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 D

Explanation

A) This choice is incorrect because avoiding all physical activity can lead to deconditioning and worsen exercise tolerance over time. Regular exercise is beneficial for individuals with peripheral vascular disease (PAD) to improve blood flow and manage symptoms.

B) This choice is incorrect because waiting until the pain becomes severe and then stopping (known as the "stop-and-rest" method) is not recommended for individuals with PAD. This approach can lead to inadequate exercise and may not provide the benefits of regular walking.

C) This choice is incorrect because engaging in a daily high-intensity exercise regimen is not appropriate for individuals with PAD, especially if they experience intermittent claudication. High-intensity exercise can exacerbate leg pain and may not be well-tolerated.

D) This choice is correct. Gradually increasing walking distance over time is a recommended approach for individuals with PAD to improve exercise tolerance and manage intermittent claudication. The goal is to push the limits of walking distance without causing severe pain, allowing the individual to gradually build endurance and improve blood flow.

A. Recommending nicotine replacement therapy. B. Encouraging the client to switch to smokeless tobacco. C. Providing education on the benefits of smoking cessation. D. Advising the client to smoke fewer cigarettes per day.

Correct Answer is C

Explanation

A) This choice is incorrect because while nicotine replacement therapy can be helpful for individuals trying to quit smoking, it is not the priority intervention. The primary goal is to promote smoking cessation itself, as it provides the most significant health benefits.

B) This choice is incorrect because smokeless tobacco is not a safe alternative to smoking and is not recommended for promoting vascular health. Smokeless tobacco still contains harmful substances that can damage blood vessels and increase cardiovascular risks.

C) This choice is correct. Providing education on the benefits of smoking cessation is a priority intervention for a client with peripheral vascular disease (PAD) who has a history of smoking. Smoking is a significant risk factor for PAD and other cardiovascular diseases. Quitting smoking can lead to immediate and long-term health improvements, including improved blood flow and reduced risk of complications.

D) This choice is incorrect because advising the client to smoke fewer cigarettes per day is not sufficient to address the adverse effects of smoking on vascular health . Smoking cessation is the most effective approach to improve vascular health and reduce the risk of PAD-related complications.

Questions

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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 client with peripheral vascular disease (PAD) is experiencing intermittent claudication and reports difficulty walking. What should the nurse encourage the client to do to improve exercise tolerance?

Correct Answer is D

Explanation

A nurse is caring for a client with peripheral vascular disease (PAD) who has a history of smoking. The nurse should prioritize which intervention to promote vascular health?

Correct Answer is C

Explanation

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