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.
Free Nursing Test Bank
- Free Pharmacology Quiz 1
- Free Medical-Surgical Quiz 2
- Free Fundamentals Quiz 3
- Free Maternal-Newborn Quiz 4
- Free Anatomy and Physiology Quiz 5
- Free Obstetrics and Pediatrics Quiz 6
- Free Fluid and Electrolytes Quiz 7
- Free Community Health Quiz 8
- Free Promoting Health across the Lifespan Quiz 9
- Free Multidimensional Care Quiz 10
View Related questions
Correct Answer is ["B","C","E"]
Explanation
Choice A rationale
Acetone breath is a characteristic symptom of diabetic ketoacidosis (DKA), not hyperosmolar hyperglycemic syndrome (HHS). In DKA, the body produces ketones, leading to a fruity or acetone-like breath odor. HHS, on the other hand, does not typically involve significant ketone production.
Choice B rationale
Fever can be a manifestation of HHS, often due to an underlying infection or illness that precipitates the hyperglycemic state. Infections are common triggers for HHS, leading to elevated body temperature.
Choice C rationale
Serum glucose levels of 800 mg/dL are indicative of HHS. HHS is characterized by extremely high blood glucose levels, often exceeding 600 mg/dL, without significant ketoacidosis.
Choice D rationale
Serum bicarbonate levels of 15 mEq/L are more indicative of DKA rather than HHS. In HHS, bicarbonate levels are usually within the normal range because there is no significant ketoacidosis.
Choice E rationale
Insidious onset is a hallmark of HHS. The condition develops gradually over days to weeks, unlike DKA, which has a more rapid onset.
Correct Answer is D
Explanation
Choice A rationale
Phenazopyridine hydrochloride does not turn the urine purple. Instead, it typically causes the urine to turn a reddish-orange color. This discoloration is harmless and is due to the dye properties of the medication. The purple urine bag syndrome is a rare condition associated with urinary tract infections and not with phenazopyridine hydrochloride use.
Choice B rationale
Phenazopyridine hydrochloride should be taken after meals to minimize stomach upset. Taking it before meals can increase the risk of gastrointestinal discomfort. The medication works as a urinary tract analgesic and does not require administration before meals for effectiveness.
Choice C rationale
Yellowing of the sclera is not an expected effect of phenazopyridine hydrochloride. Yellowing of the sclera, or jaundice, is typically associated with liver dysfunction or hemolysis.
Phenazopyridine hydrochloride does not cause jaundice and any yellowing of the sclera should be promptly evaluated by a healthcare provider.
Choice D rationale
Phenazopyridine hydrochloride works as a urinary tract analgesic. It provides relief from pain, burning, and discomfort caused by irritation of the urinary tract. It is not an antibiotic and does not treat the underlying infection but helps alleviate the symptoms.