The nurse is assessing a client diagnosed with peripheral arterial disease. The client reports leg pain and cramping after walking 3 blocks, which is relieved when the client stops and rests. Which of the following documentation phrases should the nurse utilize to correctly describe the clinical manifestation?

The client is experiencing episodes of deep vein thrombosis.

The client is experiencing episodes of intermittent claudication.

The client is experiencing episodes of venous insufficiency.

The client is experiencing episodes of neuropathy.

Answer and Explanation

The Correct Answer is B

Rationale:

A. Deep vein thrombosis typically presents with symptoms such as leg swelling, pain, warmth, and redness, but not necessarily with cramping leg pain that is relieved with rest.

B. Intermittent claudication is a classic symptom of peripheral arterial disease, characterized by cramping leg pain that occurs with exercise and is relieved with rest.

C. Venous insufficiency presents with symptoms such as leg swelling, varicose veins, and aching or heaviness in the legs, but not necessarily with cramping leg pain that is relieved with rest.

D. Neuropathy may cause various sensory symptoms in the legs, such as numbness, tingling, or burning, but it is not typically associated with cramping leg pain that is relieved with rest.

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Correct Answer is B

Explanation

Rationale:

A. Partial thromboplastin time (PTT) is used to monitor the effectiveness of heparin therapy, not warfarin.

B. Prothrombin time (PT) and international normalized ratio (INR) are used to monitor the therapeutic level of warfarin. INR is the preferred method as it standardizes the PT results across different laboratories.

C. D-dimer level is a marker of fibrin degradation and is used to assess for the presence of blood clots, not to monitor warfarin therapy.

D. Vitamin K level is not used to monitor warfarin therapy. However, administering vitamin K can reverse the effects of warfarin in cases of overdose or hemorrhage.

A. I should not have any coffee 3 hours after the exam. B. I should not exercise 3 hours after the exam. C. I should not have beta blockers 3 hours before the exam. D. I should not smoke 3 hours before the exam.

Correct Answer is C

Explanation

A. “I should not have any coffee 3 hours after the exam.” This statement is not accurate. The restriction related to coffee is usually before the test, not after.

B. “I should not exercise 3 hours after the exam.” This statement is incorrect. The restriction on exercise typically applies before the test, not after.

C. “I should not have beta blockers 3 hours before the exam.” Correct! Beta blockers can affect heart rate and blood pressure, so avoiding them before the test is essential.

D. “I should not smoke 3 hours before the exam.” While it’s generally advisable to avoid smoking before the test, this statement does not specifically address the cardiac stress test.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is developing signs of hemorrhage after 5 days of continuous warfarin use. Which of the following labs should the nurse utilize to determine the medication's current therapeutic level?

Correct Answer is B

Explanation

A nurse is educating a client about the preparations needed before completing a cardiac stress test. Which of the following statements by the client would indicate the teaching was effective?

Correct Answer is C

Explanation

A nurse is educating a student on modifiable risk factors of atherosclerosis. Which of the following statements should the nurse include in the teaching? (Select all that apply.)

A nurse is establishing health promotion goals for a client who smokes and has hypertension.Which of the following health goals should the nurse utilize to prevent cardiovascular disease?

A nurse is caring for a client who has a history of peripheral arterial disease and requires education on treatment. Which of the following statements should the nurse utilize for the teaching?

A nurse is providing discharge teaching for a client who has a new prescription for warfarin.Which of the following statements should the nurse include in the teaching?

A nurse is teaching a client who has cardiac myopathy about ways to prevent episodes of angina. Which of the following instructions should the nurse include in the education?

A nurse is planning care for a client who takes several cardiac medications. The nurse should recognize which of the following medications places the client at risk for orthostatic hypotension? (select all that apply)

A nurse is providing education to a client who has asked what a transesophageal echocardiogram will determine. Which of the following statements should the nurse utilize to best answer the client?

A nurse is assessing a patient who was admitted to the emergency room for chest pain. Which of the following interventions should the nurse prioritize?