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
Choice A rationale
Sweating is incorrect. While sweating can be a symptom of hypoglycemia, it is not a specific indicator of effective diabetes management.
Choice B rationale
Tachycardia is incorrect. Tachycardia can occur during hypoglycemia due to the body’s release of adrenaline, but it is not a specific indicator of effective diabetes management.
Choice C rationale
Polydipsia is incorrect. Polydipsia, or excessive thirst, is a symptom of hyperglycemia, indicating poor blood sugar control.
Choice D rationale
Polyuria is correct. Polyuria, or frequent urination, is a symptom of hyperglycemia. Effective diabetes management aims to reduce hyperglycemia and its symptoms.
Correct Answer is A
Explanation
Choice A rationale
Serving cooked fruit with meals is an appropriate intervention for a client with a low WBC count after chemotherapy. Cooking fruit helps eliminate potential pathogens, reducing the risk of infection.
Choice B rationale
Reporting temperatures greater than 39.5°C (102.3°F) lasting more than 4 hours is not appropriate. A lower threshold for fever should be used, as even a slight increase in temperature can indicate infection in immunocompromised clients.
Choice C rationale
Placing the client in a room with negative-pressure airflow is not necessary for clients with low WBC counts. This intervention is typically used for clients with airborne infections.
Choice D rationale
Instructing the client to use an incentive spirometer every 4 hours is beneficial for lung health but does not directly address the risk of infection associated with low WBC counts. .