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Vascular Disorders Exam 2

Quiz by Brittany

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32 questions
Show answers
  • Q1
    When discussing risk factor modification for a patient who has a 5-cm abdominal aortic aneurysm, the nurse will focus teaching on which patient risk factor?
    Turner syndrome
    Abdominal trauma history
    Male gender
    Uncontrolled hypertension
    30s
  • Q2
    A patient has a 6-cm thoracic aortic aneurysm that was discovered during routine chest x-ray. When obtaining an admission history from the patient, it will be most important for the nurse to ask about
    changes in bowel habits.
    trouble swallowing.
    abdominal tenderness.
    low back pain.
    30s
  • Q3
    Several hours after a patient had an open surgical repair of an abdominal aortic aneurysm, the UAP reports to the nurse that urinary output for the past 2 hours has been 45 mL. The nurse notifies the health care provider and anticipates an order for a(n)
    additional antibiotic.
    hemoglobin count.
    increased IV infusion rate.
    serum creatinine level.
    30s
  • Q4
    A patient in the outpatient clinic has a new diagnosis of peripheral artery disease (PAD). Which group of drugs will the nurse plan to include when teaching about PAD management?
    Thrombolytics
    Antibiotics
    Anticoagulants
    Statins
    30s
  • Q5
    An older 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
    assist the patient in gently exercising the leg.
    keep the patient in bed in the supine position.
    apply a compression stocking to the leg.
    elevate the leg above the level of the heart.
    30s
  • Q6
    A patient at the clinic says, “I always 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
    palpate for the presence of dorsalis pedis and posterior tibial pulses.
    ask about any skin color changes that occur in response to cold.
    look for the presence of tortuous veins bilaterally on the legs.
    assess for unilateral swelling, redness, and tenderness of either leg.
    30s
  • Q7
    The nurse performing an assessment of a patient who has chronic peripheral artery disease (PAD) of the legs and an ulcer on the right second toe would expect to find
    dilated superficial veins.
    serosanguineous drainage from the ulcer.
    prolonged capillary refill in all the toes.
    swollen, dry, scaly ankles.
    30s
  • Q8
    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
    walk to the point of pain, rest, and walk again for at least 30 minutes 3 times a week.”
    change my position every hour and avoid long periods of sitting with my legs crossed.”
    use a heating pad on my feet at night to increase the circulation.”
    buy some loose clothes that do not bind across my legs or waist.”
    30s
  • Q9
    After teaching a patient with newly diagnosed Raynaud’s phenomenon about how to manage the condition, which action by the patient best demonstrates that the teaching has been effective?
    The patient avoids taking nonsteroidal antiinflammatory drugs (NSAIDs).
    The patient exercises indoors during the winter months.
    The patient takes pseudoephedrine (Sudafed) for cold symptoms.
    The patient immerses hands in hot water when they turn pale.
    30s
  • Q10
    The health care provider has prescribed bed rest with the feet elevated for a patient admitted to the hospital with venous thromboembolism. Which action by the nurse to elevate the patient’s feet is best?
    Two pillows are positioned under the affected leg.
    The bed is elevated at the knee and pillows are placed under the feet.
    One pillow is placed under the thighs and two pillows are placed under the lower legs.
    The patient is placed in the Trendelenburg position.
    30s
  • Q11
    The health care provider prescribes an infusion of heparin and daily partial thromboplastin time (PTT) testing for a patient with venous thromboembolism (VTE). The nurse will plan to
    monitor posterior tibial and dorsalis pedis pulses with the Doppler.
    avoid giving IM medications to prevent localized bleeding.
    decrease the infusion when the PTT value is 65 seconds.
    have vitamin K available in case reversal of the heparin is needed.
    30s
  • Q12
    A patient with a venous thromboembolism (VTE) is started on enoxaparin (Lovenox) and warfarin (Coumadin). The patient asks the nurse why two medications are necessary. Which response by the nurse is most accurate?
    “Taking two blood thinners greatly reduces the risk for another clot to form.”
    “Because of the risk for a blood clot in the lungs, it is important for you to take more than one blood thinner.”
    “Enoxaparin will work right away, but warfarin takes several days to begin preventing clots.”
    “Enoxaparin will start to dissolve the clot, and warfarin will prevent any more clots from forming.”
    30s
  • Q13
    The nurse has started discharge teaching for a patient who is to continue warfarin (Coumadin) after hospitalization for venous thromboembolism (VTE). The nurse determines that additional teaching is needed when the patient says which of the following?
    “I will check with my health care provider before I begin any new drugs.”
    “I will need routine blood tests to monitor the effects of the warfarin.”
    “I should get a Medic Alert device stating that I take warfarin.”
    “I should reduce the amount of green, leafy vegetables that I eat.”
    30s
  • Q14
    A 46-yr-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?
    Sitting at the work counter, rather than standing, is recommended.
    Exercise, such as walking or jogging, can cause recurrence of varicosities.
    Taking an aspirin daily will help prevent clots from forming around venous valves.
    Elastic compression stockings should be applied before getting out of bed.
    30s
  • Q15
    Which topic should the nurse include in patient teaching for a patient with a venous stasis ulcer on the left lower leg?
    Need to increase carbohydrate intake
    Methods of keeping the wound area dry
    Purpose of prophylactic antibiotic therapy
    Application of elastic compression stockings
    30s

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