A male client, aged 58 years, arrives at the community clinic complaining of cramps in the calf muscles while exercising that subside with rest
During the assessment, the nurse understands that the client is a heavy smoker and observes hardened, painful areas along the course of blood vessels. The symptoms experienced by the client indicate what disorder? A) Raynaud phenomenon
B) Varicose veins
C) Buerger disease
D) Telangiectasia
C
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The symptoms experienced by the client indicate Buerger disease. Buerger disease results from inflammation that causes obstruction of blood vessels in the extremities, especially the legs. It is more common in men than in women, primarily affecting persons who are heavy smokers. Raynaud phenomenon is a condition characterized by spasmodic constriction of arteries supplying the extremities. Symptoms of Raynaud phenomenon include blanched and cold extremities. As the disease progresses, cyanosis and gangrene may develop on the fingertips. Varicose veins result from weakening of the valves of the veins so that blood pools in the legs or another dependent area. The main sign of varicose veins in the legs is the appearance of dark, tortuous superficial veins that become more prominent when the person stands and they appear as dark protrusions. Telangiectasia is a group of small dilated blood vessels.
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a. a next-door neighbor c. the client's physician b. the client's spouse d. the client's nurse
A strategic goal developed by the chief nursing officer is to implement an evidence-based practice program. What is an appropriate strategy that can be used by a nurse manager who is beginning to implement an evidence-based practice program?
a. Conducting a review of adverse events and incident reports b. Soliciting input from staff members c. Reviewing specialty organization guide-lines d. Identifying patients with extended lengths of stay
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a. confirm ongoing discharge planning. b. expand and confirm the initial assessment. c. verify the appropriateness of nursing diagnoses. d. analyze the patient's feelings about hospitalization.