A nurse is caring for a 72-year-old patient who is in cardiac rehabilitation following open-heart surgery
He has been walking for 15 minutes three times a day for about 1 week. The patient informs the nurse that he is having a cramp-like pain in his legs every time he walks and that the pain gets "better when he rests." The nurse suspects:
A) Glomerular nephritis
B) Intermittent claudication
C) Venous insufficiency
D) Vasculitis
Ans: B
Feedback: Intermittent claudication presents as a muscular, cramp-type pain in the extremities consistently reproduced with the same degree of exercise or activity and relieved by rest. Patients with peripheral arterial insufficiency often complain of intermittent claudication due to a lack of oxygen to muscle tissue. Option A is incorrect; glomerular nephritis is a disorder of the kidneys and would not directly account for the pain. Option C is incorrect; venous insufficiency presents as a disorder of venous blood reflux and does not present with cramp-type pain with exercise. Option D is incorrect, vasculitis is an inflammation of the blood vessels that presents with weakness, fever, and fatigue; it does not present with cramp-type pain during exercise.
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