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
Explanation
Choice A rationale
Notifying the charge nurse is important, but the priority action is to assess the client for any adverse effects of the medication error. This ensures the client’s immediate safety.
Choice B rationale
Checking the client’s vital signs is the priority action because it allows the nurse to assess for any immediate adverse effects of the medication error, such as changes in blood pressure or heart rate.
Choice C rationale
Filling out an occurrence report is necessary for documentation and institutional policy, but it is not the immediate priority. The client’s safety and assessment come first.
Choice D rationale
Documenting an objective description of the event in the client’s chart is important for medical records, but it should be done after assessing the client’s condition.
Correct Answer is D
Explanation
Choice A rationale
Constipation is not a common adverse effect of aspirin therapy. Aspirin primarily affects the gastrointestinal tract by causing irritation, which can lead to symptoms such as nausea, vomiting, and abdominal pain. Constipation is more commonly associated with medications that slow down bowel movements, such as opioids.
Choice B rationale
Blurred vision is not typically associated with aspirin therapy. Aspirin is a nonsteroidal anti- inflammatory drug (NSAID) that works by inhibiting the production of prostaglandins, which are involved in inflammation and pain. Blurred vision is more commonly associated with medications that affect the central nervous system or have anticholinergic effects.
Choice C rationale
Insomnia is not a common adverse effect of aspirin therapy. Aspirin does not have stimulant properties that would interfere with sleep. Insomnia is more commonly associated with medications that have stimulating effects, such as caffeine or certain antidepressants.
Choice D rationale
Bleeding is a well-known adverse effect of aspirin therapy. Aspirin inhibits platelet aggregation, which can increase the risk of bleeding. This can manifest as gastrointestinal bleeding, easy bruising, or prolonged bleeding from cuts. Patients taking aspirin should be monitored for signs of bleeding and advised to report any unusual bleeding to their healthcare provider.