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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 C

Explanation

Choice A rationale

Elevated creatinine is a common finding in clients with chronic kidney disease due to decreased renal function and impaired clearance of creatinine from the blood.

Choice B rationale

Decreased urine specific gravity is not typically associated with chronic kidney disease. Clients with chronic kidney disease may have an increased or normal urine specific gravity.

Choice C rationale

Hypokalemia is not a typical finding in chronic kidney disease. Clients with chronic kidney disease are more likely to have hyperkalemia due to impaired renal excretion of potassium.

Choice D rationale

Decreased BUN (blood urea nitrogen) is not expected in chronic kidney disease. Elevated BUN levels are more common due to reduced renal clearance of urea.

Correct Answer is ["B","C","E"]

Explanation

Choice A rationale

Acetone breath is a characteristic symptom of diabetic ketoacidosis (DKA), not hyperosmolar hyperglycemic syndrome (HHS). In DKA, the body produces ketones, leading to a fruity or acetone-like breath odor. HHS, on the other hand, does not typically involve significant ketone production.

Choice B rationale

Fever can be a manifestation of HHS, often due to an underlying infection or illness that precipitates the hyperglycemic state. Infections are common triggers for HHS, leading to elevated body temperature.

Choice C rationale

Serum glucose levels of 800 mg/dL are indicative of HHS. HHS is characterized by extremely high blood glucose levels, often exceeding 600 mg/dL, without significant ketoacidosis.

Choice D rationale

Serum bicarbonate levels of 15 mEq/L are more indicative of DKA rather than HHS. In HHS, bicarbonate levels are usually within the normal range because there is no significant ketoacidosis.

Choice E rationale

Insidious onset is a hallmark of HHS. The condition develops gradually over days to weeks, unlike DKA, which has a more rapid onset.

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