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 D
Explanation
A) This choice is incorrect because increased blood viscosity (thickness) is not primarily associated with hypertension, hyperlipidemia, or obesity. It is more commonly associated with conditions such as polycythemia or dehydration.
B) This choice is incorrect because hypercoagulability of the blood is not a direct risk factor associated with hypertension, hyperlipidemia, or obesity. Hypercoagulability is more commonly associated with conditions such as certain clotting disorders.
C) This choice is incorrect because impaired cardiac function is not a direct risk factor for the development of PAD in the context of hypertension, hyperlipidemia, or obesity. However, impaired cardiac function can contribute to heart-related peripheral vascular diseases, such as congestive heart failure.
D) This choice is correct. Hypertension, hyperlipidemia, and obesity are significant risk factors for the formation of atherosclerotic plaques in the arteries. Atherosclerosis involves the buildup of plaque, including cholesterol and other substances, on the arterial walls, leading to narrowed and hardened arteries, reducing blood flow to the extremities and contributing to PAD.
Correct Answer is D
Explanation
A) This choice is incorrect because weightlifting is not typically recommended for individuals with peripheral vascular disease (PAD). High-intensity weightlifting can increase blood pressure and may not be suitable for clients with cardiovascular conditions.
B) This choice is incorrect because running, especially high-impact running, may be too strenuous for individuals with PAD and could lead to discomfort or injury. Low-impact exercises are generally preferred.
C) This choice is incorrect because high-impact aerobics can be too intense for individuals with PAD and may not be well-tolerated, especially if they experience leg pain during exercise.
D) This choice is correct. Walking is a low-impact exercise that can be beneficial for individuals with peripheral vascular disease. It promotes blood flow in the legs, increases circulation, and helps manage intermittent claudication (pain during walking) associated with PAD. Gradually increasing walking distance and duration can improve cardiovascular fitness and overall health.
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