Question 1

A 23-year-old patient tells the health care provider about experiencing cold,numb fingers when running during the winter and Raynaud's phenomenon is suspected.The nurse will anticipate teaching the patient about tests for

Accepted Answer

A)   hyperglycemia.
B)   hyperlipidemia.
C)   autoimmune disorders.
D)   coronary artery disease.E) B) and D)
F) All of the above

Question 2

A 73-year-old patient with chronic atrial fibrillation develops sudden severe pain,pulselessness,pallor,and coolness in the right leg.The nurse should notify the health care provider and immediately

Accepted Answer

A)   apply a compression stocking to the leg.
B)   elevate the leg above the level of the heart.
C)   assist the patient in gently exercising the leg.
D)   keep the patient in bed in the supine position.E) None of the above
F) B) and C)

Question 3

The nurse is caring for a patient with a descending aortic dissection.Which assessment finding is most important to report to the health care provider?

Accepted Answer

A)   Weak pedal pulses
B)   Absent bowel sounds
C)   Blood pressure 137/88 mm Hg
D)   25 mL urine output over last hourE) None of the above
F) B) and C)

Question 4

A 46-year-old service-counter worker undergoes sclerotherapy for treatment of superficial varicose veins at an outpatient center.Which instructions should the nurse provide to the patient before discharge?

Accepted Answer

A)   Sitting at the work counter, rather than standing, is recommended.
B)   Exercise, such as walking or jogging, can cause recurrence of varicosities.
C)   Elastic compression stockings should be applied before getting out of bed.
D)   Taking an aspirin daily will help prevent clots from forming around venous valves.E) B) and C)
F) A) and D)

Question 5

When evaluating the discharge teaching for a patient with chronic peripheral artery disease (PAD) ,the nurse determines a need for further instruction when the patient says,"I will

Accepted Answer

A)   have to buy some loose clothes that do not bind across my legs or waist."
B)   use a heating pad on my feet at night to increase the circulation and warmth in my feet."
C)   change my position every hour and avoid long periods of sitting with my legs crossed."
D)   walk to the point of pain, rest, and walk again until the pain returns for at least 30 minutes 3 times a week."E) A) and C)
F) B) and C)

Question 6

While working in the outpatient clinic,the nurse notes that a patient has a history of intermittent claudication.Which statement by the patient would support this information?

Accepted Answer

A)   "When I stand too long, my feet start to swell."
B)   "I get short of breath when I climb a lot of stairs."
C)   "My fingers hurt when I go outside in cold weather."
D)   "My legs cramp whenever I walk more than a block."E) None of the above
F) B) and C)

Question 7

The nurse is caring for a patient immediately after repair of an abdominal aortic aneurysm.On assessment,the patient has absent popliteal,posterior tibial,and dorsalis pedis pulses.The legs are cool and mottled.Which action should the nurse take first?

Accepted Answer

A)   Notify the surgeon and anesthesiologist.
B)   Wrap both the legs in a warming blanket.
C)   Document the findings and recheck in 15 minutes.
D)   Compare findings to the preoperative assessment of the pulses.E) B) and C)
F) A) and B)

Question 8

Which actions could the nurse delegate to unlicensed assistive personnel (UAP) who are providing care for a patient who is at risk for venous thromboembolism?

Accepted Answer

A)   Monitor for any bleeding after anticoagulation therapy is started.
B)   Apply sequential compression device whenever the patient is in bed.
C)   Ask the patient about use of herbal medicines or dietary supplements.
D)   Instruct the patient to call immediately if any shortness of breath occurs.E) All of the above
F) A) and C)

Question 9

Which nursing action should be included in the plan of care after endovascular repair of an abdominal aortic aneurysm?

Accepted Answer

A)   Record hourly chest tube drainage.
B)   Monitor fluid intake and urine output.
C)   Check the abdominal incision for any redness.
D)   Teach the reason for a prolonged recovery period.E) All of the above
F) A) and D)

Question 10

A patient is being evaluated for post-thrombotic syndrome.Which assessment will the nurse perform?

Accepted Answer

A)   Ask about leg pain with exercise.
B)   Determine the ankle-brachial index.
C)   Assess capillary refill in the patient's toes.
D)   Check for presence of lipodermatosclerosis.E) B) and D)
F) B) and C)

Question 11

A 46-year-old is diagnosed with thromboangiitis obliterans (Buerger's disease) .When the nurse is developing a discharge teaching plan for the patient,which outcome has the highest priority for this patient?

Accepted Answer

A)   Cessation of all tobacco use
B)   Control of serum lipid levels
C)   Maintenance of appropriate weight
D)   Demonstration of meticulous foot careE) A) and B)
F) A) and D)

Question 12

A patient who is 2 days post-femoral-popliteal bypass graft to the right leg is being cared for on the vascular unit.Which action by a licensed practical/vocational nurse (LPN/LVN) caring for the patient requires the registered nurse (RN) to intervene?

Accepted Answer

A)   The LPN/LVN has the patient sit in a chair for 90 minutes.
B)   The LPN/LVN assists the patient to walk 40 feet in the hallway.
C)   The LPN/LVN gives the ordered aspirin 160 mg after breakfast.
D)   The LPN/LVN places the patient in a Fowler's position for meals.E) A) and D)
F) A) and C)

Question 13

When assessing a patient with possible peripheral artery disease (PAD),the nurse obtains a brachial BP of 147/82 and an ankle pressure of 112/74.The nurse calculates the patient's ankle-brachial index (ABI)as ________ (round up to the nearest hundredth).

Accepted Answer

0.76
The ABI is calc...

Question 14

A patient at the clinic says,"I have always taken a walk after dinner,but lately my leg cramps and hurts after just a few minutes of starting.The pain goes away after I stop walking,though." The nurse should

Accepted Answer

A)   check for the presence of tortuous veins bilaterally on the legs.
B)   ask about any skin color changes that occur in response to cold.
C)   assess for unilateral swelling, redness, and tenderness of either leg.
D)   assess for the presence of the dorsalis pedis and posterior tibial pulses.E) B) and D)
F) All of the above

Question 15

When developing a teaching plan for a 76-year-old patient newly diagnosed with peripheral artery disease (PAD) ,which instructions should the nurse include?

Accepted Answer

A)   "Exercise only if you do not experience any pain."
B)   "It is very important that you stop smoking cigarettes."
C)   "Try to keep your legs elevated whenever you are sitting."
D)   "Put elastic compression stockings on early in the morning."E) All of the above
F) B) and C)

Question 16

After teaching a patient with newly diagnosed Raynaud's phenomenon about how to manage the condition,which action by the patient demonstrates that the teaching has been effective?

Accepted Answer

A)   The patient exercises indoors during the winter months.
B)   The patient places the hands in hot water when they turn pale.
C)   The patient takes pseudoephedrine (Sudafed)  for cold symptoms.
D)   The patient avoids taking nonsteroidal antiinflammatory drugs (NSAIDs) .E) All of the above
F) A) and B)

Exam 38: Nursing Management: Vascular Disorders

After teaching a patient with newly diagnosed Raynaud's phenomenon about how to manage the condition,which action by the patient demonstrates that the teaching has been effective?

Correct Answer
verified

When developing a teaching plan for a 76-year-old patient newly diagnosed with peripheral artery disease (PAD) ,which instructions should the nurse include?

Correct Answer
verified

Which actions could the nurse delegate to unlicensed assistive personnel (UAP) who are providing care for a patient who is at risk for venous thromboembolism?

Correct Answer
verified

A patient is being evaluated for post-thrombotic syndrome.Which assessment will the nurse perform?

Correct Answer
verified

A 46-year-old is diagnosed with thromboangiitis obliterans (Buerger's disease) .When the nurse is developing a discharge teaching plan for the patient,which outcome has the highest priority for this patient?

Correct Answer
verified

The nurse is caring for a patient immediately after repair of an abdominal aortic aneurysm.On assessment,the patient has absent popliteal,posterior tibial,and dorsalis pedis pulses.The legs are cool and mottled.Which action should the nurse take first?

Correct Answer
verified

While working in the outpatient clinic,the nurse notes that a patient has a history of intermittent claudication.Which statement by the patient would support this information?

Correct Answer
verified

The nurse is caring for a patient with a descending aortic dissection.Which assessment finding is most important to report to the health care provider?

Correct Answer
verified

When evaluating the discharge teaching for a patient with chronic peripheral artery disease (PAD) ,the nurse determines a need for further instruction when the patient says,"I will

Correct Answer
verified

A patient at the clinic says,"I have always taken a walk after dinner,but lately my leg cramps and hurts after just a few minutes of starting.The pain goes away after I stop walking,though." The nurse should

Correct Answer
verified

A 46-year-old service-counter worker undergoes sclerotherapy for treatment of superficial varicose veins at an outpatient center.Which instructions should the nurse provide to the patient before discharge?

Correct Answer
verified

A 23-year-old patient tells the health care provider about experiencing cold,numb fingers when running during the winter and Raynaud's phenomenon is suspected.The nurse will anticipate teaching the patient about tests for

Correct Answer
verified

When assessing a patient with possible peripheral artery disease (PAD),the nurse obtains a brachial BP of 147/82 and an ankle pressure of 112/74.The nurse calculates the patient's ankle-brachial index (ABI)as ________ (round up to the nearest hundredth).

Correct Answer
verified
0.76
The ABI is calc...
View Answer

A patient who is 2 days post-femoral-popliteal bypass graft to the right leg is being cared for on the vascular unit.Which action by a licensed practical/vocational nurse (LPN/LVN) caring for the patient requires the registered nurse (RN) to intervene?

Correct Answer
verified

A 73-year-old patient with chronic atrial fibrillation develops sudden severe pain,pulselessness,pallor,and coolness in the right leg.The nurse should notify the health care provider and immediately

Correct Answer
verified

Which nursing action should be included in the plan of care after endovascular repair of an abdominal aortic aneurysm?

Correct Answer
verified

Exam 38: Nursing Management: Vascular Disorders

After teaching a patient with newly diagnosed Raynaud's phenomenon about how to manage the condition,which action by the patient demonstrates that the teaching has been effective?

Correct AnswerverifiedShow Answer

When developing a teaching plan for a 76-year-old patient newly diagnosed with peripheral artery disease (PAD) ,which instructions should the nurse include?

Correct AnswerverifiedShow Answer

Which actions could the nurse delegate to unlicensed assistive personnel (UAP) who are providing care for a patient who is at risk for venous thromboembolism?

Correct AnswerverifiedShow Answer

A patient is being evaluated for post-thrombotic syndrome.Which assessment will the nurse perform?

Correct AnswerverifiedShow Answer

A 46-year-old is diagnosed with thromboangiitis obliterans (Buerger's disease) .When the nurse is developing a discharge teaching plan for the patient,which outcome has the highest priority for this patient?

Correct AnswerverifiedShow Answer

The nurse is caring for a patient immediately after repair of an abdominal aortic aneurysm.On assessment,the patient has absent popliteal,posterior tibial,and dorsalis pedis pulses.The legs are cool and mottled.Which action should the nurse take first?

Correct AnswerverifiedShow Answer

While working in the outpatient clinic,the nurse notes that a patient has a history of intermittent claudication.Which statement by the patient would support this information?

Correct AnswerverifiedShow Answer

The nurse is caring for a patient with a descending aortic dissection.Which assessment finding is most important to report to the health care provider?

Correct AnswerverifiedShow Answer

When evaluating the discharge teaching for a patient with chronic peripheral artery disease (PAD) ,the nurse determines a need for further instruction when the patient says,"I will

Correct AnswerverifiedShow Answer

A patient at the clinic says,"I have always taken a walk after dinner,but lately my leg cramps and hurts after just a few minutes of starting.The pain goes away after I stop walking,though." The nurse should

Correct AnswerverifiedShow Answer

A 46-year-old service-counter worker undergoes sclerotherapy for treatment of superficial varicose veins at an outpatient center.Which instructions should the nurse provide to the patient before discharge?

Correct AnswerverifiedShow Answer

A 23-year-old patient tells the health care provider about experiencing cold,numb fingers when running during the winter and Raynaud's phenomenon is suspected.The nurse will anticipate teaching the patient about tests for

Correct AnswerverifiedShow Answer

When assessing a patient with possible peripheral artery disease (PAD),the nurse obtains a brachial BP of 147/82 and an ankle pressure of 112/74.The nurse calculates the patient's ankle-brachial index (ABI)as ________ (round up to the nearest hundredth).

Correct Answerverified0.76The ABI is calc...View AnswerShow Answer

A patient who is 2 days post-femoral-popliteal bypass graft to the right leg is being cared for on the vascular unit.Which action by a licensed practical/vocational nurse (LPN/LVN) caring for the patient requires the registered nurse (RN) to intervene?

Correct AnswerverifiedShow Answer

A 73-year-old patient with chronic atrial fibrillation develops sudden severe pain,pulselessness,pallor,and coolness in the right leg.The nurse should notify the health care provider and immediately

Correct AnswerverifiedShow Answer

Which nursing action should be included in the plan of care after endovascular repair of an abdominal aortic aneurysm?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
0.76
The ABI is calc...
View Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified