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:

Increase the dosage if experiencing leg pain.

Take the medication on an empty stomach.

Avoid grapefruit juice while on cilostazol.

Use compression stockings to promote blood flow.

Answer and Explanation

The Correct Answer is C

For a client with peripheral vascular disease (PAD) who is prescribed cilostazol, the nurse should provide the following instruction:

C) Avoid grapefruit juice while on cilostazol.

Grapefruit juice can interact with certain medications, including cilostazol, and may lead to increased levels of the medication in the bloodstream. This can potentially cause adverse effects or interfere with the intended therapeutic effects of cilostazol. Therefore, clients taking cilostazol should be advised to avoid grapefruit juice.

The other options are not appropriate:

A) Increasing the dosage of cilostazol without consulting a healthcare provider is not recommended and can be dangerous.

B) Cilostazol can be taken with or without food, so taking it on an empty stomach is not necessary.

D) While compression stockings can be used for some individuals with PAD, their use should be discussed with the healthcare provider and is not specific to cilostazol instructions.

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Free Nursing Study Resources

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. Recommending nicotine replacement therapy. B. Encouraging the client to switch to smokeless tobacco. C. Providing education on the benefits of smoking cessation. D. Advising the client to smoke fewer cigarettes per day.

Correct Answer is C

Explanation

A) This choice is incorrect because while nicotine replacement therapy can be helpful for individuals trying to quit smoking, it is not the priority intervention. The primary goal is to promote smoking cessation itself, as it provides the most significant health benefits.

B) This choice is incorrect because smokeless tobacco is not a safe alternative to smoking and is not recommended for promoting vascular health. Smokeless tobacco still contains harmful substances that can damage blood vessels and increase cardiovascular risks.

C) This choice is correct. Providing education on the benefits of smoking cessation is a priority intervention for a client with peripheral vascular disease (PAD) who has a history of smoking. Smoking is a significant risk factor for PAD and other cardiovascular diseases. Quitting smoking can lead to immediate and long-term health improvements, including improved blood flow and reduced risk of complications.

D) This choice is incorrect because advising the client to smoke fewer cigarettes per day is not sufficient to address the adverse effects of smoking on vascular health . Smoking cessation is the most effective approach to improve vascular health and reduce the risk of PAD-related complications.

Questions

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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:

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 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?

Correct Answer is C

Explanation

A nurse is caring for a client with peripheral vascular disease (PAD) who experiences intermittent claudication. What should the nurse encourage the client to do during episodes of leg pain?

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A client with peripheral vascular disease is scheduled for an arteriography. The nurse should provide pre-procedure education, including informing the client that:

A client reports experiencing leg pain while walking that improves with rest. The nurse should suspect which peripheral vascular disease?

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

A nurse is teaching a client about the contributing factors to peripheral vascular diseases. The nurse explains that the most common cause of peripheral artery disease (PAD) is:

A client with a history of hypertension, hyperlipidemia, and obesity is at risk for developing peripheral vascular disease (PAD) due to: