A nurse is collecting data from a client who has peripheral arterial disease (PAD). Which of the following findings should the nurse expect?

Intermittent claudication

Darkened skin color near extremities

Warm extremities

Edema

Answer and Explanation

The Correct Answer is A

Choice A reason f:Intermittent claudication is a classic symptom of PAD, characterized by muscle pain or cramping in the legs triggered by exercise, such as walking, which typically disappears after a few minutes of rest. This symptom occurs due to inadequate blood flow to the muscles during increased demand.

Choice B reason :Darkened skin color near the extremities, also known as hyperpigmentation, can occur in PAD due to the chronic ischemia and the resultant buildup of waste products in the tissue, which may lead to skin changes.

Choice C reason :Warm extremities are not typically associated with PAD. In fact, patients with PAD may have cooler extremities compared to the rest of the body due to reduced blood flow.

Choice D reason :Edema is not a common finding in PAD. Instead, PAD can lead to decreased skin temperature, loss of hair, shiny skin, and non-healing wounds on the extremities due to poor circulation.

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Correct Answer is B

Explanation

Choice A reason : A hemoglobin (Hgb) level of 16 g/dL is within the normal range for adults, which typically falls between 13.8 to 17.2 g/dL for men and 12.1 to 15.1 g/dL for women. Therefore, this value does not warrant reporting to the provider as it does not indicate an immediate concern.

Choice B reason : A prothrombin time (PT) of 45 seconds is significantly higher than the normal range of 11 to 13.5 seconds for individuals not on anticoagulation therapy. For patients on warfarin, the target PT is usually 1.5 to 2 times the normal value, depending on the indication for therapy. However, a PT of 45 seconds suggests a high risk of bleeding and requires immediate medical attention.

Choice C reason : The activated partial thromboplastin time (aPTT) of 36 seconds is within the normal range of approximately 21 to 35 seconds⁸. This result indicates that the blood's intrinsic clotting pathway is functioning within expected parameters and does not need to be reported.

Choice D reason : A platelet count of 190,000/mm is within the normal range, which is typically 150,000 to 450,000 platelets/mm. This value is not concerning and does not need to be reported to the provider.

A. Triglycerides : 130 mg/dL B. HDL : 84 mg/dL C. Blood glucose : 92 mg/dL D. LDL : 172 mg/dL

Correct Answer is D

Explanation

Choice A reason : The triglyceride level of 130 mg/dL is within the normal range, which is less than 150 mg/dL for adults. Therefore, this result does not place the client at risk for peripheral arterial disease.

Choice B reason : An HDL level of 84 mg/dL is considered good as it is higher than the minimum recommended level of 40 mg/dL for males and 50 mg/dL for females. Higher levels of HDL are protective against heart disease.

Choice C reason : A blood glucose level of 92 mg/dL is within the normal fasting range of 70 to 99 mg/dL. This indicates that the client does not have diabetes, which is a risk factor for peripheral arterial disease.

Choice D reason : An LDL level of 172 mg/dL is considered high since the optimal level for LDL is less than 100 mg/dL. High levels of LDL cholesterol can lead to atherosclerosis, increasing the risk for peripheral arterial disease.

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A nurse is collecting data from a client who has peripheral arterial disease (PAD). Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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