Progressive Care Nursing Certification (PCCN) Practice Exam

What is the most appropriate intervention for a patient exhibiting symptoms of peripheral arterial disease (PAD)?

1. Elevate the affected extremity

2. Instruct the patient to take cold remedies with pseudephedrine

3. Anticipate initiation of antiplatelet therapy

4. Perform gentle removal of calluses from feet

The correct answer is: Anticipate initiation of antiplatelet therapy

For a patient exhibiting symptoms of peripheral arterial disease (PAD), anticipating the initiation of antiplatelet therapy is a highly appropriate intervention. PAD is characterized by reduced blood flow to the limbs, often leading to pain, ulceration, and even gangrene if left untreated. Antiplatelet agents, such as aspirin or clopidogrel, are commonly used in these cases to reduce the risk of thrombotic events, which can exacerbate the already compromised circulation. The rationale for initiating antiplatelet therapy lies in its ability to improve blood flow and reduce the risk of cardiovascular complications, including heart attacks and strokes, which are more prevalent in patients with PAD. Thus, managing PAD appropriately involves addressing both symptomatic relief and the prevention of complications through medical therapy. Other interventions, such as elevating the affected extremity or performing foot care like callus removal, may not address the underlying vascular insufficiency and could potentially worsen symptoms or create injuries. Cold remedies with pseudephedrine are not indicated in the management of PAD and could lead to further vascular constriction, further hampering circulation. Hence, initiating antiplatelet therapy is critical in the comprehensive management of patients experiencing PAD symptoms, aiming to improve overall vascular health and blood flow to the