Which patient statement supports a history of intermittent claudication?

I get short of breath when I climb a lot of stairs.

My fingers hurt when I go outside in cold weather.

My legs cramp when I walk more than a block.

When I stand too long, my feet start to swell.

Answer and Explanation

The Correct Answer is C

Choice A reason: Shortness of breath on stairs suggests cardiopulmonary issues, not intermittent claudication. Claudication is leg pain from arterial insufficiency during activity, not dyspnea, which reflects lung or heart strain.

Choice B reason: Finger pain in cold weather points to Raynaud’s or vasospasm, not claudication. Intermittent claudication affects lower limbs from arterial occlusion, not upper extremities or temperature-related vasomotor changes.

Choice C reason: Leg cramping after walking a block is classic intermittent claudication, from reduced blood flow in peripheral artery disease. Pain with activity, relieved by rest, matches its ischemic pathophysiology perfectly.

Choice D reason: Foot swelling from standing suggests venous stasis or edema, not claudication. Claudication involves arterial insufficiency causing pain with exertion, not fluid accumulation from prolonged static posture.

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Correct Answer is B

Explanation

Choice A reason: Daily alcohol use may amplify propranolol’s CNS depression, but it’s not a contraindication. It warrants monitoring for sedation, yet hypertension treatment proceeds, as no direct physiologic conflict exists with beta-blockade.

Choice B reason: Asthma contraindicates propranolol, a non-selective beta-blocker, as it blocks β2 receptors, causing bronchoconstriction. This risks severe airway obstruction in asthmatics, prompting consultation for a cardioselective alternative like atenolol.

Choice C reason: Peptic ulcer disease isn’t affected by propranolol directly; beta-blockers don’t alter gastric acid. It’s not a contraindication, though stress-related hypertension management might consider other factors, not this drug.

Choice D reason: Post-MI, propranolol reduces myocardial demand, aiding recovery. It’s beneficial, not contraindicated, lowering reinfarction risk via β1 blockade, so no consultation is needed unless acute decompensation occurs.

A. The patient’s blood pressure is 164/98. B. The patient’s oxygen saturation is 90%. C. The patient reports feeling weak. D. The patient appears somnolent and difficult to arouse.

Correct Answer is D

Explanation

Choice A reason: Blood pressure of 164/98 mmHg is elevated but not immediately life-threatening in respiratory failure. It may reflect stress or chronic hypertension, less urgent than neurologic changes signaling CO2 narcosis.

Choice B reason: Oxygen saturation of 90% is low but manageable with oxygen therapy in respiratory failure. It’s concerning, yet less critical than somnolence, which indicates severe CO2 retention requiring urgent intervention.

Choice C reason: Weakness is nonspecific in respiratory failure, possibly from hypoxia or fatigue. It’s not as immediately alarming as somnolence, which directly reflects brain suppression from high PaCO2, needing prompt reporting.

Choice D reason: Somnolence and difficulty arousing signal CO2 narcosis from hypercapnia (high PaCO2), a medical emergency. It indicates respiratory acidosis impairing brain function, requiring immediate provider notification for ventilatory support.

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Which patient statement supports a history of intermittent claudication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Propranolol (Inderal) is newly prescribed for a patient diagnosed with hypertension. Which information in the patient’s history would prompt the nurse to consult with the health care provider before giving this drug?

Correct Answer is B

Explanation

The nurse is admitting a patient with possible respiratory failure and a high PaCO2. Which assessment information would the nurse immediately report to the health care provider?

Correct Answer is D

Explanation

After change-of-shift report, which patient would the nurse assess first?

A nursing student is reviewing medications used to treat a patient with Peripheral Artery Disease (PAD). Which of the following medications should the nurse identify as commonly prescribed for this condition? (Select all that apply)

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Based on Maria’s presenting symptoms and diagnostic test, the nurse suspects the patient will be diagnosed with ___________.

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Complete the following sentence: Given the patient’s elevated blood pressure and inconsistent medication adherence, the nurse should prioritize (intervention) to help improve blood pressure control and patient outcome