A nurse in an outpatient clinic is collecting data from a client who tells the nurse, "I have pain in my legs when I begin to walk, but the pain stops when I stop walking." Which of the following conditions should the nurse suspect?
Diabetes mellitus
Calcium deficiency
Peripheral vascular problems in both legs
An acute obstruction in the vessels of the legs
The Correct Answer is C
A. Diabetes mellitus: While diabetes can cause peripheral vascular disease, it alone does not specifically cause intermittent claudication (pain on exertion relieved by rest).
B. Calcium deficiency: Calcium deficiency is not typically associated with intermittent claudication or peripheral vascular symptoms.
C. Peripheral vascular problems in both legs: This is correct. The symptoms described are classic for intermittent claudication, which is commonly due to peripheral arterial disease (PAD). PAD causes pain due to reduced blood flow to the muscles during exertion, which is relieved by rest.
D. An acute obstruction in the vessels of the legs: Acute obstruction would likely cause more severe and persistent symptoms, such as acute pain and loss of pulses, not just pain with walking.
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Related Questions
Correct Answer is D
Explanation
A. The amount of pressure exerted by the veins and arteries on the heart.: This is not accurate. Blood pressure specifically measures the force exerted by blood on the walls of arteries, not veins, and not the pressure they exert on the heart.
B. The amount of blood volume within the blood vessels.: This is incorrect. Blood pressure is related to blood volume, but it specifically measures the force against the arterial walls.
C. The amount of resistance within the veins during heart contraction.: Blood pressure refers to arterial pressure, not venous resistance.
D. The amount of force being placed on arteries by blood.: This is correct. Blood pressure measures the force of blood pushing against the walls of the arteries as the heart pumps blood through the circulatory system.
Correct Answer is ["A","C","D"]
Explanation
A. Hemorrhage: This is correct. Fractures, especially in large bones like the femur or pelvis, can cause significant bleeding, either internally or externally.
B. Elevated blood urea nitrogen and creatinine: This is not directly related to fractures. These values indicate kidney function and are not typical complications of fractures.
C. Infection: This is correct. Open fractures and surgical interventions for fractures can lead to infections, including osteomyelitis.
D. Fat embolism syndrome: This is correct. Fat embolism syndrome can occur when fat globules from bone marrow enter the bloodstream, typically after fractures of long bones or the pelvis, and cause serious complications.
E. Elevated serum potassium: This is not typically a direct complication of fractures. Elevated potassium can occur due to other factors, such as crush injuries or tissue necrosis, but is not a common concern with simple fractures.
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