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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 B

Explanation

Choice A rationale

Notifying the charge nurse is important, but the priority action is to assess the client for any adverse effects of the medication error. This ensures the client’s immediate safety.

Choice B rationale

Checking the client’s vital signs is the priority action because it allows the nurse to assess for any immediate adverse effects of the medication error, such as changes in blood pressure or heart rate.

Choice C rationale

Filling out an occurrence report is necessary for documentation and institutional policy, but it is not the immediate priority. The client’s safety and assessment come first.

Choice D rationale

Documenting an objective description of the event in the client’s chart is important for medical records, but it should be done after assessing the client’s condition.

Correct Answer is C

Explanation

Choice A rationale

A BUN level of 45 mg/dL is elevated, indicating impaired kidney function. However, a serum creatinine level of 1.0 mg/dL is within the normal range, which is not consistent with chronic kidney disease.

Choice B rationale

A BUN level of 11 mg/dL is within the normal range, but a serum creatinine level of 10 mg/dL is significantly elevated, indicating severe kidney dysfunction. This combination is not typical for chronic kidney disease.

Choice C rationale

A BUN level of 35 mg/dL and a serum creatinine level of 8 mg/dL are both elevated, indicating impaired kidney function. These values are consistent with chronic kidney disease.

Choice D rationale

A BUN level of 10 mg/dL and a serum creatinine level of 0.3 mg/dL are both within the normal range, which is not consistent with chronic kidney disease.

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