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 C

Explanation

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.

A. Swelling and tenderness in the calf B. Intermittent claudication during physical activity C. Cold, pale, and numb fingers or toes D. Ulceration on the lower leg with foul-smelling discharge

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.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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:

Correct Answer is C

Explanation

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 client with peripheral vascular disease (PAD) reports experiencing numbness and tingling in their feet. The nurse should suspect:

A nurse is teaching a client with peripheral vascular disease about skin care. The nurse should instruct the client to:

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 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 peripheral arterial disease (PAD) has a non-healing ulcer on the foot. The nurse should prioritize which action in the client's plan of care?

A client with diabetes asks a nurse about the increased risk of peripheral vascular disease (PAD) in diabetes. The nurse explains that diabetes contributes to PAD primarily through:

A nurse is educating a client about risk factors for peripheral vascular diseases. The client asks about the role of age in developing these conditions. The nurse explains that as individuals age, the risk of peripheral vascular diseases:

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?