The nurse would evaluate the patient as understanding reinforcement of teaching for peripheral arterial occlusive disease if the patient stated that which of the following is the classic symptom?

Ecchymosis

Stasis ulcers

Angina

Intermittent claudication

Answer and Explanation

The Correct Answer is D

A. Ecchymosis: Ecchymosis (bruising) is not a typical symptom of peripheral arterial occlusive disease. It generally indicates bleeding or trauma to the skin and subcutaneous tissues.
B. Stasis ulcers: Stasis ulcers are associated with chronic venous insufficiency, not peripheral arterial disease.
C. Angina: Angina refers to chest pain due to reduced blood flow to the heart, and it is associated with coronary artery disease, not peripheral arterial occlusive disease.
D. Intermittent claudication: This is the classic symptom of peripheral arterial occlusive disease, characterized by muscle pain or cramping in the legs triggered by physical activity and relieved by rest. It is due to insufficient blood flow to the muscles during exercise.

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Correct Answer is ["A","C","E"]

Explanation

A. Monitor blood glucose levels: Patients with diabetes need to keep their blood glucose levels under control to prevent complications, including those that can exacerbate hypertension or lead to cardiovascular problems.
B. Lifestyle modifications and medication adherence will not prevent blindness: This is incorrect. Proper management of diabetes through lifestyle changes and medication adherence can help prevent complications like diabetic retinopathy, which can lead to blindness.
C. Lifestyle modifications can prevent strokes: Effective management of diabetes and hypertension through lifestyle changes (diet, exercise, smoking cessation) can significantly reduce the risk of strokes and other cardiovascular events.
D. End organ damage is inevitable because of microvascular changes that occur: This is misleading. While microvascular changes are a risk in diabetes, proper management and lifestyle modifications can greatly reduce the risk and progression of end-organ damage.
E. Take medications as ordered: Adherence to prescribed medications is crucial for controlling both blood glucose and blood pressure, reducing the risk of complications such as stroke, heart disease, and kidney damage.

A. Assist the patient to turn to her side. B. Give an antiemetic as ordered. C. Perform a test for blood on the emesis. D. Call for an aide to get suction set up.

Correct Answer is A

Explanation

A. Assist the patient to turn to her side: This is the priority action to prevent aspiration of vomitus, which can be a serious complication for stroke patients who may have impaired swallowing and a reduced gag reflex.
B. Give an antiemetic as ordered: While important, administering an antiemetic should come after ensuring the patient’s safety and preventing aspiration.
C. Perform a test for blood on the emesis: This is not the immediate priority. Preventing aspiration is the first concern.
D. Call for an aide to get suction set up: Suction may be necessary if the patient is at risk of aspiration, but the first step is to turn the patient to prevent choking and aspiration.

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The nurse would evaluate the patient as understanding reinforcement of teaching for peripheral arterial occlusive disease if the patient stated that which of the following is the classic symptom?

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Naxlex Comprehensive Predictor Exams

The LPN/LVN is reinforcing education with an elderly patient diagnosed with diabetes and hypertension. Which topics would be vital for the nurse to emphasize? Select all that apply.

Correct Answer is ["A","C","E"]

Explanation

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Correct Answer is A

Explanation

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