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

Swelling and tenderness in the calf

Intermittent claudication during physical activity

Cold, pale, and numb fingers or toes

Ulceration on the lower leg with foul-smelling discharge

Answer and Explanation

The Correct Answer is D

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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Free Nursing Study Resources

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. Encouraging prolonged standing to promote blood flow. B. Elevating the legs above heart level when resting. C. Applying warm compresses to the legs to reduce swelling. D. Wearing tight-fitting compression stockings.

Correct Answer is B

Explanation

A) This choice is incorrect because encouraging prolonged standing can worsen symptoms of chronic venous insufficiency (CVI). Prolonged standing increases venous pressure in the legs and can lead to further swelling and discomfort.

B) This choice is correct. Elevating the legs above heart level when resting is a beneficial intervention for individuals with chronic venous insufficiency (CVI). Elevating the legs helps improve venous return and reduces swelling in the legs.

C) This choice is incorrect because applying warm compresses to the legs may provide temporary relief for some individuals, but it is not a primary intervention for managing chronic venous insufficiency (CVI).

D) This choice is incorrect because tight-fitting compression stockings are commonly used to manage chronic venous insufficiency (CVI), but they should be fitted appropriately by a healthcare professional. Wearing overly tight compression stockings can impede blood flow and cause discomfort.

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

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

Correct Answer is B

Explanation

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

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

A client has a history of smoking, diabetes, and hypertension. The nurse should recognize that these risk factors contribute to the development of which peripheral vascular disease?

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?