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 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.
Correct Answer is C
Explanation
Choice A rationale
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Choice B rationale
Eating a snack before bed can increase the likelihood of acid reflux during sleep, as lying down shortly after eating can promote reflux.
Choice C rationale
Elevating the head of the bed helps reduce acid reflux by keeping stomach acid from flowing back into the esophagus during sleep.
Choice D rationale
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