a nurse is educating a client with peripheral artery disease pad which statement made by the client indicates a need for further teaching

ATI RN

ATI Pathophysiology Quizlet

1. A nurse is educating a client with peripheral artery disease (PAD). Which statement made by the client indicates a need for further teaching?

A. I should avoid walking for long periods to prevent leg pain.
B. I should inspect my feet daily for any sores or wounds.
C. I should wear compression stockings to improve circulation.
D. I should avoid smoking to prevent further damage to my arteries.

Correct answer: A

Rationale: The correct answer is A. Walking is crucial in improving circulation in peripheral artery disease; therefore, the client should not avoid walking for long periods. Choices B, C, and D are correct statements for a client with PAD. Inspecting feet daily helps in early detection of sores or wounds, wearing compression stockings improves circulation, and avoiding smoking helps prevent further damage to arteries in PAD.

2. Which of the following women are at highest risk for the development of endometrial cancer?

A. A 50-year-old postmenopausal woman with a history of high-risk human papillomavirus
B. A 45-year-old woman who is obese and has menstrual irregularities with periods of amenorrhea and infrequent periods.
C. A 40-year-old woman who is overweight and has hypertension.
D. A 55-year-old woman who smokes.

Correct answer: B

Rationale: The correct answer is B. Obesity and irregular menstrual cycles, including periods of amenorrhea and infrequent periods, are significant risk factors for the development of endometrial cancer. Choice A is less likely as postmenopausal status reduces the risk. Choice C is not directly associated with a high risk of endometrial cancer. Choice D, smoking, is more strongly linked to other types of cancers like lung cancer rather than endometrial cancer.

3. Which manifestation of stress reflects the non-specific fight or flight response?

A. Decreased pupillary light response
B. Increased GI motility
C. Decreased short-term memory
D. Increased cardiopulmonary rates

Correct answer: D

Rationale: The correct answer is D, 'Increased cardiopulmonary rates.' The fight or flight response, activated by stress, is a non-specific physiological reaction that prepares the body to deal with perceived threats. In this response, the heart rate and breathing rate increase to supply more oxygen to muscles and vital organs, enabling a rapid response in dangerous situations. Choices A, B, and C are incorrect because decreased pupillary light response, increased GI motility, and decreased short-term memory are not typical manifestations of the fight or flight response.

4. What best describes sepsis?

A. An overwhelming allergic reaction
B. Severe inflammatory response to a pathogen's endotoxins
C. Unknown causes resulting in hypertension
D. Poor nursing and health care provider interventions

Correct answer: B

Rationale: The correct answer is B. Sepsis is a severe inflammatory response to a pathogen's endotoxins, leading to widespread infection and organ dysfunction. Choice A is incorrect as sepsis is not primarily an allergic reaction. Choice C is incorrect as sepsis is not characterized by unknown causes resulting in hypertension. Choice D is incorrect as sepsis is a medical condition and not solely caused by poor nursing or healthcare provider interventions.

5. In which of the following cases is dehydration more likely to occur?

A. A 50-year-old woman who is a bodybuilder
B. A 50-year-old man who is morbidly obese
C. A 10-year-old child who is thin
D. A 30-year-old with multiple sclerosis

Correct answer: B

Rationale: The correct answer is B. Morbid obesity increases the risk of dehydration due to the larger body surface area and potential for greater insensible losses. Choices A, C, and D are less likely to experience dehydration compared to a morbidly obese individual.