A 67-year-old client states that he recently began to have pain in his left calf when climbing the 10 stairs to his apartment. This pain is relieved by sitting for about 2 minutes, then he is able to resume his activities. How would the nurse document this finding?
venous insufficiency
claudication
muscle cramps
deep vein thrombosis
bruit from turbulent blood flow
The Correct Answer is B
A. Venous insufficiency typically presents with swelling and pain that worsens with prolonged standing, not with exercise.
B. Claudication is the correct term, as it describes pain due to decreased blood flow to the muscles during exercise, often relieved by rest, which matches the patient's symptoms.
C. Muscle cramps may cause pain but are usually not consistently triggered by activity and relieved by rest.
D. Deep vein thrombosis would typically present with pain, swelling, warmth, and redness rather than exercise-induced pain relieved by rest.
E. Bruit from turbulent blood flow is an audible sound over an artery and not directly related to the type of pain described.
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View Related questions
Correct Answer is A
Explanation
A. Auscultate for any cardiac murmurs is correct, as a thrill often indicates turbulent blood flow, which may correlate with murmurs that can be heard upon auscultation.
B. Comparing apical and radial pulse rates is useful in assessing pulse deficits but does not directly address the cause of the thrill.
C. Palpating the quality of the peripheral pulses does not provide specific information about the thrill's origin.
D. Finding the point of maximal impulse is a useful cardiac assessment but does not directly explain the cause of the thrill.
E. Checking capillary refill time assesses peripheral perfusion but does not relate to the thrill's cause.
Correct Answer is B
Explanation
A. Decreasing dietary protein does not directly affect the spread of respiratory infections. Protein is important for maintaining immune function.
B. Obtaining flu vaccines is an effective way to reduce the spread of respiratory infections, especially among older adults who are at higher risk.
C. Overhydration is not related to infection control and is not necessary in this context.
D. While handkerchiefs may help with containing respiratory droplets, disposable tissues are generally more hygienic.
E. Limiting daily activity is unnecessary for preventing respiratory infections and could negatively impact overall health.