A client with diabetes asks a nurse about the increased risk of peripheral vascular disease (PAD) in diabetes. The nurse explains that diabetes contributes to PAD primarily through:

Decreased blood glucose levels.

Increased insulin production.

Impaired blood vessel function.

Elevated white blood cell count.

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because decreased blood glucose levels are not associated with an increased risk of peripheral vascular disease (PAD) in diabetes. In fact, hypoglycemia (low blood glucose levels) can lead to acute complications but is not a significant factor in the development of PAD.

B) This choice is incorrect because increased insulin production is not a primary factor contributing to PAD in diabetes. Insulin is essential for glucose metabolism but does not directly impact blood vessel function.

C) This choice is correct. Diabetes can lead to impaired blood vessel function, primarily through the process of atherosclerosis. High blood glucose levels can damage blood vessel walls, leading to plaque buildup and narrowing of the arteries, reducing blood flow to the extremities and contributing to PAD.

D) This choice is incorrect because an elevated white blood cell count is not directly related to the increased risk of PAD in diabetes. While chronic inflammation and white blood cell count can play a role in atherosclerosis, it is not the primary factor contributing to PAD in diabetes.

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Correct Answer is B

Explanation

A) This choice is incorrect because crossing the legs while sitting can impede blood flow and worsen symptoms of chronic venous insufficiency (CVI). Clients with CVI should avoid crossing their legs and keep them uncrossed to promote blood flow.

B) This choice is correct. Elevating the legs above heart level when resting is a beneficial self-care strategy for individuals with chronic venous insufficiency (CVI). Elevating the legs helps improve venous return, reduce swelling, and alleviate discomfort.

C) This choice is incorrect because while applying warm compresses may provide temporary relief for some individuals with CVI, it is not a primary self-care strategy for promoting venous return. Warm compresses may be more suitable for acute injuries or inflammation.

D) This choice is incorrect because while wearing compression stockings is a recommended intervention for individuals with CVI, tight-fitting compression stockings can impede blood flow and cause discomfort. Compression stockings should be fitted appropriately by a healthcare professional to ensure optimal efficacy.

A. Increasing sodium intake to prevent dehydration. B. Limiting fluid intake to reduce leg swelling. C. Following a low-fat and low-cholesterol diet. D. Consuming high amounts of caffeine to improve blood flow.

Correct Answer is C

Explanation

A) This choice is incorrect because increasing sodium intake can lead to fluid retention and exacerbate swelling, which is counterproductive for clients with peripheral vascular disease (PAD).

B) This choice is incorrect because limiting fluid intake can lead to dehydration and is not typically recommended for individuals with PAD. Adequate hydration is important for overall health and vascular function.

C) This choice is correct. A low-fat and low-cholesterol diet is essential for individuals with peripheral vascular disease (PAD) to reduce the buildup of plaque in the arteries (atherosclerosis) and improve blood flow. Lowering dietary intake of saturated fats and cholesterol helps manage cardiovascular risk factors.

D) This choice is incorrect because consuming high amounts of caffeine can lead to increased heart rate and blood pressure, which may be detrimental for clients with PAD. Moderate caffeine intake is generally recommended.

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A client with diabetes asks a nurse about the increased risk of peripheral vascular disease (PAD) in diabetes. The nurse explains that diabetes contributes to PAD primarily through:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client with chronic venous insufficiency (CVI) about self-care strategies. What should the nurse recommend to the client to promote venous return?

Correct Answer is B

Explanation

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?

Correct Answer is C

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?

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?

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

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?

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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 teaching a client with peripheral vascular disease about skin care. The nurse should instruct the client 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?