A nurse is providing teaching to a group of clients. Which of the following clients is at risk for developing peripheral arterial disease?

A client whose daily caloric intake is 25% fat.

A client who has diabetes mellitus.

A client who consumes two 12-ounce (0.35-L) alcoholic beverages daily.

A client who has hypothyroidism.

Answer and Explanation

The Correct Answer is B

Choice A rationale

A daily caloric intake of 25% fat is within the recommended range and does not significantly increase the risk for peripheral arterial disease (PAD).

Choice B rationale

Diabetes mellitus is a significant risk factor for PAD. High blood sugar levels can damage blood vessels and lead to poor circulation.

Choice C rationale

Consuming two 12-ounce alcoholic beverages daily can contribute to other health issues but is not a primary risk factor for PAD.

Choice D rationale

Hypothyroidism is not directly linked to an increased risk of PAD. It can cause other cardiovascular issues but not specifically PAD.

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Correct Answer is D

Explanation

Choice A rationale

Airway obstruction is not a common complication of a femoral head fracture or skin traction.

Choice B rationale

Pneumonia can cause shortness of breath but is not the most likely complication in this scenario.

Choice C rationale

Pneumothorax is less likely in this context compared to a fat embolism.

Choice D rationale

Fat embolism is a known complication of fractures, especially long bone fractures like the femoral head. It can cause respiratory distress and dyspnea.

A. Palpate the area behind the ankle bone. B. Use the pads of the fingers to feel for the pulse. C. Compare the pulse strength with the other leg. D. Assess for any swelling or tenderness

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Palpate the area behind the ankle bone. This action is correct. The posterior tibial pulse is located behind the medial malleolus (ankle bone), and palpating this area is necessary to assess the pulse.

Choice B rationale

Use the pads of the fingers to feel for the pulse. This action is correct. Using the pads of the fingers provides a more sensitive and accurate assessment of the pulse compared to using the fingertips or thumb.

Choice C rationale

Compare the pulse strength with the other leg. This action is correct. Comparing the pulse strength bilaterally helps identify any discrepancies that may indicate vascular issues.

Choice D rationale

Assess for any swelling or tenderness. This action is incorrect. While assessing for swelling or tenderness is essential in a general physical examination, it is not a specific step in assessing the posterior tibial pulse.

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A nurse is providing teaching to a group of clients. Which of the following clients is at risk for developing peripheral arterial disease?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who had a femoral head fracture 24 hr ago and is in skin traction. The client reports shortness of breath and dyspnea. The nurse should suspect that the client has developed which of the following complications?

Correct Answer is D

Explanation

A nurse is assessing a client. Which of the following actions should the nurse take to assess the posterior tibial pulse? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

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