A 68-year-old retired male is experiencing right leg calf pain.The…

Question Answered step-by-step A 68-year-old retired male is experiencing right leg calf pain.The… A 68-year-old retired male is experiencing right leg calf pain. The pain began approximately 2 years ago but has become significantly worse in the past 4 months. The pain is precipitated by exercise and relieved with rest. Two years ago, the client could walk two city blocks before having to stop because of leg pain. Today, he can barely walk across the yard. He has smoked two to three packs of cigarettes per day for the past 45 years. He has a history of coronary artery disease (CAD), hypertension (HTN), peripheral artery disease (PAD), and osteoarthritis. Surgical history includes quadruple coronary artery bypass graft (CABG x 4) 3 years ago, and an open reduction internal fixation (ORIF) of a right femoral fracture 20 years ago. He has had no further symptoms of cardiopulmonary disease since that time, even though he has not been compliant with the exercise regimen his cardiologist prescribed, continues to eat anything he wants, and continues to smoke two to three packs per day. The client is in the clinic today for a routine semiannual follow-up appointment with his primary care provider. As you take his vital signs, he tells you that in addition to the calf pain, he is experiencing right hip pain that gets worse with exercise, the pain doesn’t go away promptly with rest, some days are worse than others, and his condition is not affected by a resting position.General assessment data: Weight 261 lb; Height 5 ft 10 in; Blood pressure 163/91 mmHg; Pulse 82 beats per minute; Respirations 16 breaths per minute; Temperature 98.4o F.Laboratory Testing: Cholesterol 239 mg/dL; Triglycerides 150 mg/dL; HDL 28 mg/dL; LDL 181 mg/dL.Current Medications: Ramipril 10 mg/day; Metoprolol 25 mg bid; Aspirin 81 mg/day; Simvastatin 20 mg/day.What are the abnormals and their clinical significance?Prioritize the top 3 abnormals.List the 5 most important interventions for the top priority (from question #2) and provide the rationale for each intervention.What are 3 potential complications that could happen with this client?What are potential causes of the client’s symptoms?List at least 7 clinical manifestations would you expect to find with PAD.The primary care provider orders ankle-brachial index (ABI) test to determine the presence of arterial blood flow obstruction. The ABI results showed 0.43 right leg and 0.59 left leg. These results were discussed with the client and the provider decides to wait 2 months to see whether his symptoms improve with medication changes and risk factor modification before deciding about surgical interventions. He receives a prescription for clopidogrel 75 mg/day and is told to discontinue the daily aspirin. In addition, he receives a consultation for physical therapy.What do these ABI results indicate?(Opinion Question) You counsel the client on risk factor modification and other measures to improve tissue perfusion and to prevent skin damage. What should be addressed and provide the rationale? Health Science Science Nursing NURSING 186 Share QuestionEmailCopy link Comments (0)