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When caring for a patient who has intermittent claudication, nurse advises the patient to
Question

When caring for a patient who has intermittent claudication, nurse advises the patient to

A.

Apply graduated compression stockings

B.

Elevate the legs when sitting

C.

Refrain from vigorous exercise

D.

Walk as much as tolerated

Correct option is D

In intermittent claudication, caused by peripheral arterial disease (PAD), regular walking promotes collateral circulation and improves blood flow. Walking until pain starts, resting, and then walking again is a therapeutic strategy. Explanation of each option: • (a) Apply graduated compression stockings – These are used for venous disorders like varicose veins, not arterial insufficiency like intermittent claudication. • (b) Elevate the legs when sitting – Elevating legs may reduce arterial blood flow in PAD and worsen symptoms. It’s suitable for venous insufficiency, not arterial. • (c) Refrain from vigorous exercise – While excessive strain is not advised, regular walking is part of the treatment plan and improves function. • (d) Walk as much as tolerated – Correct. Graded walking exercises improve muscle oxygenation and reduce symptoms over time through collateral circulation.

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