A nurse is caring for a patient who has peripheral arterial disease (PAD). What symptoms should the nurse expect to find in the early stage of the disease?
Intermittent claudication
Foot ulcers
Pain at rest
Dependent rubor
The Correct Answer is A
Choice A rationale
Intermittent claudication, which involves limb pain or cramping that generally begins when exercising and improves while resting, is a common symptom in the early stages of PAD5.
Choice B rationale
Foot ulcers are not typically a symptom of the early stages of PAD. They are more likely to occur in the later stages of the disease when blood flow to the extremities is significantly reduced.
Choice C rationale
Pain at rest is not typically a symptom of the early stages of PAD. It is more likely to occur in the later stages of the disease when blood flow to the extremities is significantly reduced.
Choice D rationale
Dependent rubor is not typically a symptom of the early stages of PAD. It is more likely to occur in the later stages of the disease when blood flow to the extremities is significantly reduced.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Testing the stool for occult blood is not typically necessary for a client taking an antibiotic that causes diarrhea. While antibiotics can cause changes in the gastrointestinal tract, they do not typically cause gastrointestinal bleeding.
Choice B rationale
Increasing roughage in the diet can help bulk up the stool and may help alleviate some cases of diarrhea. However, it’s not the primary recommendation for a client taking an antibiotic that causes diarrhea.
Choice C rationale
Requesting the physician for a different antibiotic if diarrhea persists can be an appropriate action. However, this is typically recommended after other strategies, such as adding probiotics to the diet, have been tried.
Choice D rationale
Adding yogurt to the diet is often recommended for clients taking an antibiotic that causes diarrhea. Yogurt contains probiotics, which can help restore the balance of good bacteria in the gut and alleviate diarrhea.
Correct Answer is B
Explanation
Choice A rationale
Hypoglycemia, or low blood sugar, can occur after insulin administration. However, the onset of hypoglycemia is not immediate. Insulin aspart, a rapid-acting insulin, has a peak action time of approximately 1-3 hours after administration. Therefore, assessing the patient for signs and symptoms of hypoglycemia at 0800, one hour after administration, may be too early.
Choice B rationale
Assessing the patient for signs and symptoms of hypoglycemia at 0730, 30 minutes after insulin administration, is too early. The peak action time of insulin aspart is approximately 1-3 hours after administration. Therefore, the nurse should start assessing the patient for signs and symptoms of hypoglycemia closer to the time of peak action.
Choice C rationale
Assessing the patient for signs and symptoms of hypoglycemia at 1130, four and a half hours after insulin administration, may be too late. The peak action time of insulin aspart is approximately 1-3 hours after administration. Therefore, the nurse should start assessing the patient for signs and symptoms of hypoglycemia closer to the time of peak action.
Choice D rationale
Assessing the patient for signs and symptoms of hypoglycemia at 1000, three hours after insulin administration, is within the peak action time of insulin aspart. Therefore, this is the most appropriate time to start assessing the patient for signs and symptoms of hypoglycemia.
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