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?

Avoiding all physical activity to prevent leg pain.

Walking until the pain becomes severe, then stopping.

Engaging in a daily high-intensity exercise regimen.

Gradually increasing walking distance over time.

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because avoiding all physical activity can lead to deconditioning and worsen exercise tolerance over time. Regular exercise is beneficial for individuals with peripheral vascular disease (PAD) to improve blood flow and manage symptoms.

B) This choice is incorrect because waiting until the pain becomes severe and then stopping (known as the "stop-and-rest" method) is not recommended for individuals with PAD. This approach can lead to inadequate exercise and may not provide the benefits of regular walking.

C) This choice is incorrect because engaging in a daily high-intensity exercise regimen is not appropriate for individuals with PAD, especially if they experience intermittent claudication. High-intensity exercise can exacerbate leg pain and may not be well-tolerated.

D) This choice is correct. Gradually increasing walking distance over time is a recommended approach for individuals with PAD to improve exercise tolerance and manage intermittent claudication. The goal is to push the limits of walking distance without causing severe pain, allowing the individual to gradually build endurance and improve blood flow.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A) This choice is incorrect because limiting fluid intake is not a standard post-procedure instruction following angioplasty with stent placement. Adequate hydration is important for recovery and overall health.

B) This choice is incorrect because walking is generally encouraged following angioplasty with stent placement. Early mobilization helps prevent complications such as blood clots and promotes blood flow through the treated vessel.

C) This choice is correct. After angioplasty with stent placement, clients are often prescribed dual antiplatelet therapy, which typically includes aspirin and another antiplatelet medication such as clopidogrel. Dual antiplatelet therapy helps prevent blood clots from forming around the stent and reduces the risk of stent re-narrowing (restenosis).

D) This choice is incorrect because applying ice packs to the incision site is not a standard post-procedure instruction after angioplasty with stent placement. Ice packs are not typically used for this type of procedure, and the incision site is usually managed with sterile dressings and wound care.

Questions

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

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with peripheral vascular disease (PAD) who undergoes angioplasty with stent placement. Which post-procedure instruction should the nurse include in the client's education?

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?

Correct Answer is C

Explanation

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

A client with peripheral vascular disease (PAD) is at risk of developing complications related to impaired skin integrity. What should the nurse include in the plan of care to prevent skin breakdown?

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

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 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 client with peripheral vascular disease (PAD) is experiencing cold feet due to reduced blood flow. Which self-care measure should the nurse recommend to the client?

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?