A client with a history of peripheral artery disease (PAD) reports sudden severe pain, numbness, and coolness in their right leg. What is the most appropriate action for the client to take?

Apply a heating pad to the affected leg

Elevate the leg above heart level

Rest and avoid moving the leg

Perform gentle leg exercises

Answer and Explanation

The Correct Answer is C

A. Applying a heating pad is not appropriate because clients with PAD have reduced circulation, increasing the risk of burns due to impaired sensation.
B. Elevating the leg above heart level can further reduce arterial blood flow, worsening ischemia.
C. Resting and avoiding movement is the best action, as sudden severe pain, numbness, and coolness suggest acute arterial occlusion, a medical emergency requiring immediate evaluation to prevent limb loss.
D. Performing gentle leg exercises is not advisable, as movement could further compromise circulation in an acutely ischemic limb.

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Correct Answer is B

Explanation

A) Incorrect - Encouraging early ambulation and leg exercises is essential after peripheral artery bypass surgery to promote blood circulation and prevent complications like deep vein thrombosis.

B) Correct - Elevating the affected leg above heart level while resting can help reduce swelling and promote blood flow, aiding in the healing process after peripheral artery bypass surgery.

C) Incorrect - Applying direct pressure to the surgical incision if it starts bleeding may worsen the bleeding. Instead, the client should apply gentle pressure with a clean cloth and seek immediate medical attention if bleeding does not stop.

D) Incorrect - Taking hot baths is not recommended after peripheral artery bypass surgery. Heat may dilate blood vessels and increase blood flow, potentially causing complications at the surgical site.

A. Decreasing tobacco and alcohol consumption B. Increasing caffeine intake C. Limiting daily fiber intake D. Reducing physical activity

Correct Answer is A

Explanation

A) Correct - Encouraging the client to decrease tobacco and alcohol consumption can significantly reduce their risk of peripheral vascular disorders. Smoking and excessive alcohol intake are known risk factors for various vascular conditions.

B) Incorrect - Increasing caffeine intake does not have a significant impact on the risk of peripheral vascular disorders. It is not a primary factor contributing to the development of such conditions.

C) Incorrect - Daily fiber intake, if adequate, can be beneficial for cardiovascular health. A high-fiber diet can help reduce cholesterol levels and improve overall vascular health.

D) Incorrect - Reducing physical activity is not recommended as a way to reduce the risk of peripheral vascular disorders. Regular physical exercise is essential for maintaining cardiovascular health and reducing the risk of many vascular conditions.

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A client with a history of peripheral artery disease (PAD) reports sudden severe pain, numbness, and coolness in their right leg. What is the most appropriate action for the client to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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