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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Correct Answer is B

Explanation

A) This choice is incorrect because peripheral vascular diseases primarily affect the cardiovascular system, not the respiratory system. The respiratory system involves the lungs and the exchange of gases, while the cardiovascular system involves the heart and blood vessels.

B) This choice is correct. Peripheral vascular diseases are conditions that affect the blood vessels outside the heart and brain, including the arteries and veins in the extremities (arms and legs). These diseases can lead to reduced blood flow, pain, and various complications.

C) This choice is incorrect because peripheral vascular diseases do not primarily affect the nervous system. While some peripheral vascular diseases may have neurological implications, they are not primarily neurological disorders.

D) This choice is incorrect because peripheral vascular diseases do not primarily affect the gastrointestinal system. The gastrointestinal system involves the digestion and absorption of nutrients, which is not directly related to peripheral vascular diseases.

A. Elevating the legs above heart level while sitting. B. Applying direct heat to the affected extremities. C. Crossing the legs while seated to improve venous return. D. Limiting physical activity to avoid exacerbating symptoms.

Correct Answer is A

Explanation

A) This choice is correct. Elevating the legs above heart level while sitting can improve venous return, reducing swelling and promoting blood circulation in the legs. This position helps counteract the effects of gravity on blood flow.

B) This choice is incorrect because applying direct heat to the affected extremities is not a recommended method for improving blood circulation in peripheral vascular disease. Heat can cause vasodilation, which may exacerbate symptoms such as swelling and pain.

C) This choice is incorrect because crossing the legs while seated can impede venous return and contribute to blood pooling in the legs. It is not a recommended activity for individuals with peripheral vascular disease.

D) This choice is incorrect because limiting physical activity is not recommended for individuals with peripheral vascular disease. Regular physical activity, such as walking, can actually improve blood circulation and overall vascular health. However, individuals with peripheral vascular disease should be cautious not to overexert themselves and should consult with their healthcare provider regarding appropriate levels of physical activity.

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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:

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

A nurse is providing education to a client with peripheral vascular disease about ways to improve blood circulation. Which activity should the nurse recommend?

Correct Answer is A

Explanation

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?

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A nurse is assessing a client with peripheral vascular disease. Which condition is a significant risk factor for the development of venous insufficiency?

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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 with peripheral vascular disease (PAD). The nurse should instruct the client to perform which exercise to improve blood flow in the legs?