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A patient at the clinic says, "Lately my leg cramps and hurts after just a few minutes of walking. The pain goes away after I stop walking, though." The nurse should:

A) Assess the dorsalis pedis and posterior tibial pulses.
B) Check for the presence of tortuous veins bilaterally on the legs.
C) Ask about any upper extremities skin color changes.
D) Assess for swelling, redness, and edema of either leg.

1 Answer

3 votes

Final answer:

A nurse should assess for swelling, redness, and edema of the patient's legs to rule out conditions such as peripheral artery disease, deep vein thrombosis, and circulatory issues, considering factors like diabetes, medications, and the patient's lifestyle.

Step-by-step explanation:

When a patient at the clinic describes leg cramps and pain that resolves after stopping walking, it is important for a nurse to carry out a thorough assessment. The nurse should assess for swelling, redness, and edema of either leg. This assessment is crucial as these symptoms may indicate underlying conditions such as peripheral artery disease, deep vein thrombosis, or other circulatory problems. Additionally, conditions such as diabetes may increase the risk of complications like poor wound healing or infections, emphasizing the importance of a prompt and careful evaluation. The patient’s description of pain that resolves with rest is also characteristic of claudication, which suggests vascular insufficiency and warrants further investigation.

Consideration should also be given to the patient’s lifestyle and any contributing factors such as obesity, physical inactivity, or professions that involve prolonged standing or sitting, which can compromise the skeletal muscle pump function. This can lead to venous pooling and contribute to symptoms of edema. In some cases, medications like vasodilators or calcium channel blockers, which are used to treat hypertension, can result in edema and should be reviewed as potential contributing factors to the patient's symptoms.

In summary, a comprehensive evaluation by the nurse is essential to identify any possible complications and to ensure the patient receives the appropriate care and referrals if necessary.

User Daniil Veriga
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