A client with peripheral vascular disease (PAD) reports experiencing numbness and tingling in their feet. The nurse should suspect:
Arterial insufficiency.
Venous insufficiency.
Peripheral nerve compression.
Systemic inflammation.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This choice is incorrect because increasing sodium intake can lead to fluid retention and exacerbate swelling, which is counterproductive for clients with peripheral vascular disease (PAD).
B) This choice is incorrect because limiting fluid intake can lead to dehydration and is not typically recommended for individuals with PAD. Adequate hydration is important for overall health and vascular function.
C) This choice is correct. A low-fat and low-cholesterol diet is essential for individuals with peripheral vascular disease (PAD) to reduce the buildup of plaque in the arteries (atherosclerosis) and improve blood flow. Lowering dietary intake of saturated fats and cholesterol helps manage cardiovascular risk factors.
D) This choice is incorrect because consuming high amounts of caffeine can lead to increased heart rate and blood pressure, which may be detrimental for clients with PAD. Moderate caffeine intake is generally recommended.
Correct Answer is C
Explanation
A) This choice is incorrect because using heating pads to warm cold feet can cause burns or injuries, especially in clients with impaired sensation due to peripheral vascular disease. Clients with PAD may experience cold feet due to reduced blood flow, but external heating sources should be used with caution.
B) This choice is incorrect because moisturizing the skin is essential for individuals with peripheral vascular disease to prevent dryness and cracking, which can lead to skin breakdown and infections. Proper skin care is important to maintain skin integrity and prevent complications.
C) This choice is correct. Clients with peripheral vascular disease should inspect their feet daily for any changes, such as cuts, sores, blisters, or signs of infection. Reduced blood flow can slow down wound healing, and prompt identification and treatment of foot problems are crucial to prevent infections and potential complications.
D) This choice is incorrect because while elevating the legs above heart level can temporarily improve blood flow and reduce swelling, prolonged elevation can impede blood flow and is not recommended for extended periods. Clients with PAD should be encouraged to perform regular, moderate physical activity to improve blood circulation.
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