A nurse is assessing a client with peripheral vascular disease. Which condition is a significant risk factor for the development of venous insufficiency?

Hypertension

Atherosclerosis

Deep vein thrombosis (DVT)

Raynaud's disease

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because hypertension (high blood pressure) is not a significant risk factor for venous insufficiency. Venous insufficiency involves the impairment of venous valves and blood flow in the veins, not arterial hypertension.

B) This choice is incorrect because atherosclerosis is associated with peripheral artery disease (PAD), not venous insufficiency. Atherosclerosis involves the buildup of plaque in the arteries, leading to reduced blood flow in the extremities.

C) This choice is correct. Deep vein thrombosis (DVT) is a condition where a blood clot forms in a deep vein, most commonly in the legs. DVT can lead to damage to the venous valves and veins, causing venous insufficiency and complications such as chronic venous insufficiency and venous ulcers.

D) This choice is incorrect because Raynaud's disease primarily affects the fingers and toes, causing them to spasm and change color in response to cold or stress. It is not directly related to the development of venous insufficiency.

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Correct Answer is A

Explanation

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.

A. Elevating the legs above heart level while sitting. B. Applying direct heat to the affected extremities. C. Crossing the legs while seated to improve venous return. D. Limiting physical activity to avoid exacerbating symptoms.

Correct Answer is A

Explanation

A) This choice is correct. Elevating the legs above heart level while sitting can improve venous return, reducing swelling and promoting blood circulation in the legs. This position helps counteract the effects of gravity on blood flow.

B) This choice is incorrect because applying direct heat to the affected extremities is not a recommended method for improving blood circulation in peripheral vascular disease. Heat can cause vasodilation, which may exacerbate symptoms such as swelling and pain.

C) This choice is incorrect because crossing the legs while seated can impede venous return and contribute to blood pooling in the legs. It is not a recommended activity for individuals with peripheral vascular disease.

D) This choice is incorrect because limiting physical activity is not recommended for individuals with peripheral vascular disease. Regular physical activity, such as walking, can actually improve blood circulation and overall vascular health. However, individuals with peripheral vascular disease should be cautious not to overexert themselves and should consult with their healthcare provider regarding appropriate levels of physical activity.

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A nurse is assessing a client with peripheral vascular disease. Which condition is a significant risk factor for the development of venous insufficiency?

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

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?

Correct Answer is A

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?

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

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:

A client with peripheral vascular disease (PAD) is prescribed cilostazol. The nurse should instruct the client to report which adverse effect immediately?