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 A
Explanation
Choice A rationale
Abduction is the correct position for the client’s right leg following a right total hip arthroplasty. This position helps prevent dislocation of the hip joint by keeping the leg away from the midline.
Choice B rationale
Internal rotation should be avoided as it can increase the risk of hip dislocation. This position places stress on the new hip joint.
Choice C rationale
External rotation is also not recommended as it can lead to dislocation of the hip joint. Proper alignment is crucial for healing.
Choice D rationale
Adduction, or moving the leg towards the midline, should be avoided as it significantly increases the risk of hip dislocation. Keeping the leg in abduction helps maintain joint stability.
Correct Answer is B
Explanation
Choice A rationale
While reviewing stress factors is important, it is not the priority action during an acute exacerbation of ulcerative colitis. The immediate concern is to address the physical symptoms and stabilize the patient.
Choice B rationale
Evaluating fluid and electrolyte levels is the priority action because acute exacerbations of ulcerative colitis can lead to significant fluid loss and electrolyte imbalances. Prompt assessment and correction of these imbalances are crucial for patient stability.
Choice C rationale
Promoting physical mobility is important for overall health but is not the priority during an acute exacerbation. The focus should be on managing the acute symptoms and stabilizing the patient.
Choice D rationale
Providing emotional support is important but is not the priority action during an acute exacerbation. The immediate concern is to address the physical symptoms and stabilize the patient.