The nurse is reinforcing teaching for managing the pain of peripheral arterial disease. Which patient statement indicates correct understanding of discharge instructions?

I will use a reclining chair

I will do knee flexion exercises

I will lie down frequently

I will sit with my legs down

Answer and Explanation

The Correct Answer is B

Choice A reason: Using a reclining chair may reduce leg blood flow in peripheral arterial disease, worsening ischemia and pain. Exercises like knee flexion promote circulation, making this statement incorrect, as it indicates a need for teaching to avoid positions that impair arterial perfusion.

Choice B reason: Knee flexion exercises promote blood flow and collateral circulation in peripheral arterial disease, reducing ischemic pain by improving oxygen delivery to tissues. This statement reflects correct understanding of pain management strategies, making it the appropriate choice for effective discharge teaching.

Choice C reason: Lying down frequently does not specifically address pain in peripheral arterial disease, where exercise improves circulation. Prolonged rest may worsen stasis, making this statement incorrect, as it indicates a need for teaching to emphasize active interventions like exercise for pain relief.

Choice D reason: Sitting with legs down may increase edema or reduce arterial flow in peripheral arterial disease, worsening pain. Exercises like knee flexion are preferred to enhance circulation, making this statement incorrect, as it requires further teaching to correct positioning for pain management.

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Correct Answer is A

Explanation

Choice A reason: Back pain is a common manifestation of an aortic aneurysm, particularly abdominal, due to pressure on surrounding structures or dissection. This is the expected finding, as it aligns with the aneurysm’s location and potential to cause referred pain, making it the correct choice.

Choice B reason: Ankle edema is associated with heart failure or venous insufficiency, not aortic aneurysm, which primarily causes vascular symptoms like pain. Edema is not a typical manifestation, making this incorrect, as the nurse should expect back pain, not swelling, in this condition.

Choice C reason: Chest pain is more associated with thoracic aortic aneurysms or cardiac conditions, not abdominal aortic aneurysms, which typically cause back or abdominal pain. This makes it incorrect, as back pain is the more expected finding for the nurse to anticipate.

Choice D reason: Paralysis is not a typical manifestation of aortic aneurysm unless rupture causes spinal cord compression, which is rare. Back pain is more common due to aneurysm expansion, making this incorrect, as it does not reflect the usual presentation of this condition.

A. Aortic and pulmonic valves B. Heart muscle and the mitral valve C. Contractility of the ventricles D. Coronary arteries

Correct Answer is B

Explanation

Choice A reason: Rheumatic carditis primarily affects the mitral valve and myocardium, not aortic and pulmonic valves, which are less commonly involved. Inflammation targets endocardium and myocardium, making this incorrect, as it does not accurately reflect the primary cardiac structures affected in rheumatic fever.

Choice B reason: Rheumatic fever carditis causes inflammation of the heart muscle (myocardium) and mitral valve, leading to myocarditis and valvulitis, often causing mitral regurgitation. This is the correct choice, as these are the primary areas affected, contributing to long-term complications like rheumatic heart disease.

Choice C reason: Contractility of the ventricles may be indirectly affected by myocarditis, but carditis primarily involves the myocardium and mitral valve. Focusing on contractility alone is too narrow, making this incorrect, as it does not fully capture the structures targeted in rheumatic carditis.

Choice D reason: Coronary arteries are not primarily affected in rheumatic carditis, which targets the myocardium and mitral valve. Coronary involvement is rare and not characteristic, making this incorrect, as the nurse should recognize the heart muscle and mitral valve as the primary areas.

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The nurse is reinforcing teaching for managing the pain of peripheral arterial disease. Which patient statement indicates correct understanding of discharge instructions?

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