The nurse is assessing a client suspected of having peripheral artery disease (PAD) in the legs.
Which of the following findings should the nurse expect during the assessment?

Constant erythema and warmth in the legs.

Decreased discomfort when the legs are elevated.

Discomfort in the legs during exercise that is relieved when the client rests.

Peripheral pulses are bounding when the legs are in the dependent position.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Constant erythema and warmth in the legs are indicative of venous insufficiency due to stagnant blood flow. PAD typically presents with cool, pale extremities as a result of reduced arterial perfusion.

Choice B rationale

Discomfort typically worsens when legs are elevated in PAD because elevation further impairs blood flow, causing ischemic pain. Relief is more commonly achieved when the legs are in a dependent position, aiding perfusion.

Choice C rationale

Pain during exercise, termed intermittent claudication, occurs due to insufficient oxygen delivery to muscles. Rest alleviates symptoms as oxygen demand decreases. This hallmark feature distinguishes PAD from other circulatory disorders.

Choice D rationale

Peripheral pulses in PAD are generally diminished or absent, reflecting compromised arterial blood flow. Bounding pulses would suggest conditions such as aortic regurgitation or hyperdynamic states, not PAD.

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Correct Answer is A

Explanation

Choice A rationale

Over-the-counter Sudafed contains pseudoephedrine, which can cause urinary retention by stimulating alpha-adrenergic receptors, exacerbating symptoms treated by oxybutynin. Avoiding this combination reduces the risk of adverse effects, indicating correct client understanding.

Choice B rationale

Stopping the medication due to signs of infection is incorrect. Oxybutynin addresses bladder muscle control and is not associated with infection management. Reporting adverse effects is required, but discontinuation must follow medical advice.

Choice C rationale

Antidepressants like tricyclics have anticholinergic effects similar to oxybutynin, potentially increasing adverse effects. However, abrupt contraindication is incorrect unless specified by a healthcare provider, indicating a misunderstanding.

Choice D rationale

Urinary retention is a known side effect of oxybutynin. Reporting symptoms is correct, but this statement lacks broader understanding of the medication’s use and side effect profile. .

A. "It is important to avoid exposure to cold climates.”. B. "You need to consume an increased amount of oral fluids daily.”. C. "Include iron and vitamin B12-rich foods in your diet each day.”. D. "Be sure to check the list of medications and substances to avoid before starting anything new.”. . . .

Correct Answer is D

Explanation

Choice A rationale

Avoiding exposure to cold climates is not specific to thalassemia prevention. While cold environments may exacerbate general vasoconstriction, they do not influence the genetic and hematologic basis of thalassemia symptoms.

Choice B rationale

Increasing fluid intake does not directly address thalassemia pathophysiology. While hydration is vital, it does not correct the primary anemia or the compromised oxygen delivery stemming from abnormal hemoglobin synthesis.

Choice C rationale

Iron and vitamin B12-rich foods are beneficial for conditions involving deficiency anemia. However, thalassemia involves a genetic defect in hemoglobin chains, so excess iron could even result in iron overload complications.

Choice D rationale

Medications and substances that exacerbate hemolysis, such as sulfonamides or antimalarials, should be avoided in thalassemia. Awareness and prevention of exposure are key to minimizing symptoms and complications in affected individuals. .

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The nurse is assessing a client suspected of having peripheral artery disease (PAD) in the legs.Which of the following findings should the nurse expect during the assessment?

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Naxlex Comprehensive Predictor Exams

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The nurse is assessing a client suspected of having peripheral artery disease (PAD) in the legs.
Which of the following findings should the nurse expect during the assessment?