Which group of drugs will the nurse plan to include when teaching a patient who has a new diagnosis of peripheral artery disease (PAD)? Select all that apply:

Choice A reason: Bleeding is a high-risk complication for patients with pancytopenia because of the low platelet count. Platelets are crucial for blood clotting, and their deficiency leads to an increased risk of spontaneous bleeding and difficulty in stopping bleeding once it starts. This can result in significant blood loss and complications if not managed promptly.
Choice B reason: Infection is another high-risk complication for patients with pancytopenia due to the low white blood cell count. White blood cells are essential for fighting infections, and their deficiency makes patients more susceptible to bacterial, viral, and fungal infections. These infections can be severe and difficult to control, leading to further complications and increased morbidity.
Choice C reason: Seizures are not typically associated with pancytopenia. Seizures are more commonly linked to neurological conditions, electrolyte imbalances, or other underlying medical issues rather than low blood cell counts.
Choice D reason: Neurogenic shock is not a common complication of pancytopenia. Neurogenic shock occurs due to a disruption in the autonomic nervous system, often resulting from spinal cord injuries or severe central nervous system damage, rather than low blood cell counts.
Choice E reason: Pulmonary edema is not directly related to pancytopenia. Pulmonary edema involves fluid accumulation in the lungs, often due to heart failure, kidney disease, or other causes, rather than low blood cell counts.

Choice A reason:
Receiving a blood transfusion after 1992 does not strongly indicate the need for hepatitis C screening because screening of blood products for hepatitis C became standard practice in the early 1990s. By 2005, the risk of transmission via transfusion had been effectively eliminated. Therefore, while a past transfusion may be part of the patient's health history, it does not necessitate hepatitis C screening in this case.
Choice B reason:
Intravenous drug use, even if it occurred 20 years ago, is a significant risk factor for hepatitis C infection. The virus is commonly transmitted through the sharing of needles or other equipment used to inject drugs. Due to the long latency period of hepatitis C, individuals with a history of IV drug use are at high risk and should be screened regardless of how long ago the exposure occurred. This is the most relevant information in the patient’s history to prompt screening.
Choice C reason:
Frequent dining in fast-food restaurants does not indicate a risk for hepatitis C. Hepatitis C is primarily spread through blood-to-blood contact, not through food or drink. This choice reflects a misunderstanding of the transmission pathways of hepatitis C and is irrelevant to the patient’s screening needs.
Choice D reason:
Traveling to a country with poor sanitation is more associated with the risk of hepatitis A, a virus that is often spread through contaminated water or food. Hepatitis C, however, is not typically transmitted via poor sanitation or contaminated food and water. Screening for hepatitis C would not be warranted based solely on travel history to such countries.