Question

Mike, a 43-year old construction worker, has a history of hypertension. He smokes two packs of cigarettes a day, is nervous about the possibility of being unemployed, and has difficulty coping with stress. His current concern is calf pain during minimal exercise that decreased with rest. The nurse assesses Mike's symptoms as being associated with peripheral arterial occlusive disease. The nursing diagnosis is probably:

a. Alteration in tissue perfusion related to compromised circulation
b. Dysfunctional use of extremities related to muscle spasms
c. Impaired mobility related to stress associated with pain
d. Impairment in muscle use associated with pain on exertion.

Answer 1

Mike's symptoms suggest he has peripheral arterial occlusive disease (PAD), and the nursing diagnosis is likely related to an alteration in tissue perfusion due to compromised circulation in his legs.

Step-by-step explanation:

The nursing diagnosis for Mike, who is experiencing calf pain during minimal exercise that decreases with rest, is likely a. Alteration in tissue perfusion related to compromised circulation. This is characteristic of peripheral arterial occlusive disease (PAD), where plaque buildup narrows the arteries, usually in the legs, leading to reduced blood flow and causing pain during exercise. It is crucial to diagnose and address PAD to avoid further complications, such as heart attacks or strokes.

Key factors contributing to Mike's condition include his history of hypertension, heavy smoking, and significant stress levels. The combination of these factors exacerbates the risk for PAD, leading to his present symptoms. Reducing these risk factors and improving arterial perfusion is essential in treating the disease.