A nurse is collecting data from a client who has peripheral arterial disease (PAD). Which of the following findings should the nurse expect?
Warm extremities.
Darkened skin color near extremities.
Intermittent claudication.
Edema.
The Correct Answer is C
Choice A rationale
Warm extremities are not typically associated with peripheral arterial disease (PAD). PAD usually results in reduced blood flow, leading to cooler extremities.
Choice B rationale
Darkened skin color near extremities is more commonly associated with venous insufficiency rather than PAD. PAD typically causes pale or bluish skin due to reduced blood flow.
Choice C rationale
Intermittent claudication, which is pain or cramping in the legs during exercise that subsides with rest, is a hallmark symptom of PAD. It occurs due to reduced blood flow to the muscles during activity.
Choice D rationale
Edema is more commonly associated with venous insufficiency or heart failure rather than PAD. PAD typically causes reduced blood flow, not fluid accumulation.
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Correct Answer is D
Explanation
Choice A rationale
Taking temperature weekly is incorrect. Clients with neutropenia are at high risk for infections due to their low white blood cell count. Therefore, they should monitor their temperature daily to detect any signs of infection early.
Choice B rationale
Participating in gardening for mild exercise is incorrect. Gardening can expose individuals to soil-borne organisms that could lead to infections, which is particularly dangerous for neutropenic patients.
Choice C rationale
Eating plenty of fresh fruits and vegetables is incorrect. Fresh fruits and vegetables can harbor bacteria and other pathogens that can cause infections in neutropenic patients. It is safer to consume cooked or canned foods.
Choice D rationale
Avoiding crowded places is correct. Neutropenic patients should avoid crowded places to reduce their risk of exposure to infections.
Correct Answer is C
Explanation
Choice A rationale
Kernig’s sign is associated with meningitis, not hypocalcemia. It involves pain and resistance when attempting to extend the leg at the knee while the hip is flexed.
Choice B rationale
Brudzinski’s sign is also associated with meningitis, not hypocalcemia. It involves involuntary lifting of the legs when lifting a patient’s head.
Choice C rationale
Chvostek’s sign is a clinical sign of hypocalcemia. It involves twitching of the facial muscles in response to tapping over the facial nerve.
Choice D rationale
Cullen’s sign is associated with acute pancreatitis and involves bruising around the umbilicus. It is not related to hypocalcemia. .