Progressive Care Nursing Certification (PCCN) Practice Exam

What is the primary goal of treatment for PAD?

1. Increase exercise tolerance

2. Manage concurrent diseases

3. Facilitate smoking cessation

4. Prevent atherosclerotic complications

The correct answer is: Prevent atherosclerotic complications

The primary goal of treatment for peripheral artery disease (PAD) is to prevent atherosclerotic complications. PAD is characterized by atherosclerosis in the peripheral arteries, which can lead to critical ischemia, ulcers, and ultimately, limb loss if not managed effectively. The focus of treatment is on reducing the risk of serious complications, including heart attack and stroke, that stem from the same underlying vascular pathology. By managing PAD and preventing its complications, healthcare providers can significantly improve patient outcomes and maintain limb viability. While increasing exercise tolerance, managing concurrent diseases, and facilitating smoking cessation are all important aspects of holistic care for patients with PAD, they serve as supportive goals rather than the primary objective. For instance, increasing exercise tolerance can help improve circulation and overall cardiovascular health, but it does not directly address the immediate risk of serious events caused by atherosclerosis. Similarly, managing concurrent diseases, like diabetes and hypertension, also plays a vital role in reducing complications but is part of a broader strategy. Smoking cessation is crucial in slowing disease progression and reducing risk factors, but again, it supports the overall goal of preventing complications rather than being the primary focus. In summary, the prevention of atherosclerotic complications directs the primary treatment strategies in patients with PAD.