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. Assessing oral temperature is not a priority immediately after an electrical burn, as the focus should be on monitoring for cardiac issues and other life-threatening conditions.

B. Electrical burns can cause cardiac arrhythmias, including dysrhythmias like ventricular fibrillation, which can be life-threatening. The nurse should place the client on a cardiac monitor immediately to detect any abnormal rhythms and respond accordingly.

C. While checking potassium levels is important for assessing potential complications such as kidney damage or arrhythmias, cardiac monitoring should take precedence.

D. Assessing for pain at contact points is important, but it is secondary to ensuring cardiac stability in an electrical burn victim.

A. 8 B. 25 C. 13 D. 7

Correct Answer is A

Explanation

A. To calculate the infusion rate: 125 mg in 100 ml = 1.25 mg/ml. Required: 10 mg/hr ÷ 1.25 mg/ml = 8 ml/hr.

B. To calculate the infusion rate: 125 mg in 100 ml = 1.25 mg/ml. Required: 10 mg/hr ÷ 1.25 mg/ml = 8 ml/hr.

C. To calculate the infusion rate: 125 mg in 100 ml = 1.25 mg/ml. Required: 10 mg/hr ÷ 1.25 mg/ml = 8 ml/hr.

D. To calculate the infusion rate: 125 mg in 100 ml = 1.25 mg/ml. Required: 10 mg/hr ÷ 1.25 mg/ml = 8 ml/hr.

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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

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