Author Question: A patient has peripheral vascular disease. What statement by the patient indicates a need for ... (Read 69 times)

misspop · **on:** Jul 11, 2018

A patient has peripheral vascular disease. What statement by the patient indicates a need for further teaching?

a. I will have the podiatrist cut my toenails.
b. I will be sure to wear sturdy shoes.
c. I can only walk limited distances now.
d. I will report any injury to my foot or leg.

Question 2

An older patient in the internal medicine clinic reports usually being able to walk 1 mile without complaint

However, in the past 2 weeks, after walking just mile, the patient's legs begin to ache. The pain goes away with rest. What action by the nurse is most appropriate?
a. Elevate the patient's legs
b. Assess the pedal pulses
c. Take the patient's blood pressure
d. Measure the patient for TED hose

mcabuhat · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

C
Patients with venous insufficiency are encouraged to begin a graduated exercise program. The other statements show good understanding.

Answer to Question 2

B
This patient has intermittent claudication, a sign of peripheral arterial disease. The nurse assesses the patient's pedal pulses. Elevation will further compromise circulation and should be avoided. A blood pressure reading is taken during all health care visits. The patient does not need TED hose at this point.