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
ChoiceA rationale
SmallbloodclotsintheurinarycatheterarecommonafterTURPand usuallyresolveontheirown. They are not typically a cause for immediate concern unless they persist or causeblockage.
ChoiceB rationale
AcontinuousurgetovoidisacommonsymptomafterTURPduetoirritationofthebladderandurethra.Itisuncomfortablebutnotusually apriorityconcern.
ChoiceCrationale
Burningaroundtheurinarycathetercanoccurduetoirritationorinfection.Whileitneedstobeaddressed,itisnotthemost criticalfinding.
ChoiceD rationale
Bright red urine in the urinary catheter indicates active bleeding, which can be a sign of aserious complication such as hemorrhage. This requires immediate attention to preventfurtherbloodlossandpotentialshock.
Correct Answer is B
Explanation
Choice A rationale
Drinking more fluid can help dilute the urine but will not prevent it from becoming brown due to the medication.
Choice B rationale
Brown-colored urine is a known harmless side effect of nitrofurantoin. It is due to the medication itself and does not indicate any harm or need for a change in treatment.
Choice C rationale
Changing the medication is not necessary unless there are other signs that the infection is not resolving. Brown-colored urine alone is not an indication of treatment failure.
Choice D rationale
An increase in RBC destruction can cause brown urine, but this is not the case with nitrofurantoin. The brown color is due to the medication and not due to RBC destruction.