Cardiac Question #12
The nurse is assessing a client who reports pain to the left lower extremity, especially while ambulating. The discomfort is relieved with rest. Assessment findings confirm left lower leg 3+ edema, hairless, and mottled in color. Which health problem will the nurse most likely include in the planning of the client’s care?
- Coronary artery disease (CAD)
- Intermittent claudication
- Arterial embolus
- Raynaud's disease
Claudication occurs when blood flow is narrowed to peripheral circulation. It may occur during exercise or movement, depending on where the arterial narrowing is located. Signs are pain relieved by ceasing the activity (intermittent pain); however, in advanced stages pain occurs at rest; discolored skin or ulcerations from reduced blood flow (and cool to touch); and achy or burning sensation. Peripheral artery disease (PAD) is linked with intermittent claudication versus CAD. Arterial embolus and Raynaud’s do not correlate with findings from assessment or health history.
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