A client with peripheral arterial disease (PAD) has a non-healing ulcer on the foot. The nurse should prioritize which action in the client's plan of care?

Administering analgesics for pain relief.

Initiating prophylactic antibiotics.

Elevating the affected foot.

Promoting regular foot inspections.

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because while administering analgesics for pain relief is important for the client's comfort, it is not the priority in this situation. The non-healing ulcer may require further assessment and interventions beyond pain relief.

B) This choice is correct. In a client with peripheral arterial disease (PAD) and a non-healing foot ulcer, there is a risk of infection due to reduced blood flow and compromised tissue healing. Initiating prophylactic antibiotics is a priority to prevent or manage infection and promote wound healing.

C) This choice is incorrect because elevating the affected foot can be beneficial to improve blood flow in individuals with venous insufficiency or edema but may not be as effective for individuals with peripheral arterial disease (PAD).

D) This choice is incorrect because promoting regular foot inspections is essential for clients with peripheral vascular diseases, but in this case, the non-healing ulcer requires immediate attention. Proper wound care, including assessment, cleaning, and dressing, should be part of the client's plan of care, but antibiotic therapy is the priority in this situation.

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Correct Answer is A

Explanation

A) This choice is correct. Numbness and tingling in the feet are symptoms associated with arterial insufficiency in peripheral vascular disease (PAD). Reduced blood flow to the extremities can lead to sensory changes and discomfort, including numbness and tingling.

B) This choice is incorrect because venous insufficiency is more commonly associated with symptoms such as leg swelling, skin changes, and the development of venous ulcers, but it does not typically cause numbness and tingling in the feet.

C) This choice is incorrect because peripheral nerve compression can cause localized numbness and tingling, but it is not a primary symptom of peripheral vascular disease. Peripheral nerve compression may occur due to various factors, such as nerve impingement or entrapment.

D) This choice is incorrect because systemic inflammation is not a direct cause of numbness and tingling in the feet in peripheral vascular disease. Systemic inflammation can contribute to other conditions, but it is not the primary cause of sensory changes associated with PAD.

A. Headache. B. Diarrhea. C. Muscle cramps. D. Dizziness.

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.

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A client with peripheral arterial disease (PAD) has a non-healing ulcer on the foot. The nurse should prioritize which action in the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with peripheral vascular disease (PAD) reports experiencing numbness and tingling in their feet. The nurse should suspect:

Correct Answer is A

Explanation

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 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 nurse is preparing a client for a non-invasive test to assess blood flow and blood pressure in the legs. The nurse informs the client that this test is called:

A nurse is providing discharge education to a client following peripheral artery bypass surgery. Which sign should the nurse instruct the client to report immediately?

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