Mr. Jones tells you that he really has a lot of pain when he walks, and it is very painful but as soon as he stops walking, the pain resides. Mr. Jones does have a history of peripheral artery disease. What is going on with Mr. Jones?
Deep vein thrombosis
Valvular regurgitation
Varicose veins
Intermittent claudication
The Correct Answer is D
A. Deep vein thrombosis: Deep vein thrombosis (DVT) typically presents with swelling, pain, and tenderness in a specific area of the leg. It does not specifically cause pain that resolves with rest after walking, making it less likely in Mr. Jones's case.
B. Valvular regurgitation: Valvular regurgitation refers to the backward flow of blood due to improper closure of heart valves. This condition primarily affects cardiac function and is not associated with pain in the legs that resolves with rest, which does not correlate with Mr. Jones's symptoms.
C. Varicose veins: Varicose veins can cause discomfort, swelling, and aching in the legs but are not typically characterized by pain that is specifically triggered by walking and resolves with rest. The symptoms of varicose veins usually occur with prolonged standing or sitting rather than exertion.
D. Intermittent claudication: Intermittent claudication is a common symptom of peripheral artery disease (PAD), characterized by muscle pain or cramping in the legs during physical activity, such as walking, that resolves with rest. Mr. Jones's description of pain that occurs while walking and subsides upon stopping aligns with this condition, making it the most appropriate explanation for his symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Cardiac failure: While cardiac failure can lead to changes in heart function, it does not directly cause an acquired murmur. Murmurs are typically due to valvular or structural abnormalities rather than being a direct consequence of heart failure.
B. Coronary artery disease (CAD): CAD can lead to ischemic heart disease and may contribute to heart failure but is not typically associated with the development of an acquired murmur. It does not directly create new murmurs; rather, it can exacerbate existing heart conditions.
C. Congenital malformation: Congenital malformations are structural heart defects present at birth and are classified as congenital causes of murmurs rather than acquired. These murmurs result from anatomical abnormalities rather than changes occurring after birth.
D. Rheumatic fever: Rheumatic fever is an acquired condition that can cause damage to the heart valves, leading to the development of valvular insufficiency or stenosis. These changes can produce an acquired murmur as a result of the inflammation and scarring of the heart valves following the infection.
Correct Answer is C
Explanation
A. A woman presenting with malaise, lethargy, and copious nasal secretions: These symptoms are more indicative of a common cold or viral upper respiratory infection. While nasal secretions can occur in rhinosinusitis, the absence of facial pain or pressure suggests a cold rather than sinus involvement.
B. A man with a dry, stuffy nasopharynx, a sore throat, and temperature of 98.9°F: This presentation is typical of a common cold or upper respiratory infection. The symptoms of a dry, stuffy nasopharynx and sore throat are not specifically indicative of rhinosinusitis, which usually involves more pronounced nasal and facial symptoms.
C. A man complaining of general fatigue, a headache, and facial pain with a temperature of 100.9°F: This combination of symptoms strongly suggests rhinosinusitis. The presence of facial pain, headache, and fever indicates inflammation and infection of the sinuses, which is characteristic of rhinosinusitis rather than a common cold.
D. A woman complaining of generalized aches and who has a hoarse voice and reddened, painful upper airways: These symptoms align more closely with a viral upper respiratory infection or laryngitis. The absence of specific sinus-related symptoms such as facial pain or nasal obstruction makes rhinosinusitis less likely in this case.
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