solved
Question
Answered step-by-step
Asked by MegaApeMaster110
Title:Â Peripheral Vascular Disease
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Scenario: A 57-year-old male is admitted to the cardia telemetry floor following a cardiac catheterization and RCA stenting. The need for catheterization was determined based on the results of a pharmacological stress test ordered as part of a workup for intermittent complaints of chest pain. The client’s past medical history is significant for hyperlipidemia, 20 pack/year smoking history, and obesity. The nurse is preparing the patient to ambulate when he states “I hope I can make it! My left leg hurts terribly after walking for a few minutes, but it usually feels better when I rest.” The nurse proceeds with an examination of the lower extremities based on the client’s statement. Examination reveals:
+1, left pedal pulse
Capillary refill 5 seconds left great toe, 3 seconds right great toe
Hair loss noted on the bilat lower legs
BP 122/74
Dependent rubor left lower leg
+2 popliteal reflexes bilaterally
1 cm diameter circular ulceration with clean edges and dry appearance located on the lateral aspect of the left ankle
Negative pitting edema bilaterally
Gyrate varicosity noted right upper thigh
Negative inguinal lymphadenopathy
Cardiac catheterization entry site bandage clean and dry with no evidence of erythema or discharge
Temperature 98.8°F measured orally
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Item Type:Â Cloze, Analyze Cues
The client’s reported leg pain is the result of ___1____. This condition results in pain when walking known as ____2____. The presence of ___3____ indicates severe disease and increases the client’s risk of infection.
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Options for 1 Options for 2 Options for 3
Venus insufficiency Angina pectoris Hair loss
Arterial insufficiency Vascular spasm Diminished pedal pulse
Gout Rhabdomyolysis Gyrate varicosity
Osteoarthritis Intermittent claudication Dependent rubor
Thrombophlebitis Tendinopathy Ulceration
Hypertension Vascular bruit +1 Popliteal reflexes
Femoral aneurysm Arterial fatigue Leg pain
SCIENCE
HEALTH SCIENCE
NURSING
NR 304
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