An obese post-surgical patient reports sudden discomfort in her leg.
Upon assessment, the nurse finds the leg to be cold and pale, with no pedal or popliteal pulse. What should the nurse suspect?
Venous thrombosis.
Paresthesia.
Vascular spasm.
Arterial occlusion.
The Correct Answer is D
Choice A rationale
Venous thrombosis is a condition in which a blood clot forms in a vein, typically in the leg. While this condition can cause discomfort and changes in the appearance of the leg, it would not typically cause the leg to become cold and pale or result in the loss of a pulse.
Choice B rationale
Paresthesia refers to abnormal sensations in the body, such as tingling, numbness, or burning. While this condition could potentially cause discomfort, it would not typically cause the leg to become cold and pale or result in the loss of a pulse.
Choice C rationale
Vascular spasm is a sudden, brief tightening of the muscles inside the walls of a blood vessel. While this could potentially cause discomfort and changes in the appearance of the leg, it would not typically cause the leg to become cold and pale or result in the loss of a pulse.
Choice D rationale
Arterial occlusion is the correct answer. This condition involves a blockage in an artery, which can significantly reduce blood flow to the affected area. This could cause the leg to become cold and pale and result in the loss of a pulse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
A Ventricular Septal Defect (VSD) is a hole in the wall separating the two lower chambers of the heart. While it can cause cyanosis, it’s typically not associated with cyanosis during crying or feeding.
Choice B rationale
An Atrioventricular Canal (AVC) defect is a combination of heart problems resulting in a defect in the center of the heart. While it can cause cyanosis, it’s typically not associated with cyanosis during crying or feeding.
Choice C rationale
Tetralogy of Fallot is a congenital heart condition characterized by four anatomical abnormalities of the heart. It is the most common cyanotic heart defect and the most common cause of blue baby syndrome. Cyanosis, which is caused by a lack of oxygen in the blood, is often seen during periods of activity, such as feeding or crying.
Choice D rationale
An Atrial Septal Defect (ASD) is a hole in the wall between the two upper chambers of your heart (atria). While it can cause cyanosis, it’s typically not associated with cyanosis during crying or feeding.
Correct Answer is A
Explanation
Choice A rationale
Vasotec, an Angiotensin-Converting Enzyme (ACE) inhibitor, is commonly used to treat conditions like high blood pressure and heart failure. It works by relaxing blood vessels, which allows blood to flow more easily and reduces blood pressure.
Choice B rationale
Decreased urine output is not a typical outcome of taking Vasotec. In fact, ACE inhibitors like Vasotec can sometimes increase urine output by improving kidney function.
Choice C rationale
Increased appetite is not a known effect of Vasotec. If a patient experiences a significant change in appetite while taking this medication, they should consult their healthcare provider.
Choice D rationale
Increased fluid retention is not a typical outcome of taking Vasotec. ACE inhibitors like Vasotec are often used to help reduce fluid retention in patients with conditions like heart failure.
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