Which assessment finding would the nurse expect from a client with chronic peripheral arterial disease (PAD)?

Pallor on elevation of limbs and rubor when limbs are dependent

Ulceration around the medial malleolus

Scaling eczema of the lower legs with stasis dermatitis

Significant edema around the ankles and feet

Answer and Explanation

The Correct Answer is A

A. In chronic PAD, pallor (paleness) occurs when limbs are elevated due to poor arterial blood flow, and rubor (reddish color) appears when limbs are dependent because of reactive hyperemia. This is a classic sign of arterial insufficiency.
B. Ulcers around the medial malleolus are more typical of venous insufficiency, not PAD.
C. Scaling eczema and stasis dermatitis occur with chronic venous insufficiency.
D. Significant edema is more common in venous disease than arterial disease.

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Correct Answer is A

Explanation

A. Applying a heating pad is not recommended because clients with arterial insufficiency may have decreased sensation and could suffer burns or tissue damage without realizing it.
B. Changing position frequently and avoiding prolonged sitting with legs down helps improve circulation and prevent complications.
C. Wearing loose clothing prevents constriction and promotes better blood flow.
D. Walking to the point of pain and resting is part of a supervised exercise regimen to improve circulation and build tolerance.

A. Hypertension B. Glucose level of 400 mg/dL C. Serum osmolarity of 350 mOsm/L D. Ketosis

Correct Answer is C

Explanation

A. Hypertension is not a defining feature of HHS.
B. While glucose levels are elevated in HHS, a level of 400 mg/dL alone is not sufficient to diagnose HHS.
C. A serum osmolarity greater than 320 mOsm/L is characteristic of HHS, reflecting severe dehydration and hyperosmolarity.
D. Ketosis is typically absent or minimal in HHS, distinguishing it from diabetic ketoacidosis (DKA).

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Which assessment finding would the nurse expect from a client with chronic peripheral arterial disease (PAD)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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