A client with peripheral vascular disease (PAD) reports experiencing pain in their legs that occurs with walking and is relieved by rest. The nurse recognizes this symptom as:

Intermittent claudication.

Deep vein thrombosis (DVT).

Raynaud's phenomenon.

Chronic venous insufficiency.

Answer and Explanation

The Correct Answer is A

A) This choice is correct. Intermittent claudication is a hallmark symptom of peripheral arterial disease (PAD). It refers to pain, cramping, or weakness in the legs that occurs during physical activity and is relieved by rest. This symptom is due to reduced blood flow and oxygen supply to the muscles during exercise.

B) This choice is incorrect because deep vein thrombosis (DVT) typically presents with symptoms such as swelling, warmth, and tenderness in the affected leg, but it does not cause pain that is relieved by rest.

C) This choice is incorrect because Raynaud's phenomenon primarily affects the fingers and toes, causing them to turn white, then blue, and finally red due to blood vessel spasms in response to cold or stress. It is not associated with pain in the legs during walking.

D) This choice is incorrect because chronic venous insufficiency involves symptoms such as leg swelling, skin changes, and the development of venous ulcers, but it is not characterized by pain that occurs with walking and is relieved by rest.

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Correct Answer is D

Explanation

A) This choice is concerning and may indicate deep vein thrombosis (DVT). Swelling and tenderness in the calf can be a sign of a blood clot, and immediate evaluation is required to prevent potential complications such as a pulmonary embolism. However, it is not as critical as the finding in option D.

B) This choice is concerning and may indicate peripheral artery disease (PAD). Intermittent claudication during physical activity suggests reduced blood flow to the extremities, but it does not require immediate intervention.

C) This choice is concerning and may indicate Raynaud's disease. Raynaud's disease involves the fingers or toes turning white, then blue, and finally red due to blood vessel spasms, but it is not as urgent as the finding in option D.

D) This choice is correct. Ulceration on the lower leg with foul-smelling discharge indicates a severe complication of peripheral vascular disease, possibly related to peripheral artery disease (PAD) or venous insufficiency. Ulcers that have an unpleasant odor and are not healing require immediate intervention to prevent infection and further tissue damage.

A. Limiting fluid intake to prevent swelling. B. Avoiding walking for the first 24 hours. C. Taking dual antiplatelet therapy as prescribed. D. Applying ice packs to the incision site.

Correct Answer is C

Explanation

A) This choice is incorrect because limiting fluid intake is not a standard post-procedure instruction following angioplasty with stent placement. Adequate hydration is important for recovery and overall health.

B) This choice is incorrect because walking is generally encouraged following angioplasty with stent placement. Early mobilization helps prevent complications such as blood clots and promotes blood flow through the treated vessel.

C) This choice is correct. After angioplasty with stent placement, clients are often prescribed dual antiplatelet therapy, which typically includes aspirin and another antiplatelet medication such as clopidogrel. Dual antiplatelet therapy helps prevent blood clots from forming around the stent and reduces the risk of stent re-narrowing (restenosis).

D) This choice is incorrect because applying ice packs to the incision site is not a standard post-procedure instruction after angioplasty with stent placement. Ice packs are not typically used for this type of procedure, and the incision site is usually managed with sterile dressings and wound care.

Questions

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A client with peripheral vascular disease (PAD) reports experiencing pain in their legs that occurs with walking and is relieved by rest. The nurse recognizes this symptom as:

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with suspected peripheral vascular disease. Which finding is most concerning and requires immediate intervention?

Correct Answer is D

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?

Correct Answer is C

Explanation

A nurse is providing education to a client with peripheral vascular disease (PAD) about lifestyle modifications. Which dietary recommendation should the nurse include in the client's plan of care?

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 with chronic venous insufficiency (CVI) presents with edema and skin changes in the lower legs. What should the nurse include in the plan of care to manage these symptoms?

A nurse is assessing a client with suspected peripheral vascular disease. Which finding is most concerning and requires immediate intervention?

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

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

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

A client with peripheral vascular disease (PAD) is scheduled for a percutaneous transluminal angioplasty (PT with stent placement. What pre-procedure information should the nurse provide to the client?