The nurse is assessing a client diagnosed with peripheral arterial disease. The client reports leg pain and cramping after walking 3 blocks, which is relieved when the client stops and rests. Which of the following documentation phrases should the nurse utilize to correctly describe the clinical manifestation?

The client is experiencing episodes of deep vein thrombosis.

The client is experiencing episodes of intermittent claudication.

The client is experiencing episodes of venous insufficiency.

The client is experiencing episodes of neuropathy.

Answer and Explanation

The Correct Answer is B

Rationale:

A. Deep vein thrombosis typically presents with symptoms such as leg swelling, pain, warmth, and redness, but not necessarily with cramping leg pain that is relieved with rest.

B. Intermittent claudication is a classic symptom of peripheral arterial disease, characterized by cramping leg pain that occurs with exercise and is relieved with rest.

C. Venous insufficiency presents with symptoms such as leg swelling, varicose veins, and aching or heaviness in the legs, but not necessarily with cramping leg pain that is relieved with rest.

D. Neuropathy may cause various sensory symptoms in the legs, such as numbness, tingling, or burning, but it is not typically associated with cramping leg pain that is relieved with rest.

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Correct Answer is C

Explanation

Rationale:

A. Aspirin typically does not produce bradycardia. Its primary action is not on heart rate regulation.

B. Aspirin primarily reduces the risk of clot formation by inhibiting platelet aggregation, but it does not directly decrease oxygen demand.

C. Aspirin inhibits platelet aggregation, which helps prevent blood clot formation, especially in the context of cardiac events such as heart attacks.

D. Aspirin may have a mild effect on blood pressure, but its primary action in the context of cardiac events is related to its antiplatelet properties rather than blood pressure regulation.

A. PTT level. B. PT/INR level. C. D-dimer level. D. Vitamin K level.

Correct Answer is B

Explanation

Rationale:

A. Partial thromboplastin time (PTT) is used to monitor the effectiveness of heparin therapy, not warfarin.

B. Prothrombin time (PT) and international normalized ratio (INR) are used to monitor the therapeutic level of warfarin. INR is the preferred method as it standardizes the PT results across different laboratories.

C. D-dimer level is a marker of fibrin degradation and is used to assess for the presence of blood clots, not to monitor warfarin therapy.

D. Vitamin K level is not used to monitor warfarin therapy. However, administering vitamin K can reverse the effects of warfarin in cases of overdose or hemorrhage.

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Naxlex Comprehensive Predictor Exams

A nurse is educating a client about the action of aspirin during cardiac events. Which of the following statements by the nurse should be included in the teaching?

Correct Answer is C

Explanation

A nurse is caring for a client who is developing signs of hemorrhage after 5 days of continuous warfarin use. Which of the following labs should the nurse utilize to determine the medication's current therapeutic level?

Correct Answer is B

Explanation

A nurse is assessing a patient who was admitted to the emergency room for chest pain. Which of the following interventions should the nurse prioritize?

A nurse is educating a student on modifiable risk factors of atherosclerosis. Which of the following statements should the nurse include in the teaching? (Select all that apply.)

A nurse is teaching a client who has cardiac myopathy about ways to prevent episodes of angina. Which of the following instructions should the nurse include in the education?

A nurse is caring for a client who has a history of peripheral arterial disease and requires education on treatment. Which of the following statements should the nurse utilize for the teaching?

A nurse is educating a client about the preparations needed before completing a cardiac stress test. Which of the following statements by the client would indicate the teaching was effective?

A nurse is educating a group of students on caring for clients who are receiving antihypertension medications. Which of the following medications should the nurse attribute to causing a rise in creatinine levels?