PERIPHERAL VASCULAR DISEASE NCLEX QUESTIONS WITH 100% CORRECT VERIFIED SOLUTIONS

A patient has an arterial ulcer on the lower extremity. What risk factors for peripheral arterial disease are in the patient's health history? Select all that apply:* A. Pregnancy B. Being Female C. High Cholesterol D. Diabetes Mellitus E. Uncontrolled hypertension F. Varicose veins G. Smoking C, D, E, and G Your patient is diagnosed with Buerger's Disease (thromboangiitis obliterans). The nurse will make it priority to educate the patient about implementing?* A. Low fat diet B. Blood glucose control C. Smoking cessation D. Blood pressure control C A patient is diagnosed with Raynaud's Disease. Which explanations below most accurately describe this condition? Select all that apply:* A. Raynaud's Disease is triggered by cold temperatures or stress. B. Raynaud's Disease occurs due to a vasospasm of the peripheral veins. C. Raynaud's Disease affects the toes, fingers, and sometimes the ears and nose. D. Raynaud's Disease is prevented by glucose control. A and C True or False: Peripheral arterial disease leads to a decrease in rich oxygenated blood being delivered to the lower extremities, which leads to ischemia and necrosis of skin tissue.* True False True The MOST common cause of peripheral arterial disease is?* A. Diabetes B. Deep vein thrombosis C. Atherosclerosis D. Pregnancy C True or False: Peripheral venous disease can occur due to narrowing of the valves in the veins of the lower extremities.* True False False Your patient reports experiencing dull and achy sensations in the lower extremities. You note that the lower extremities have edema and brownish pigmentation. Pulses are present bilaterally and the extremities feel warm to the touch. To help alleviate the patient's symptoms, the nurse will position the lower extremities in the?* A. Dependent position B. Horizontal position C. Elevated position above heart level D. Knee-flexed position C You're assessing a patient's health history for peripheral vascular disease. What signs and symptoms reported by the patient would indicate the patient may be experiencing peripheral arterial disease? Select all that apply:* A. "I often wake up at night with leg pain and have to dangle my leg out of the bed to ease the pain." B. "If I stand or sit too long my legs start to feel heavy and achy." C. "It hurts to elevate my legs." D. "Sometimes when I'm walking my legs start to cramp and tingle to the point where I can't walk until the pain goes away." A, C, and D Your patient has severe peripheral arterial disease. When the lower extremities are elevated you would expect them to appear _______________ and, when they are in the dependent position you would expect them to appear _________________. Fill in the blanks:* A. cyanotic; rubor B. rubor; pallor C. cyanotic, pallor D. pallor; rubor D A patient has severe peripheral venous disease. What important information below will the nurse provide to the patient about how to alleviate signs and symptoms associated with the disease? Select all that apply:* A. Elevate the lower extremities below heart level frequently B. Application of compression stockings C. Limit long periods of standing and sitting D. Use the knee-flexed position while lying in bed B and C Your patient has severe peripheral venous disease. During the head-to-toe nursing assessment, you would expect to find what skin characteristics of the lower extremities? Select all that apply:* A. Thick, tough B. Thin, scaly C. Hairless D. Brown pigmented A and D. Your patient has returned from a peripheral artery bypass for the treatment of peripheral arterial disease. The nurse will make it PRIORITY to?* A. Assess the surgical site for excessive drainage B. Assess and grade lower extremity pulses bilaterally C. Apply compression stockings D. Elevate the lower extremity above heart level B A patient has an ulcer on the medial malleolus. The ulcer is shallow with irregular edges. The wound base is red. Wound drainage is also present. What type of ulcer is this based on the scenario's description?* A. venous ulcer B. arterial ulcer C. diabetic ulcer A Select below all the characteristics that can present with an arterial ulcer:* A. Found on the lateral malleolus, dorsum of foot, or end of toes B. Found on the medial malleolus or medial part of lower leg C. Deep, round, defined edges and has a "punched out" appearance D. Minimal drainage E. Edematous F. Brown pigmented skin surrounding the ulcer G. Wound base is pale A, C, D, and G