A client with chronic peripheral arterial disease and claudication tells the nurse that burning pain often awakens him from sleep. What is the nurse's interpretation of this change?
a. The client has inflow disease.
b. The client has outflow disease.
c. The client's disease is worsening.
d. The client's disease is stable.
C
Claudication is stage II of chronic peripheral arterial disease. In stage III, clients commonly experience pain while resting that awakens them at night. Clients with inflow disease experience discomfort in the lower back, buttocks, or thighs. Clients with outflow disease describe burning or cramping in the calves, ankles, feet, and toes associated with activity. Pain at rest is a sign that the disease is progressing and perfusion is altered, even with no activity.
You might also like to view...
In performing an assessment on a 49-year-old woman who has imbalanced nutrition as a result of dysphagia, which data would the nurse expect to find?
a. Increase in hair growth b. Inadequate nutrient food intake c. Weight 10% to 20% over ideal d. Sore, inflamed buccal cavity
To test the competency of the saphenous vein's valves with manual compression, you would note if an impulse is felt when palpating the dilated vein with one hand while
a. raising the patient's leg 90°. b. compressing the femoral vein with the other hand. c. compressing the same vein 20 cm higher in the leg with the other hand. d. the patient is supine and then while the patient is standing.
Policy is the development of ____
a. Rules and regulations for legislation b. Strategic and tactical plans c. The mission statement and purpose d. Value statements and goals
What does chaos theory of change require?
A) Most stakeholders accepting the need for change B) Finding solutions to resistance to change C) Changing attitudes more than increasing knowledge D) Finding underlying order in random data