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A nurse is collecting data from a client who has peripheral arterial disease (PAD). Which of the following findings should the nurse expect?

A.

Warm extremities.

B.

Darkened skin color near extremities.

C.

Intermittent claudication.

D.

Edema.

Answer and Explanation

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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View Related questions

Correct Answer is D

Explanation

Choice A rationale

A 2-hour blood glucose level of 132 mg/dL is below the threshold for diabetes diagnosis, which is 200 mg/dL or higher.

Choice B rationale

An HbA1c level of 5.2% is within the normal range. Diabetes is diagnosed with an HbA1c of 6.5% or higher.

Choice C rationale

A casual blood glucose level of 178 mg/dL is elevated but not diagnostic of diabetes. Diabetes is diagnosed with a casual blood glucose level of 200 mg/dL or higher.

Choice D rationale

A fasting blood glucose level of 155 mg/dL is above the threshold for diabetes diagnosis, which is 126 mg/dL or higher. This indicates that the client is at risk for diabetes mellitus.

Correct Answer is B

Explanation

Choice A rationale

Rifampin does not cause amenorrhea when taken with oral contraceptives. However, it can reduce the effectiveness of hormonal contraceptives, including oral contraceptives, due to its enzyme-inducing properties. This means that women taking rifampin should use an alternative or additional non-hormonal method of contraception to prevent pregnancy.

Choice B rationale

Rifampin can cause discoloration of body fluids, including tears, which can stain contact lenses. This is why it is recommended to wear glasses instead of contact lenses while taking this medication.

Choice C rationale

A yellow tint to the skin is not an expected reaction to rifampin. However, rifampin can cause a harmless red-orange discoloration of body fluids such as urine, sweat, saliva, and tears.

Choice D rationale

Lifelong treatment with rifampin is not necessary. The duration of treatment for active tuberculosis typically ranges from 6 to 9 months, depending on the specific treatment regimen and the patient’s response to therapy.

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