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.
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.
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 C
Explanation
A) This choice is incorrect because hypertension (high blood pressure) is not a significant risk factor for venous insufficiency. Venous insufficiency involves the impairment of venous valves and blood flow in the veins, not arterial hypertension.
B) This choice is incorrect because atherosclerosis is associated with peripheral artery disease (PAD), not venous insufficiency. Atherosclerosis involves the buildup of plaque in the arteries, leading to reduced blood flow in the extremities.
C) This choice is correct. Deep vein thrombosis (DVT) is a condition where a blood clot forms in a deep vein, most commonly in the legs. DVT can lead to damage to the venous valves and veins, causing venous insufficiency and complications such as chronic venous insufficiency and venous ulcers.
D) This choice is incorrect because Raynaud's disease primarily affects the fingers and toes, causing them to spasm and change color in response to cold or stress. It is not directly related to the development of venous insufficiency.
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