NU102-EXAM STUDY GUIDE QUESTIONS
AND CORRECT ANSWERS
BrownA2discoloredA2skinA2-A2Ans--
WhichA2assessmentA2dataA2wouldA2theA2nurseA2expectA2toA2findA2inA2theA2clientA2diagnos
edA2withA2chronicA2venousA2insufficiency?
AA2caucasianA2femaleA2whoA2isA2aA2nurseA2-A2Ans--
whichA2clientA2wouldA2beA2mostA2atA2riskA2forA2developingA2varicoseA2veins?
wearA2graduatedA2compressionA2hoseA2-A2Ans--
whichA2interventionA2shouldA2theA2nurseA2includeA2whenA2discussingA2howA2toA2preventA2
varicoseA2veins?
"youA2haveA2incompetentA2valvesA2inA2yourA2legs"A2-A2Ans--
theA2clientA2withA2varicoseA2veinsA2askedA2theA2nurse,A2"whatA2causedA2meA2toA2haveA2th
ese?"A2whichA2statementA2byA2theA2nurseA2wouldA2beA2mostA2appropriate?
"iA2needA2toA2elevateA2theA2footA2ofA2myA2bedA2whileA2sleeping"A2-A2Ans--
theA2nurseA2isA2caringA2forA2aA2clientA2withA2chronicA2venousA2insufficiency.A2whichA2state
mentA2indicatesA2theA2clientA2understoodA2theA2dischargeA2teaching?
venousA2ulcerationsA2-A2Ans--
theA2nurseA2isA2teachingA2aA2classA2onA2venousA2insufficiency.A2theA2nurseA2wouldA2identi
fyA2whichA2conditionA2asA2theA2mostA2seriousA2complicationA2ofA2chronicA2venousA2insuffic
iency?
AA2superficialA2pinkA2openA2areaA2onA2theA2medialA2partA2ofA2theA2ankleA2-A2Ans--
whichA2assessementA2dataA2wouldA2supportA2thatA2theA2clientA2hasA2aA2venousA2stasisA2u
lcer?
"IA2needA2toA2elevateA2theA2footA2ofA2myA2bedA2whileA2sleeping"A2-A2Ans--
theA2nurseA2isA2caringA2forA2theA2clientA2withA2chronicA2venousA2insufficientA2whichA2state
mentA2indicatesA2theA2clientA2understandsA2theA2dischargeA2teaching?
theA2clientA2withA2arterialA2occlusiveA2diseaseA2whoA2cannotA2moveA2theA2footA2-A2Ans--
theA2nurseA2hasA2justA2receivedA2theA2a.m.A2shiftA2report,A2whichA2clientA2wouldA2theA2nur
seA2assessA2first?
ClopidogrelA2-A2Ans--
whichA2arterialA2anticoagulantA2medicationA2wouldA2theA2nurseA2anitcipateA2beingA2prescr
ibedA2forA2aA2clientA2diagnosedA2withA2arterialA2occlusive
AcuteA2LimA2ischemia
,chronicA2limdA2ischemia
ischemicA2ulcersA2
atrophy
infection
gangrene
amputationA2-A2Ans--ComplicationsA2ofA2PADA2includes
MedicalA2emergency!A2causeA2byA2embolism,A2thrombosis,A2traumaA2-A2Ans--
AcuteA2LimA2ischemia
divideA2ankleA2SBPA2byA2theA2highestA2brachialA2SBP.A2lowerA2theA2abi,A2theA2worseA2deg
reeA2ofA2PAD.A2
NormalA2isA20.9-1.3A2-A2Ans--Ankle-BrachialA2IndexA2(ABI)
aA2clientA2whoA2hasA2hadA2thrombophlebitisA2-A2Ans--
theA2nurseA2isA2teachingA2aA2groupA2ofA2womenA2aboutA2riskA2forA2varicoseA2veins.A2which
A2clientA2isA2atA2riskA2forA2varicoseA2veins?
itA2causeA2theA2veinsA2toA2fadeA2andA2disappearA2-A2Ans--
aA2clientA2isA2toA2haveA2sclerotherapyA2toA2treatA2varicoseA2veins.A2whatA2informationA2ab
outA2theA2procedureA2shouldA2theA2nurseA2includeA2inA2theA2teachingA2planA2forA2theA2clie
nt?
1.A2LoseA2weight
2.A2WearA2compressionA2stockings
3.A2ElevateA2legsA2-A2Ans--
aA2clinicallyA2obeseA2clientA2withA2moderatelyA2painfulA2varicoseA2veinsA2choosesA2self-
careA2optionsA2forA2managingA2theA2varicosities.A2theA2nurseA2shouldA2coachA2theA2clientA
2toA2followA2whichA2healthA2careA2practices?
KeepA2theA2legsA2elevatedA2whenA2sittingA2orA2layingA2down.A2-A2Ans--
AA2clientA2isA2talkingA2withA2theA2nurseA2aboutA2UnsightlyA2varicoseA2veinsA2andA2theirA2di
scomfortA2whatA2informationA2shouldA2theA2nurseA2provideA2toA2theA2client?
1.A2IncreaseA2oxygenA2toA2theA2tissues
2.A2PreventA2directA2traumaA2toA2theA2ulcer
3.A2PreventA2infection
4A2reduceA2painA2-A2Ans--
OhA2wellA2nourishedA2clientA2isA2admittedA2withA2stasisA2ulcerA2theA2nurseA2assessesA2the
A2ulcerA2inA2FinzA2excavationA2ofA2theA2skinA2surfaceA2asA2aA2resultA2ofA2sloggingA2ofA2infla
mmatoryA2necrosisA2tissueA2theA2healthcareA2providerA2hasA2prescribedA2theA2ulcerA2toA2b
eA2flushA2withA2fibrinolyticA2agentA2whichA2goalsA2areA2appropriateA2forA2theA2clientA2select
A2allA2thatA2apply?
, 1.A2ElevateA2theA2headA2ofA2theA2bedA230A2toA245°A2-A2Ans--
AA2clientA2withA2deepA2veinA2thrombosisA2suddenlyA2developsA2dyspnea,A2tachypnea,A2an
dA2chestA2discomfort.A2WhatA2shouldA2theA2nurseA2doA2first?A2
1.A2ElevateA2theA2headA2ofA2theA2bedA230A2toA245A2degrees.
A22.A2EncourageA2theA2clientA2toA2coughA2andA2deepA2breathe.
A23.A2AuscultateA2theA2lungsA2toA2detectA2abnormalA2breathA2sounds.A24.A2ContactA2theA2p
hysician.
JustA2theA2oxygenA2saturationA2-A2Ans--
AA2clientA2withA2aA2recentA2diagnosisA2ofA2DVTA2hasA2suddenA2onsetA2ofA2shortnessA2ofA2
breathA2andA2chestA2painA2thatA2increasesA2withA2aA2deepA2breathA2whatA2shouldA2theA2nu
rseA2doA2first
GradualA2orA2acuteA2lossA2ofA2sensoryA2andA2motorA2functionA2-A2Ans--
TheA2nurseA2isA2caringA2forA2aA2clientA2withA2penisA2TrumbullA2sisA2ofA2theA2leftA2lowerA2ext
remityA2toA2preventA2furtherA2tissueA2damageA2itA2isA2importantA2forA2theA2nurseA2toA2obse
rveA2forA2whichA2ofA2theA2findings
ElevateA2theA2footA2ofA2theA2bedA2-A2Ans--
AA2clientA2withA2VenusA2thrombusA2reportsA2havingA2painA2inA2theA2legsA2whatA2shouldA2th
eA2nurseA2doA2first
CrossingA2theA2LegsA2-A2Ans--
AA2clientA2hasA2undergoneA2anA2amputationA2ofA2threeA2toesA2enoughA2forA2moralA2poplite
alA2bypassA2theA2nurseA2shouldA2teachA2theA2clientA2thatA2afterA2surgeryA2whichA2legA2posi
tionA2isA2contraindicatedA2whileA2sittingA2inA2theA2chair
IA2shouldA2re-wrapA2theA2stumpA2asA2oftenA2asA2neededA2-A2Ans--
TheA2clientA2hasA2hadA2toA2beA2BKIA2secondaryA2toA2arterialA2occlusiveA2diseaseA2theA2nu
rseA2isA2instructingA2theA2clientA2aboutA2residualA2limbA2careA2whichA2statementA2byA2theA2
clientA2indicatesA2thatA2theA2clientA2understandsA2howA2toA2implementA2theA2planA2ofA2car
e
AssessA2vitalA2signsA2thenA2callA2theA2healthcareA2providerA2-A2Ans--
TheA2nurseA2isA2assessingA2aA2clientA2afterA2aA2aboveA2theA2kneeA2amputationA2andA2note
sA2thatA2bloodA2hasA2saturatedA2throughA2theA2distalA2partA2ofA2theA2dressingA2whatA2shou
ldA2theA2nurseA2doA2immediately
TellA2meA2moreA2aboutA2howA2youA2areA2feelingA2-A2Ans--
WhileA2theA2nurseA2isA2itA2isA2providingA2preoperativeA2teachingA2forA2aA2clientA2withA2peri
pheralA2vascularA2diseaseA2whoA2isA2toA2haveA2aA2belowA2theA2kneeA2amputationA2theA2cli
entA2statesA2IA2hateA2theA2ideaA2ofA2beingA2anA2invalidA2afterA2theyA2cutA2offA2myA2legA2wh
atA2wouldA2beA2theA2nurseA2isA2mostA2therapeuticA2response
AND CORRECT ANSWERS
BrownA2discoloredA2skinA2-A2Ans--
WhichA2assessmentA2dataA2wouldA2theA2nurseA2expectA2toA2findA2inA2theA2clientA2diagnos
edA2withA2chronicA2venousA2insufficiency?
AA2caucasianA2femaleA2whoA2isA2aA2nurseA2-A2Ans--
whichA2clientA2wouldA2beA2mostA2atA2riskA2forA2developingA2varicoseA2veins?
wearA2graduatedA2compressionA2hoseA2-A2Ans--
whichA2interventionA2shouldA2theA2nurseA2includeA2whenA2discussingA2howA2toA2preventA2
varicoseA2veins?
"youA2haveA2incompetentA2valvesA2inA2yourA2legs"A2-A2Ans--
theA2clientA2withA2varicoseA2veinsA2askedA2theA2nurse,A2"whatA2causedA2meA2toA2haveA2th
ese?"A2whichA2statementA2byA2theA2nurseA2wouldA2beA2mostA2appropriate?
"iA2needA2toA2elevateA2theA2footA2ofA2myA2bedA2whileA2sleeping"A2-A2Ans--
theA2nurseA2isA2caringA2forA2aA2clientA2withA2chronicA2venousA2insufficiency.A2whichA2state
mentA2indicatesA2theA2clientA2understoodA2theA2dischargeA2teaching?
venousA2ulcerationsA2-A2Ans--
theA2nurseA2isA2teachingA2aA2classA2onA2venousA2insufficiency.A2theA2nurseA2wouldA2identi
fyA2whichA2conditionA2asA2theA2mostA2seriousA2complicationA2ofA2chronicA2venousA2insuffic
iency?
AA2superficialA2pinkA2openA2areaA2onA2theA2medialA2partA2ofA2theA2ankleA2-A2Ans--
whichA2assessementA2dataA2wouldA2supportA2thatA2theA2clientA2hasA2aA2venousA2stasisA2u
lcer?
"IA2needA2toA2elevateA2theA2footA2ofA2myA2bedA2whileA2sleeping"A2-A2Ans--
theA2nurseA2isA2caringA2forA2theA2clientA2withA2chronicA2venousA2insufficientA2whichA2state
mentA2indicatesA2theA2clientA2understandsA2theA2dischargeA2teaching?
theA2clientA2withA2arterialA2occlusiveA2diseaseA2whoA2cannotA2moveA2theA2footA2-A2Ans--
theA2nurseA2hasA2justA2receivedA2theA2a.m.A2shiftA2report,A2whichA2clientA2wouldA2theA2nur
seA2assessA2first?
ClopidogrelA2-A2Ans--
whichA2arterialA2anticoagulantA2medicationA2wouldA2theA2nurseA2anitcipateA2beingA2prescr
ibedA2forA2aA2clientA2diagnosedA2withA2arterialA2occlusive
AcuteA2LimA2ischemia
,chronicA2limdA2ischemia
ischemicA2ulcersA2
atrophy
infection
gangrene
amputationA2-A2Ans--ComplicationsA2ofA2PADA2includes
MedicalA2emergency!A2causeA2byA2embolism,A2thrombosis,A2traumaA2-A2Ans--
AcuteA2LimA2ischemia
divideA2ankleA2SBPA2byA2theA2highestA2brachialA2SBP.A2lowerA2theA2abi,A2theA2worseA2deg
reeA2ofA2PAD.A2
NormalA2isA20.9-1.3A2-A2Ans--Ankle-BrachialA2IndexA2(ABI)
aA2clientA2whoA2hasA2hadA2thrombophlebitisA2-A2Ans--
theA2nurseA2isA2teachingA2aA2groupA2ofA2womenA2aboutA2riskA2forA2varicoseA2veins.A2which
A2clientA2isA2atA2riskA2forA2varicoseA2veins?
itA2causeA2theA2veinsA2toA2fadeA2andA2disappearA2-A2Ans--
aA2clientA2isA2toA2haveA2sclerotherapyA2toA2treatA2varicoseA2veins.A2whatA2informationA2ab
outA2theA2procedureA2shouldA2theA2nurseA2includeA2inA2theA2teachingA2planA2forA2theA2clie
nt?
1.A2LoseA2weight
2.A2WearA2compressionA2stockings
3.A2ElevateA2legsA2-A2Ans--
aA2clinicallyA2obeseA2clientA2withA2moderatelyA2painfulA2varicoseA2veinsA2choosesA2self-
careA2optionsA2forA2managingA2theA2varicosities.A2theA2nurseA2shouldA2coachA2theA2clientA
2toA2followA2whichA2healthA2careA2practices?
KeepA2theA2legsA2elevatedA2whenA2sittingA2orA2layingA2down.A2-A2Ans--
AA2clientA2isA2talkingA2withA2theA2nurseA2aboutA2UnsightlyA2varicoseA2veinsA2andA2theirA2di
scomfortA2whatA2informationA2shouldA2theA2nurseA2provideA2toA2theA2client?
1.A2IncreaseA2oxygenA2toA2theA2tissues
2.A2PreventA2directA2traumaA2toA2theA2ulcer
3.A2PreventA2infection
4A2reduceA2painA2-A2Ans--
OhA2wellA2nourishedA2clientA2isA2admittedA2withA2stasisA2ulcerA2theA2nurseA2assessesA2the
A2ulcerA2inA2FinzA2excavationA2ofA2theA2skinA2surfaceA2asA2aA2resultA2ofA2sloggingA2ofA2infla
mmatoryA2necrosisA2tissueA2theA2healthcareA2providerA2hasA2prescribedA2theA2ulcerA2toA2b
eA2flushA2withA2fibrinolyticA2agentA2whichA2goalsA2areA2appropriateA2forA2theA2clientA2select
A2allA2thatA2apply?
, 1.A2ElevateA2theA2headA2ofA2theA2bedA230A2toA245°A2-A2Ans--
AA2clientA2withA2deepA2veinA2thrombosisA2suddenlyA2developsA2dyspnea,A2tachypnea,A2an
dA2chestA2discomfort.A2WhatA2shouldA2theA2nurseA2doA2first?A2
1.A2ElevateA2theA2headA2ofA2theA2bedA230A2toA245A2degrees.
A22.A2EncourageA2theA2clientA2toA2coughA2andA2deepA2breathe.
A23.A2AuscultateA2theA2lungsA2toA2detectA2abnormalA2breathA2sounds.A24.A2ContactA2theA2p
hysician.
JustA2theA2oxygenA2saturationA2-A2Ans--
AA2clientA2withA2aA2recentA2diagnosisA2ofA2DVTA2hasA2suddenA2onsetA2ofA2shortnessA2ofA2
breathA2andA2chestA2painA2thatA2increasesA2withA2aA2deepA2breathA2whatA2shouldA2theA2nu
rseA2doA2first
GradualA2orA2acuteA2lossA2ofA2sensoryA2andA2motorA2functionA2-A2Ans--
TheA2nurseA2isA2caringA2forA2aA2clientA2withA2penisA2TrumbullA2sisA2ofA2theA2leftA2lowerA2ext
remityA2toA2preventA2furtherA2tissueA2damageA2itA2isA2importantA2forA2theA2nurseA2toA2obse
rveA2forA2whichA2ofA2theA2findings
ElevateA2theA2footA2ofA2theA2bedA2-A2Ans--
AA2clientA2withA2VenusA2thrombusA2reportsA2havingA2painA2inA2theA2legsA2whatA2shouldA2th
eA2nurseA2doA2first
CrossingA2theA2LegsA2-A2Ans--
AA2clientA2hasA2undergoneA2anA2amputationA2ofA2threeA2toesA2enoughA2forA2moralA2poplite
alA2bypassA2theA2nurseA2shouldA2teachA2theA2clientA2thatA2afterA2surgeryA2whichA2legA2posi
tionA2isA2contraindicatedA2whileA2sittingA2inA2theA2chair
IA2shouldA2re-wrapA2theA2stumpA2asA2oftenA2asA2neededA2-A2Ans--
TheA2clientA2hasA2hadA2toA2beA2BKIA2secondaryA2toA2arterialA2occlusiveA2diseaseA2theA2nu
rseA2isA2instructingA2theA2clientA2aboutA2residualA2limbA2careA2whichA2statementA2byA2theA2
clientA2indicatesA2thatA2theA2clientA2understandsA2howA2toA2implementA2theA2planA2ofA2car
e
AssessA2vitalA2signsA2thenA2callA2theA2healthcareA2providerA2-A2Ans--
TheA2nurseA2isA2assessingA2aA2clientA2afterA2aA2aboveA2theA2kneeA2amputationA2andA2note
sA2thatA2bloodA2hasA2saturatedA2throughA2theA2distalA2partA2ofA2theA2dressingA2whatA2shou
ldA2theA2nurseA2doA2immediately
TellA2meA2moreA2aboutA2howA2youA2areA2feelingA2-A2Ans--
WhileA2theA2nurseA2isA2itA2isA2providingA2preoperativeA2teachingA2forA2aA2clientA2withA2peri
pheralA2vascularA2diseaseA2whoA2isA2toA2haveA2aA2belowA2theA2kneeA2amputationA2theA2cli
entA2statesA2IA2hateA2theA2ideaA2ofA2beingA2anA2invalidA2afterA2theyA2cutA2offA2myA2legA2wh
atA2wouldA2beA2theA2nurseA2isA2mostA2therapeuticA2response