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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Fatigue. Fatigue can be a common symptom of various health conditions, including heart disease, and is not specific to pacemaker malfunction.

B. Rapid pulse. A rapid pulse or palpitations may signal a malfunction where the pacemaker is pacing too quickly or erratically.

C. Increased urine output. Increased urine output is not related to pacemaker function and does not indicate a malfunction.

D. Sneezing. Sneezing is unrelated to pacemaker malfunction and does not warrant provider notification.

A. Suggest that the client rests before eating the meal. B. Check the client's vital signs. C. Request a dietary consult. D. Request an order for an antiemetic.

Correct Answer is B

Explanation

A. Suggest that the client rests before eating the meal. Although rest can help with nausea, it does not address the potential issue of digoxin toxicity, which can cause nausea.

B. Check the client's vital signs. Checking vital signs, especially heart rate, is the priority because nausea can indicate digoxin toxicity, which affects heart function.

C. Request a dietary consult. A dietary consult may be helpful if the client continues to refuse meals, but it does not address the immediate potential for digoxin toxicity.

D. Request an order for an antiemetic. Although an antiemetic may help with nausea, assessing for toxicity takes priority.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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