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 A

Explanation

Rationale:

A. Captopril, an angiotensin-converting enzyme (ACE) inhibitor, can cause a rise in serum creatinine levels as a result of its effects on renal blood flow and glomerular filtration rate. It is important to monitor renal function regularly in patients receiving ACE inhibitors.

B. Clonidine, an alpha-2 adrenergic agonist, typically does not have a significant effect on creatinine levels.

C. Verapamil, a calcium channel blocker, typically does not have a significant effect on creatinine levels.

D. Hydralazine, a direct-acting vasodilator, typically does not have a significant effect on creatinine levels.

Correct Answer is ["125"]

Explanation

To calculate the IV pump rate in mL/hr, you can use the following formula:

IV pump rate (mL/hr)=Total volume of infusion (mL)/Total time for infusion (hours)

Total volume of infusion=500 mL Total time for infusion=4 hours

IV pump rate (mL/hr)=500 mL/4 hours

=125mL/hr

So, the nurse should set the IV pump to deliver 125 mL/hr.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

Correct Answer is ["125"]

Explanation

A nurse is reviewing the medical history of a client who has a prescription for atenolol 40 mg daily. The nurse knows which of the following findings is a contraindication to the new medication?

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 client who has a new prescription for captopril. Which of the following statements by the client demonstrates an understanding of the teaching of this medication?

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 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 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?

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 establishing health promotion goals for a client who smokes and has hypertension.Which of the following health goals should the nurse utilize to prevent cardiovascular disease?