A patient presents to the clinic complaining of the inability to grasp objects with the right hand. The patient's right arm is cool and has a difference in blood pressure of more than 20 mm Hg. What would the nurse suspect this patient has?

A) PAD
B) Raynaud's disease
C) Upper extremity arterial occlusive disease
D) Upper extremity venous insufficiency


Ans: C
Feedback: The patient typically complains of arm fatigue and pain with exercise (forearm claudication) and inability to hold or grasp objects (eg, combing hair, placing objects on shelves above the head) and occasionally difficulty driving. Assessment findings include coolness and pallor of the affected extremity, decreased capillary refill, and a difference in arm blood pressures of more than 20 mm Hg.

Nursing

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