A nurse is reviewing the medical history of a client with suspected peripheral vascular disease. Which condition is a significant risk factor for the development of atherosclerosis and peripheral vascular disease?
Asthma
Osteoarthritis
Hypothyroidism
Hypercholesterolemia
The Correct Answer is D
A) This choice is incorrect because asthma is not directly associated with an increased risk of atherosclerosis or peripheral vascular disease. Asthma is a chronic respiratory condition that affects the airways, not the blood vessels.
B) This choice is incorrect because osteoarthritis is a degenerative joint disease and is not directly linked to an increased risk of atherosclerosis or peripheral vascular disease.
C) This choice is incorrect because while hypothyroidism can impact cardiovascular health, it is not a primary risk factor for atherosclerosis or peripheral vascular disease. Hypothyroidism can lead to elevated cholesterol levels, but hypercholesterolemia is the specific condition related to increased cholesterol levels and atherosclerosis.
D) This choice is correct. Hypercholesterolemia, characterized by high levels of cholesterol in the blood, is a significant risk factor for atherosclerosis, which is the buildup of plaque in the arterial walls. Atherosclerosis is a common cause of peripheral vascular disease, leading to reduced blood flow to the extremities and various cardiovascular complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
A) This choice is incorrect because decreased blood glucose levels are not associated with an increased risk of peripheral vascular disease (PAD) in diabetes. In fact, hypoglycemia (low blood glucose levels) can lead to acute complications but is not a significant factor in the development of PAD.
B) This choice is incorrect because increased insulin production is not a primary factor contributing to PAD in diabetes. Insulin is essential for glucose metabolism but does not directly impact blood vessel function.
C) This choice is correct. Diabetes can lead to impaired blood vessel function, primarily through the process of atherosclerosis. High blood glucose levels can damage blood vessel walls, leading to plaque buildup and narrowing of the arteries, reducing blood flow to the extremities and contributing to PAD.
D) This choice is incorrect because an elevated white blood cell count is not directly related to the increased risk of PAD in diabetes. While chronic inflammation and white blood cell count can play a role in atherosclerosis, it is not the primary factor contributing to PAD in diabetes.
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