A nurse is assessing a female client who has a new diagnosis of hyperthyroidism. Which of the following manifestations should the nurse expect?

A) Restrict fluids to decrease lower extremity swelling: Restricting fluids is generally not recommended for managing peripheral arterial disease (PAD). Fluid restriction may not address the underlying vascular issues causing swelling and might lead to dehydration. The focus should be on improving circulation and managing PAD symptoms.

B) Limit exercise to 10 min twice a day: Exercise is a critical component of managing PAD, and limiting it to only 10 minutes twice a day may not provide sufficient benefit. Patients with PAD are often encouraged to engage in regular, supervised exercise programs to improve circulation and reduce symptoms.

C) Use ice packs to decrease leg pain: Using ice packs is not advisable for PAD. Cold can constrict blood vessels and potentially worsen symptoms. Warmth or gentle heat may be more beneficial for improving circulation and relieving pain.

D) Sit with legs dependent when having pain: Sitting with the legs dependent (hanging down) can help alleviate pain associated with PAD. This position helps increase blood flow to the lower extremities and can reduce pain caused by intermittent claudication, a common symptom of PAD.

A. Administer a dose of subcutaneous epinephrine.: The swelling of the lips and tongue is indicative of angioedema, a serious adverse reaction to captopril. Epinephrine is the first-line treatment for severe allergic reactions or angioedema to quickly counteract the swelling and prevent airway obstruction.

B. Advise the client not to consume grapefruit products.: Grapefruit can interact with some medications, but it is not related to the management of angioedema. This action would be more relevant for drugs metabolized by CYP3A4, not specifically for angioedema.

C. Place warm compresses on both sides of the client's face.: Warm compresses are not appropriate for angioedema and may not address the underlying issue. This action does not manage the immediate, potentially life-threatening reaction caused by captopril.

D. Swab the client's oral mucosa with nystatin suspension.: Nystatin is used for fungal infections of the oral mucosa, not for angioedema. This action does not address the adverse reaction related to captopril.