NU 372 Exam 3 Content Questions With
Complete Solutions
arterial vs venous insufficiency Correct Answers
Arterial - more on the toes, feet and skin. deep
ulcers, pale in color. Pain is severe. Gangrene is
possible. Pulses with arterial ulcers may be
decreased or absent.
Venous: usually on the medial or anterior ankle.
Usually very superficial and pink. Skin around ulcer
may be brown. Pulses usually normal.
care of client after revasculization surgery Correct
Answers -maintain adequate circulation with
pulses, doppler assessment, color and temp, cap
refill, sensory/motor function comparison
-monitor urine output, central venous pressure,
mental status, pulse rate and volume
-gets pts up and moving
diagnosing atherosclerosis Correct Answers -
Doppler ultrasound flow studies to evaluate blood
flow. often used with blood pressure cuff to
compare BP between upper lower extremities (ABI)
-exercise testing
-duplex ultrasonography (combining audible and
graphic doppler ultrasound)
-CTE
-angiography and magnetic resonance angiography
-contrast phlebography
, -lymphoscintigraphy
DVT nursing management Correct Answers
pharm: heparin, Coumadin, thrombolytic therapy.
assess for bleeding and thrombocytopenia
non pharm: teach signs of bleeding, examine stool
and urine for blood, elevate foot on bed with knees
slightly flexed to promote venous return, get
patients up and moving, leg exercises such as
ankle flexion and extension
DVT prevention Correct Answers graduated
compression stockings or intermittent pneumatic
compression devices (venodyne boots for patients
at high risk of bleeding or ted stockings),
ambulation, education, low-molecular weight
heparin.
DVT/PE manifestations Correct Answers DVT:
edema of affected limb, local swelling, bumpy,
knotty, red, tender, local induration
PE: anxiety, sudden onset, chest pressure, pain on
inspiration, dyspnea, hemoptysis
DVT/PE risk factors Correct Answers immobility,
surgery, trauma, obesity, age >65, SCI,
coagulation disorders, pregnancy, oral
contraceptives, history, a fib, orthopedic
procedures, acute MIs, ischemic strokes
Complete Solutions
arterial vs venous insufficiency Correct Answers
Arterial - more on the toes, feet and skin. deep
ulcers, pale in color. Pain is severe. Gangrene is
possible. Pulses with arterial ulcers may be
decreased or absent.
Venous: usually on the medial or anterior ankle.
Usually very superficial and pink. Skin around ulcer
may be brown. Pulses usually normal.
care of client after revasculization surgery Correct
Answers -maintain adequate circulation with
pulses, doppler assessment, color and temp, cap
refill, sensory/motor function comparison
-monitor urine output, central venous pressure,
mental status, pulse rate and volume
-gets pts up and moving
diagnosing atherosclerosis Correct Answers -
Doppler ultrasound flow studies to evaluate blood
flow. often used with blood pressure cuff to
compare BP between upper lower extremities (ABI)
-exercise testing
-duplex ultrasonography (combining audible and
graphic doppler ultrasound)
-CTE
-angiography and magnetic resonance angiography
-contrast phlebography
, -lymphoscintigraphy
DVT nursing management Correct Answers
pharm: heparin, Coumadin, thrombolytic therapy.
assess for bleeding and thrombocytopenia
non pharm: teach signs of bleeding, examine stool
and urine for blood, elevate foot on bed with knees
slightly flexed to promote venous return, get
patients up and moving, leg exercises such as
ankle flexion and extension
DVT prevention Correct Answers graduated
compression stockings or intermittent pneumatic
compression devices (venodyne boots for patients
at high risk of bleeding or ted stockings),
ambulation, education, low-molecular weight
heparin.
DVT/PE manifestations Correct Answers DVT:
edema of affected limb, local swelling, bumpy,
knotty, red, tender, local induration
PE: anxiety, sudden onset, chest pressure, pain on
inspiration, dyspnea, hemoptysis
DVT/PE risk factors Correct Answers immobility,
surgery, trauma, obesity, age >65, SCI,
coagulation disorders, pregnancy, oral
contraceptives, history, a fib, orthopedic
procedures, acute MIs, ischemic strokes