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

Blood pressure in the arms and legs.

Oxygen saturation in the extremities.

Blood glucose levels before and after meals.

Blood flow through the heart's chambers.

Answer and Explanation

The Correct Answer is A

A) This choice is correct. The ankle-brachial index (ABI) is a non-invasive test that compares the blood pressure in the arms and legs. The test involves using a blood pressure cuff and Doppler ultrasound to measure blood pressure in the ankles and arms. The ratio of ankle to brachial pressure helps assess the severity of peripheral vascular disease and determine if there is reduced blood flow to the legs.

B) This choice is incorrect because oxygen saturation in the extremities is not directly measured with an ankle-brachial index (ABI) test. Oxygen saturation is commonly measured using pulse oximetry, which assesses the percentage of hemoglobin in the blood that is saturated with oxygen.

C) This choice is incorrect because an ankle-brachial index (ABI) test is not used to measure blood glucose levels before and after meals. Blood glucose levels are typically assessed using a blood test or fingerstick glucose monitoring in clients with diabetes.

D) This choice is incorrect because an ankle-brachial index (ABI) test does not evaluate blood flow through the heart's chambers. It focuses on assessing blood pressure and blood flow in the arms and legs to diagnose peripheral vascular disease.

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Correct Answer is A

Explanation

A) This choice is correct. As individuals age, the risk of peripheral vascular diseases increases due to several factors, including the weakening of arterial walls and the accumulation of plaque in the arteries (atherosclerosis). Aging is associated with changes in blood vessels, such as decreased elasticity and increased stiffness, which can contribute to the development of peripheral vascular diseases.

B) This choice is incorrect because while physical fitness can influence the risk of cardiovascular diseases, age-related changes in blood vessels can still increase the risk of peripheral vascular diseases, even in physically fit individuals.

C) This choice is incorrect because the risk of peripheral vascular diseases does not remain stable with no significant changes. Aging is associated with various physiological changes that can impact cardiovascular health and increase the risk of peripheral vascular diseases.

D) This choice is incorrect because while gender and ethnicity can influence the risk of certain conditions, age is a significant independent risk factor for the development of peripheral vascular diseases. The age-related changes in blood vessels apply to individuals of all genders and ethnicities.

Questions

A. Increase the dosage if experiencing leg pain. B. Take the medication on an empty stomach. C. Avoid grapefruit juice while on cilostazol. D. Use compression stockings to promote blood flow.

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.

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

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Naxlex Comprehensive Predictor Exams

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:

Correct Answer is A

Explanation

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

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

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