypercoagulability is more commonly associated with conditions such as certain clotting disorders.

C) This choice is incorrect because impaired cardiac function is not a direct risk factor for the development of PAD in the context of hypertension, hyperlipidemia, or obesity. However, impaired cardiac function can contribute to heart-related peripheral vascular diseases, such as congestive heart failure.

D) This choice is correct. Hypertension, hyperlipidemia, and obesity are significant risk factors for the formation of atherosclerotic plaques in the arteries. Atherosclerosis involves the buildup of plaque, including cholesterol and other substances, on the arterial walls, leading to narrowed and hardened arteries, reducing blood flow to the extremities and contributing to PAD.

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Correct Answer is D

Explanation

A) This choice is incorrect because headache is a common side effect of cilostazol but is generally not a severe adverse reaction that requires immediate reporting. Headaches can be managed with over-the-counter pain relievers if needed.

B) This choice is incorrect because diarrhea is a known side effect of cilostazol but is not typically severe or life-threatening. Clients should be encouraged to stay hydrated and notify their healthcare provider if it becomes bothersome.

C) This choice is incorrect because muscle cramps can occur as a side effect of cilostazol, but they are not considered an urgent adverse reaction. Mild muscle cramps can often be managed with stretching and hydration.

D) This choice is correct. Dizziness is a significant adverse effect of cilostazol and should be reported immediately. Cilostazol can cause a drop in blood pressure, leading to dizziness, lightheadedness, and a risk of falls. If a client experiences severe dizziness or fainting, they should seek medical attention promptly.

A. Cardiac catheterization B. Electrocardiogram (ECG/EKG) C. Magnetic resonance angiography (MRA) D. Pulmonary function test (PFT)

Correct Answer is C

Explanation

A) This choice is incorrect because cardiac catheterization is an invasive procedure that involves the insertion of a catheter into the heart chambers or coronary arteries. It is used to assess the heart's structure and function, not blood flow in the legs.

B) This choice is incorrect because an electrocardiogram (ECG/EKG) is a non-invasive test that records the electrical activity of the heart to assess heart rate and rhythm. It is not used to assess blood flow in the legs.

C) This choice is correct. Magnetic resonance angiography (MRA) is a non-invasive imaging technique that uses a magnetic field and radio waves to create detailed images of blood vessels. It can assess blood flow in the legs, identify blockages, and provide valuable information about the vascular status of the extremities.

D) This choice is incorrect because a pulmonary function test (PFT) is a test used to assess lung function and diagnose respiratory conditions. It is not used to assess blood flow in the legs or detect peripheral vascular disease.

Questions

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with peripheral vascular disease (PAD) is prescribed cilostazol. The nurse should instruct the client to report which adverse effect immediately?

Correct Answer is D

Explanation

A nurse is assessing a client with peripheral vascular disease. Which non-invasive test can the nurse use to assess blood flow in the legs and detect blockages?

Correct Answer is C

Explanation

A client with peripheral vascular disease (PAD) is prescribed cilostazol, a medication that improves blood flow in the legs. The nurse should instruct the client to:

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 is scheduled for an arteriography. The nurse should provide pre-procedure education, including informing the client that:

A nurse is teaching a client with peripheral vascular disease about skin care. The nurse should instruct the client to:

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?

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 client with suspected peripheral vascular disease is scheduled for an ankle-brachial index (ABI) test. The nurse explains that this test measures:

A nurse is caring for a client with peripheral vascular disease (PAD) who has a history of smoking. The nurse should prioritize which intervention to promote vascular health?