A patient diagnosed with peripheral arterial disease is being educated about the benefits of walking for exercise. What information should the nurse emphasize?
Elevate the feet for 30 minutes after walking.
Avoid exercise that increases the heart rate.
Continue walking to the point of pain.
Do not walk if a leg ulcer develops.
The Correct Answer is C
Choice A rationale
Elevating the feet for 30 minutes after walking is not specifically beneficial for a patient with peripheral arterial disease (PAD). While elevation can help with conditions like edema, it does not directly address the issues associated with PAD12.
Choice B rationale
Avoiding exercise that increases the heart rate is not the best advice for a patient with PAD. Exercise, including activities that increase heart rate, can actually be beneficial. It can help improve circulation, which is often compromised in PAD12.
Choice C rationale
Continuing to walk to the point of pain is beneficial for patients with PAD. Walking, especially at a high intensity, can help improve symptoms of PAD. It can increase blood flow and oxygen supply to the muscles, which can help manage PAD symptoms.
Choice D rationale
While it’s important to care for any ulcers that develop and seek medical attention, stopping walking altogether if a leg ulcer develops is not necessary. Walking is a low-impact activity that can help improve mobility over time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Administering the PRN antianxiety medication is not the most appropriate next step. The client’s symptoms—shortness of breath, anxiety, restlessness, tachycardia, tachypnea, hypotension, and decreased oxygen saturation—are indicative of a potential pulmonary embolism, a life-threatening complication of deep vein thrombosis. While anxiety can be a symptom of a pulmonary embolism, treating it without addressing the underlying cause could delay necessary medical intervention.
Choice B rationale
Calling the rapid response team is the most appropriate next step. The client’s symptoms suggest a potential pulmonary embolism, a serious and life-threatening condition that requires immediate medical intervention. The rapid response team can provide the necessary urgent care.
Choice C rationale
Increasing the intravenous infusion rate is not the most appropriate next step. While hydration is important, it would not address the immediate life-threatening situation. The client’s symptoms suggest a potential pulmonary embolism, which requires immediate medical intervention.
Choice D rationale
Preparing for mechanical ventilation is not the most appropriate next step. While the client’s decreased oxygen saturation and increased respiratory rate suggest respiratory distress, the priority should be to address the potential pulmonary embolism. Mechanical ventilation may be necessary later depending on the client’s response to treatment.
Correct Answer is C
Explanation
A heart murmur due to mitral valve disease is typically heard loudest over the mitral area, which is located at the fifth intercostal space in the left midclavicular line.
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