A nurse is caring for a client with peripheral artery disease who has an arterial ulcer. Which of the following best describes the mechanism for developing the clinical problem?
Swelling of the lower extremity can create a wound that is difficult to heal.
Decreased blood flow to the area can cause the wound and decrease the healing.
Lower extremity compression stockings likely caused the wound to occur.
Increased blood sugar associated with the condition is likely the cause of the wound not healing.
The Correct Answer is B
A. Swelling of the lower extremity can create a wound that is difficult to heal. Swelling typically relates to venous ulcers, not arterial ulcers, which are caused by reduced blood flow.
B. Decreased blood flow to the area can cause the wound and decrease the healing. Peripheral artery disease causes decreased blood flow, leading to poor oxygenation and slow healing of arterial ulcers.
C. Lower extremity compression stockings likely caused the wound to occur. Compression stockings are used in venous insufficiency and do not cause arterial ulcers.
D. Increased blood sugar associated with the condition is likely the cause of the wound not healing. While high blood sugar can impair healing, decreased blood flow is the primary cause of arterial ulcers in PAD.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["7.5"]
Explanation
To find the correct dosage in mL:
20 mEq/40mEq × 15mL
= 7.5mL
Correct Answer is B
Explanation
A. "I will wear gloves when removing food from the freezer." Cold temperatures trigger Raynaud's attacks, so wearing gloves to keep hands warm is appropriate.
B. "I will keep my house at a cool temperature." This statement indicates the client needs further teaching because keeping the house cool can trigger Raynaud's. The home should be kept warm to prevent attacks.
C. "I will complete the smoking cessation program I started." Smoking cessation is beneficial because nicotine can constrict blood vessels, worsening Raynaud’s.
D. "I will try to anticipate and avoid stressful situations." Stress can trigger Raynaud's episodes, so stress management is recommended.
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