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
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Choice B rationale
Limiting alcohol consumption to 3 drinks a day is not recommended for individuals with hypertension. Excessive alcohol intake can raise blood pressure and negate the benefits of other lifestyle modifications.
Choice C rationale
Setting a goal body weight within 25% of ideal body weight is not an appropriate recommendation. The goal should be to achieve and maintain a healthy weight, which is typically defined as a BMI within the normal range.
Choice D rationale
Lowering sodium intake to 3,000 mg each day is still above the recommended limit. The American Heart Association recommends reducing sodium intake to less than 2,300 mg per day, with an ideal limit of 1,500 mg per day for most adults.
Correct Answer is A
Explanation
Choice A rationale
Suprapubic tenderness is correct. Cystitis, an inflammation of the bladder, often presents with suprapubic tenderness due to the irritation and inflammation of the bladder wall.
Choice B rationale
Proteinuria is incorrect. While proteinuria can be a sign of kidney disease, it is not a typical finding in cystitis. Cystitis primarily affects the bladder and does not usually cause significant protein leakage into the urine.
Choice C rationale
Generalized edema is incorrect. Generalized edema is more commonly associated with conditions that affect the kidneys’ ability to filter blood, such as nephrotic syndrome, rather than cystitis.
Choice D rationale
Oliguria is incorrect. Oliguria, or reduced urine output, is not a typical symptom of cystitis. Cystitis usually causes symptoms like frequent urination, urgency, and dysuria.