Chapter 30 - Chapter 30 The nurse is taking a health history of a new patient The patient reports experiencing pain in his left lower leg and foot when

Chapter 30 - Chapter 30 The nurse is taking a health...

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Chapter 30   1.The nurse is taking a health history of a new patient. The patient reports experiencing pain in his left lower leg and foot when walking. This pain is relieved with rest. The nurse notes that the left lower leg is slightly edematous and is hairless. When planning this patient’s subsequent care, the nurse should most likely address what health problem? A)Coronary artery disease (CAD)B)Intermittent claudicationC)Arterial embolusD)Raynaud’s diseaseAns:BFeedback:A muscular, cramp-type pain in the extremities consistently reproduced with the same degree of exercise or activity and relieved by rest is experienced by patients with peripheral arterial insufficiency. Referred to as intermittent claudication, this pain is caused by the inability of the arterial system to provide adequate blood flow to the tissuesin the face of increased demands for nutrients and oxygen during exercise. The nurse would not suspect the patient has CAD, arterial embolus, or Raynaud’s disease; none of these health problems produce this cluster of signs and symptoms. 2.While assessing a patient the nurse notes that the patient’s ankle-brachial index (ABI) of
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the right leg is 0.40. How should the nurse best respond to this assessment finding? 3.The nurse is providing care for a patient who has just been diagnosed with peripheral arterial occlusive disease (PAD). What assessment finding is most consistent with this diagnosis?
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