Which of the following are clinical manifestations of arterial occlusion? Select all that apply.

Paresthesia

Pruritus

Pain

Pallor

Palpitations

Answer and Explanation

Correct Answer : A,C,D

A. Paresthesia: Numbness or tingling sensations (paresthesia) can occur due to decreased blood supply and nerve function.
B. Pruritus: Itching (pruritus) is not typically associated with arterial occlusion. It is more often related to skin conditions or allergies.
C. Pain: Pain is a hallmark symptom of arterial occlusion, often described as severe and sudden, due to tissue ischemia.
D. Pallor: Affected limbs or areas may appear pale (pallor) because of reduced blood flow.
E. Palpitations: Palpitations are not a direct symptom of arterial occlusion. They are more related to cardiac conditions.

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Correct Answer is B

Explanation

A. Have the patient lie in bed with a pillow under the knees: Elevation of the legs can reduce blood flow to the feet, worsening symptoms. Additionally, putting a pillow under the knees can compress arteries further, exacerbating ischemia.
B. Evaluate the distal pulses: Assessing the distal pulses is crucial for determining the severity of blood flow impairment and helps in understanding the extent of peripheral arterial disease.
C. Cover the patient with a blanket: While warmth might provide some comfort, it does not address the underlying vascular issue and is not a primary intervention for this condition.
D. Notify the physician: While it may be necessary eventually, evaluating the patient's distal pulses first will provide critical information that the nurse can report to the physician.

A. Give the patient a glass of water. B. Check the patient's dysphagia screen C. Consult speech pathology. D. Teach that stroke patients are nothing by mouth (NPO)

Correct Answer is B

Explanation

A. Give the patient a glass of water.: Giving the patient water without assessing their swallowing ability can be dangerous due to the risk of aspiration.
B. Check the patient's dysphagia screen.: Assessing for dysphagia is crucial because stroke patients often have impaired swallowing, which increases the risk of aspiration and choking.
C. Consult speech pathology.: Consulting a speech pathologist is important for a comprehensive swallowing assessment, but it is not the immediate action when a patient requests water.
D. Teach that stroke patients are nothing by mouth (NPO).: Not all stroke patients are NPO. This decision is based on the patient's ability to swallow safely, determined by a dysphagia screen.

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Which of the following are clinical manifestations of arterial occlusion? Select all that apply.

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Naxlex Comprehensive Predictor Exams

A patient with peripheral arterial disease (PAD) is sitting in a chair and has cool feet that are reddish-purple in color. What action should the nurse take?

Correct Answer is B

Explanation

A patient who is diagnosed with a stroke is requesting a glass of water. Which action is appropriate for the nurse to take?

Correct Answer is B

Explanation

The nurse is providing education about the warning signs of stroke to a nursing student. Which information would be appropriate for the nurse to include in the teaching?

The nurse is reinforcing teaching about dietary changes with a patient newly diagnosed with hypertension. What should the nurse include in the teaching about a DASH diet? Select all that apply. (Select All that Apply.)

A patient is having difficulty swallowing following a stroke, and a swallowing evaluation is ordered. Which nursing interventions might be recommended to help prevent aspiration during eating? Select all that apply. (Select All that Apply.)

A patient has been diagnosed with Raynaud's disease and asks the nurse what occurs with this disease. Which of the following is the most appropriate response?

The nurse explains to the patient that blood pressure measures

A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize which of the following statements by the client indicates a need for further teaching?

The nurse is reinforcing teaching provided to a patient with Raynaud disease. Which measure should the nurse include to prevent an attack?