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.

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Correct Answer is A

Explanation

A) This choice is correct. The ankle-brachial index (ABI) is a non-invasive test that compares the blood pressure in the arms and legs. The test involves using a blood pressure cuff and Doppler ultrasound to measure blood pressure in the ankles and arms. The ratio of ankle to brachial pressure helps assess the severity of peripheral vascular disease and determine if there is reduced blood flow to the legs.

B) This choice is incorrect because oxygen saturation in the extremities is not directly measured with an ankle-brachial index (ABI) test. Oxygen saturation is commonly measured using pulse oximetry, which assesses the percentage of hemoglobin in the blood that is saturated with oxygen.

C) This choice is incorrect because an ankle-brachial index (ABI) test is not used to measure blood glucose levels before and after meals. Blood glucose levels are typically assessed using a blood test or fingerstick glucose monitoring in clients with diabetes.

D) This choice is incorrect because an ankle-brachial index (ABI) test does not evaluate blood flow through the heart's chambers. It focuses on assessing blood pressure and blood flow in the arms and legs to diagnose peripheral vascular disease.

A. Soaking the feet in hot water to increase circulation. B. Wearing thick socks to insulate the feet. C. Using an electric blanket to keep warm. D. Avoiding exposure to cold temperatures.

Correct Answer is D

Explanation

A) This choice is incorrect because soaking the feet in hot water is not recommended for individuals with peripheral vascular disease (PAD) or cold feet. Hot water can cause burns or injuries, especially in clients with reduced sensation due to PAD.

B) This choice is incorrect because while wearing thick socks can provide some insulation, it is not a comprehensive solution for managing cold feet caused by reduced blood flow.

C) This choice is incorrect because using an electric blanket may not be specific to the feet and may not effectively address the issue of cold feet due to PAD.

D) This choice is correct. Avoiding exposure to cold temperatures is a recommended self-care measure for individuals with peripheral vascular disease (PAD) experiencing cold feet. Cold temperatures can further constrict blood vessels and reduce blood flow to the extremities. Clients should keep their feet warm and protect them from cold weather using appropriate footwear and clothing.

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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 client with suspected peripheral vascular disease is scheduled for an ankle-brachial index (ABI) test. The nurse explains that this test measures:

Correct Answer is A

Explanation

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?

Correct Answer is D

Explanation

A client with peripheral vascular disease (PAD) is prescribed cilostazol. The nurse should instruct the client to report which adverse effect immediately?

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 providing education to a client about peripheral vascular diseases. The nurse explains that these diseases primarily affect which body system?

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 prescribed cilostazol, a medication that improves blood flow in the legs. The nurse should instruct the client to:

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 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?

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: