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

A) This choice is incorrect because angiography is an invasive procedure that involves the injection of contrast dye into the blood vessels to visualize their structure and blood flow. It is not a non-invasive test.

B) This choice is incorrect because venography is an imaging test that involves the injection of contrast dye into a vein to visualize its flow. It is not commonly used to assess blood flow and blood pressure in the legs.

C) This choice is correct. Doppler ultrasound is a non-invasive test that uses sound waves to assess blood flow and blood pressure in the legs. It helps identify areas of reduced blood flow, blockages, and abnormalities in the blood vessels.

D) This choice is incorrect because magnetic resonance imaging (MRI) is a diagnostic imaging technique that provides detailed images of the body's internal structures using a magnetic field and radio waves. While it can be used to assess blood vessels, it is not the primary test for evaluating blood flow in peripheral vascular diseases.

A. Decreased blood glucose levels. B. Increased insulin production. C. Impaired blood vessel function. D. Elevated white blood cell count.

Correct Answer is C

Explanation

A) This choice is incorrect because decreased blood glucose levels are not associated with an increased risk of peripheral vascular disease (PAD) in diabetes. In fact, hypoglycemia (low blood glucose levels) can lead to acute complications but is not a significant factor in the development of PAD.

B) This choice is incorrect because increased insulin production is not a primary factor contributing to PAD in diabetes. Insulin is essential for glucose metabolism but does not directly impact blood vessel function.

C) This choice is correct. Diabetes can lead to impaired blood vessel function, primarily through the process of atherosclerosis. High blood glucose levels can damage blood vessel walls, leading to plaque buildup and narrowing of the arteries, reducing blood flow to the extremities and contributing to PAD.

D) This choice is incorrect because an elevated white blood cell count is not directly related to the increased risk of PAD in diabetes. While chronic inflammation and white blood cell count can play a role in atherosclerosis, it is not the primary factor contributing to PAD in diabetes.

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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 nurse is preparing a client for a non-invasive test to assess blood flow and blood pressure in the legs. The nurse informs the client that this test is called:

Correct Answer is C

Explanation

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:

Correct Answer is C

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?

A nurse is caring for a client with chronic venous insufficiency (CVI). Which intervention should the nurse include in the client's plan of care?

A nurse is caring for a client with peripheral vascular disease (PAD) who experiences intermittent claudication. What should the nurse encourage the client to do during episodes of leg pain?

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

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 experiencing cold feet due to reduced blood flow. Which self-care measure should the nurse recommend to the client?

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?

A nurse is teaching a client about the contributing factors to peripheral vascular diseases. The nurse explains that the most common cause of peripheral artery disease (PAD) is: