complete 100% correct.
Adult Health 1 Exam 3 ALL 102 Solutions
complete 100% correct.
Peripheral arterial disease (PAD) - ANSWER narrowing of arteries (veins get narrow and sticky causing
blood to not be able to pass through) due to thickening or scarring
eventually causes decreased blood flow to extremities
primary cause: buildup of fatty plaque in arteries called atherosclerosis
hyperlipidemia, uncontrolled HTN, diabetes, smoking - ANSWER what are some risk factors of PAD?
femoral and popliteal - ANSWER non-diabetic patients usually have PAD in what arteries?
below the knee - ANSWER Diabetics usually have PAD in what location?
PAD - ANSWER classic symptom is intermittent claudication (buildup of lactic acid), ischemic muscle pain
that is caused by a constant level of exercise, asymptomatic, atypical leg symptoms, erectile dysfunction
These are all clinical manifestations of what?
PAD - ANSWER These are clinical manifestations of what?
paresthesia, iliac bruit, thin, shiny, taut skin; hair loss from decreased blood flow, decreased or absent
pulses, pallor, reactive hyperemia, continuous pain (especially when elevated, need to keep limbs
dangling)
PAD - ANSWER These are complications of what?
atrophy of skin and underlying muscles, delayed healing and would infection, tissue necrosis, arterial
ulcers, nonhealing arterial ulcers and gangrene, amputation
Critical Limb Ischemia - ANSWER this is a clinical manifestation of PAD
,Adult Health 1 Exam 3 ALL 102 Solutions
complete 100% correct.
Characterized by: chronic ischemic rest pain lasting more than 2 weeks, nonhealing arterial leg ulcers or
gangrene
risk: diabetes, HF, history of stroke
these pt are forced to limit walking
PAD - ANSWER Doppler ultrasound (sound waves to detect blood flow), segmental BPs, ankle-brachial
index, and angiography (determine location and extent)
are all diagnostic studies for what?
reduce CVD factors, tobacco cessation, hemoglobin A1C less than 7% in diabetics, and treatment of
hyperlipidemia - ANSWER what are some risk factor modifications for PAD?
atherectomy - ANSWER surgical removal of plaque buildup from the interior of an artery
PCI - ANSWER Percutaneous coronary intervention (placement of a catheter and stent in a coronary
artery to open the artery; balloon angioplasty)
Bypass - ANSWER creating a new vessel for the blood to flow through
PAD - ANSWER These are nursing interventions for what?
post-op: assess pt q 15 min for the first hour, look at color, sensation, pulses, compare baseline,
bleeding bruising, pain management, antiplatelet therapy
teach them to stop smoking, educate on proper foot care and injury prevention
decreased cholesterol and sugars, heart healthy, and DASH diet - ANSWER what kind of diet could a
person with PAD follow?
chronic venous insufficiency - ANSWER leg veins do not allow blood to flow to the heart, abnormalities
of the venous system, can lead to venous ulcers
-cause blood to collect/pool making high pressure in veins
, Adult Health 1 Exam 3 ALL 102 Solutions
complete 100% correct.
chronic venous insufficiency - ANSWER these are clinical manifestations of what?
varicose veins; darkened, hard, or leathery skin; swelling/edema; pain and heaviness, leg
cramps/spasms; restless leg syndrome; eczema; venous leg ulcers above the medial malleoulus;
increased risk for infection; spider veins
chronic venous insufficiency - ANSWER these are nursing interventions for what?
assess for edema and eczema (any flakey, itchy skin); keep nails short; adequate intake of proteins;
administer prescribed meds for pain; apply compression therapy; wound care; educate about
manifestations, complications, and treatment; elevate legs above heart; well fitting shoes
PAD - ANSWER you should dangle a patient's legs in a dependent position for pain in what disease?
chronic venous insufficiency - ANSWER you should elevate legs to alleviate pain and decrease swelling
and help with blood flow in what disease?
PAD - ANSWER this pain described is present in what?
sharp (worse at night), "rest pain", wake up from sleep with pain and dangle extremity to alleviate pain,
intermittent claudication, activity causes severe pain in calf muscles, thighs, etc
chronic venous insufficiency - ANSWER this pain described is present in what?
heavy, dull, throbbing; pain worse when standing or sitting (with legs dangling for long periods);
elevating pain relieves the pain and swelling
PAD - ANSWER skin is cool to touch; thin, dry/scaly skin; hairless; thick toenails
dangle legs= rubor
elevate legs= pale
very poor or even absent pulses
edema is not common