A patient is admitted to the hospital with a diagnosis of peripheral arterial disease (PAD). Clinical findings associated with this disease are
Bounding pedal pulses.
Pedal edema relieved with leg elevation.
Loss of leg hair and shiny skin.
Incompetent valves of the blood vessels in the leg.
The Correct Answer is C
A. In PAD, the pulses in the legs are often weak or absent, not bounding.
B. Pedal edema is more commonly associated with venous insufficiency rather than PAD, and elevating the legs may not alleviate the edema.
C. Loss of leg hair and shiny skin are classic signs of PAD due to reduced blood flow to the extremities, which leads to skin changes and hair loss.
D. Incompetent valves and venous insufficiency are more related to conditions such as chronic venous insufficiency, not PAD.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While CKD does reduce erythropoietin production, this affects anemia rather than bone health or fracture risk.
B. CKD often leads to decreased calcium absorption due to impaired vitamin D activation, not an increased absorption.C. In CKD, the kidneys lose the ability to convert vitamin D to its active form, impairing calcium absorption from the intestine and weakening
Correct Answer is A
Explanation
A. Plaque rupture in coronary artery disease can expose the underlying tissue, leading to activation of the clotting cascade and thrombus formation. This can cause sudden worsening of symptoms due to reduced or obstructed blood flow in the coronary artery.
B. Arteriogenesis refers to the development of collateral arteries over time, which is a slow, compensatory process rather than an acute event leading to worsening symptoms.
C. Coronary veins are not typically obstructed in CAD; instead, coronary arteries are affected, leading to reduced oxygen supply to the myocardium.
D. High-density lipoproteins (HDL) are known as "good cholesterol" and help clear arterial plaques, so they do not contribute to arterial rupture.
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