While working in the outpatient clinic, the nurse notes that the client has a history of intermittent claudication. Which statement by the client would support this information?

"My legs cramp when I walk more than a block."

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

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

"My fingers hurt when I go outside in cold weather."

Answer and Explanation

The Correct Answer is A

A. Intermittent claudication is characterized by cramping pain in the legs during physical activity, such as walking, due to insufficient blood flow, typically caused by peripheral arterial disease (PAD). This statement aligns with the symptoms of claudication.

B. Shortness of breath during physical exertion is more indicative of cardiovascular or pulmonary issues, not intermittent claudication.

C. Swelling in the feet from standing for extended periods is more consistent with venous insufficiency rather than intermittent claudication.

D. Pain in the fingers due to cold weather suggests Raynaud’s phenomenon, not intermittent claudication.

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Correct Answer is B

Explanation

A. Not crossing legs is an important self-management strategy for PAD. It helps improve circulation and prevent further vascular damage. This statement is correct.

B. Warm, heavy socks can be harmful for PAD clients because they may reduce circulation. Clients should avoid excessive warmth and use loose-fitting socks instead. This statement indicates misunderstanding.

C. Smoking cessation is crucial for PAD management, as smoking worsens circulation. This statement is correct.

D. Heating pads can be dangerous for clients with PAD due to the risk of burns from impaired circulation. Low settings may still be too high, so this statement requires further education.

A. Client who describes intense squeezing pressure across the chest. B. Client who reports moderate pain that is worse on inspiration. C. Client who reports cramping substernal pain. D. Client who describes pain as a dull ache.

Correct Answer is A

Explanation

A. This description is indicative of possible myocardial infarction (MI), a life-threatening emergency. Immediate evaluation and intervention, such as administering oxygen, obtaining an EKG, and providing pain relief, are crucial to prevent further damage to the heart and reduce mortality.

B. Moderate pain worse on inspiration suggests pleuritic pain, often associated with conditions like pleuritis or pulmonary embolism, which are serious but generally not as immediately life-threatening as an MI.

C. Cramping substernal pain may indicate a gastrointestinal issue, such as gastroesophageal reflux disease (GERD), which is less urgent than a potential MI.

D. A dull ache may be related to musculoskeletal or gastrointestinal issues and does not suggest the immediate need for intervention seen in MI.

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Test Name	Results	Reference Range
WBC	12, 000	4, 000- 11, 000
Na+	149 mEq/L	135-145 mEq/L
K+	5.0 mEq/L	3.5- 5.0 mEq/L
Cl-	110 mEq/L	96-106 mEq/L
pH	7.34	7.35-7.45
PaCO2	34 mmHg	35- 45 mmHg
PaO2	78 mm Hg	80-100 mmHg
HCO3	21 mEq/L	22- 26 mEq/L

While working in the outpatient clinic, the nurse notes that the client has a history of intermittent claudication. Which statement by the client would support this information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has peripheral arterial disease (PAD). What statement by the client indicates misunderstanding about self-management activities?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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