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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Nitroglycerin is typically taken as needed for angina symptoms, not routinely before going to bed.
B. Taking one tablet at the first indication of chest pain is the correct instruction for using nitroglycerin to relieve angina symptoms.
C. While multiple doses of nitroglycerin may be needed during an acute angina attack, they should be spaced at least 5 minutes apart, not every 15 minutes.
D. Nitroglycerin is not typically used to lower blood pressure. It is primarily used to relieve angina symptoms by dilating blood vessels and improving blood flow to the heart.
Correct Answer is ["B","C"]
Explanation
Rationale:
A. Clopidogrel is an antiplatelet medication used to prevent blood clots, and it is not associated with orthostatic hypotension.
B. Clonidine is an antihypertensive medication that can cause orthostatic hypotension, particularly when changing positions from lying to standing.
C. Hydralazine is an antihypertensive medication that can cause orthostatic hypotension, particularly at higher doses.
D. Nifedipine, a calcium channel blocker, is generally associated with a risk of hypotension; however, it is not specifically indicated as a common cause of orthostatic hypotension.
E. Gemfibrozil is a lipid-lowering medication and is not associated with orthostatic hypotension.
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