The nurse is providing care for a client recently diagnosed with peripheral arterial occlusive disease (PAD). What assessment finding is most consistent with this diagnosis?
Visible clubbing of the fingers and toes
Unequal peripheral pulses between extremities
Reddened extremities with muscle atrophy
Loss of hair on the distal extremities
The Correct Answer is D
A. Visible clubbing of the fingers and toes
Clubbing is a condition characterized by changes in the shape and appearance of the fingers and toes. It involves enlargement of the fingertips and the nails becoming curved and rounded. Clubbing is not typically associated with peripheral arterial occlusive disease (PAD). It is more commonly seen in conditions such as chronic respiratory or cardiovascular diseases.
B. Unequal peripheral pulses between extremities
Unequal peripheral pulses can be indicative of vascular abnormalities. However, in PAD, the characteristic finding is diminished or absent pulses rather than unequal pulses between extremities. Other conditions, such as arterial embolism or thrombosis, may present with unequal pulses.
C. Reddened extremities with muscle atrophy
Reddened extremities and muscle atrophy are not typical findings in PAD. These symptoms are more characteristic of conditions associated with chronic inflammation or compromised venous circulation, such as chronic venous insufficiency or venous stasis.
D. Loss of hair on the distal extremities
Loss of hair on the distal extremities, particularly on the lower legs and feet, is a common finding in PAD. It results from reduced blood flow and oxygen supply to the hair follicles in the affected areas.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. To ensure long-term prevention of asthma exacerbations:
This statement is not accurate. Prednisone is typically not used for long-term prevention of asthma exacerbations. It is more commonly prescribed for short-term use during acute exacerbations to quickly reduce inflammation and improve symptoms.
B. To gain control of inadequately controlled, persistent asthma:
This is the most accurate explanation. Prednisone is often prescribed to gain control over inadequately controlled, persistent asthma by providing anti-inflammatory effects and helping to manage symptoms during acute episodes.
C. To cure any systemic infection underlying asthma attacks:
Prednisone is not used to cure infections. While it can have anti-inflammatory and immunosuppressive effects, its primary role in asthma is to reduce airway inflammation and control symptoms, not to treat underlying infections.
D. To prevent recurrent pulmonary infections:
Prednisone is not typically prescribed for the prevention of infections. Its use in asthma is more focused on managing inflammation and symptoms during acute exacerbations rather than preventing infections.
Correct Answer is B
Explanation
A. “I will have canned chicken noodle soup with crackers and an apple for lunch.”
This option may not be the best choice for a low-sodium diet. Canned soups often contain high levels of sodium.
B. “I will have a tossed salad with cheese and croutons for lunch.”
This option is a better choice, as salads with fresh vegetables can be lower in sodium compared to other options.
C. “I will have a ham and cheese sandwich for lunch.”
Ham and cheese are generally high in sodium, so this would not be a suitable choice for a low-sodium diet.
D. “I will have a baked potato with broiled chicken for dinner.”
This option seems to be a good choice. Baked potato and broiled chicken can be part of a low-sodium meal.
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