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NR 505 CHAPTER 30; Exam 1 Complete Key Questions with 100% Correct Solutions||UPDATED 2025/2026 A+ GRADED!!!<< BRAND NEW VERSION

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NR 505 CHAPTER 30; Exam 1 Complete Key Questions with 100% Correct Solutions||UPDATED 2025/2026 A+ GRADED!!!&lt;&lt; BRAND NEW VERSION&gt;&gt; A patient who has undergone a femoral to popliteal bypass graft surgery returns to the surgical unit. Which assessments should the nurse perform during the first postoperative day? A) Assess pulse of affected extremity every 15 minutes at first. B) Palpate the affected leg for pain during every assessment. C) Assess the patient for signs and symptoms of compartment syndrome every 2 hours. D) Perform Doppler evaluation once daily. - ANSWER A You are caring for a patient who is diagnosed with Raynaud's phenomenon. The nurse should plan interventions to address what nursing diagnosis? A) Chronic pain B) Ineffective tissue perfusion C) Impaired skin integrity D) Risk for injury - ANSWER B A patient presents to the clinic complaining of the inability to grasp objects with her right hand. The patient's right arm is cool and has a difference in blood pressure of more than 20 mm Hg compared with her left arm. The nurse should expect that the primary care provider may diagnose the woman with what health problem? A) Lymphedema B) Raynaud's phenomenon C) Upper extremity arterial occlusive disease D) Upper extremity VTE - ANSWER C A nurse working in a long-term care facility is performing the admission assessment of a newly admitted, 85-year-old resident. During inspection of the resident's feet, the nurse notes that she appears to have early evidence of gangrene on one of her great toes. The nurse knows that gangrene in the elderly is often the first sign of what? A) Chronic venous insufficiency B) Raynaud's phenomenon C) VTE D) PAD - ANSWER D The prevention of VTE is an important part of the nursing care of high-risk patients. When providing patient teaching for these high risk patients, the nurse should advise lifestyle changes, including which of the following? Select all that apply. A) High-protein diet B) Weight loss C) Regular exercise D) Smoking cessation E) Calcium and vitamin D supplementation - ANSWER B,C,D The nurse is caring for an acutely ill patient who is on anticoagulant therapy. The patient has a comorbidity of renal insufficiency. How will this patient's renal status affect heparin therapy? A) Heparin is contraindicated in the treatment of this patient. B) Heparin may be administered subcutaneously, but not IV. C) Lower doses of heparin are required for this patient. D) Coumadin will be substituted for heparin. - ANSWER C The nurse is assessing a woman who is pregnant at 27 weeks' gestation. The patient is concerned about the recent emergence of varicose veins on the backs of her calves. What is the nurse's best response? A) Facilitate a referral to a vascular surgeon. B) Assess the patient's ankle-brachial index (ABI) and perform Doppler ultrasound testing. C) Encourage the patient to increase her activity level. D) Teach the patient that circulatory changes during pregnancy frequently cause varicose veins. - ANSWER Ans: Teach the patient that circulatory changes during pregnancy frequently cause varicose veins. Feedback: Pregnancy may cause varicosities because of hormonal effects related to decreased venous outflow, increased pressure by the gravid uterus, and increased blood volume. In most cases, no intervention or referral is necessary. This finding is not an indication for ABI assessment and increased activity will not likely resolve the problem. Graduated compression stockings have been prescribed to treat a patient's venous insufficiency. What education should the nurse prioritize when introducing this intervention to the patient? A) The need to take anticoagulants concurrent with using compression stockings B) The need to wear the stockings on a "one day on, one day off" schedule C) The importance of wearing the stockings around the clock to ensure maximum benefit D) The importance of ensuring the stockings are applied evenly with no pressure points - ANSWER D The nurse caring for a patient with a leg ulcer has finished assessing the patient and is developing a problem list prior to writing a plan of care. What major nursing diagnosis might the care plan include? A) Risk for disuse syndrome B) Ineffective health maintenance C) Sedentary lifestyle D) Imbalanced nutrition: less than body requirements - ANSWER D How should the nurse best position a patient who has leg ulcers that are venous in origin? A) Keep the patient's legs flat and straight. B) Keep the patient's knees bent to 45-degree angle and supported with pillows. C) Elevate the patient's lower extremities. D) Dangle the patient's legs over the side of the bed. - ANSWER D A patient with advanced venous insufficiency is confined following orthopedic surgery. How can the nurse best prevent skin breakdown in the patient's lower extremities? A) Ensure that the patient's heels are protected and supported. B) Closely monitor the patient's serum albumin and prealbumin levels. C) Perform gentle massage of the patient's lower legs, as tolerated. D) Perform passive range-of-motion exercises once per shift. - ANSWER A

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NR 505 CHAPTER 30; Exam 1 Complete
Key Questions with 100% Correct
Solutions||UPDATED 2025/2026 A+
GRADED!!!<< BRAND NEW VERSION>>

A patient who has undergone a femoral to popliteal bypass graft
surgery returns to the surgical unit. Which assessments should the
nurse perform during the first postoperative day?

A)
Assess pulse of affected extremity every 15 minutes at first.
B)
Palpate the affected leg for pain during every assessment.
C)
Assess the patient for signs and symptoms of compartment syndrome
every 2 hours.
D)
Perform Doppler evaluation once daily. - ANSWER ✓ A

You are caring for a patient who is diagnosed with Raynaud's
phenomenon. The nurse should plan interventions to address what
nursing diagnosis?

A)
Chronic pain
B)
Ineffective tissue perfusion
C)
Impaired skin integrity
D)
Risk for injury - ANSWER ✓ B

,A patient presents to the clinic complaining of the inability to grasp
objects with her right hand. The patient's right arm is cool and has a
difference in blood pressure of more than 20 mm Hg compared with
her left arm. The nurse should expect that the primary care provider
may diagnose the woman with what health problem?

A)
Lymphedema
B)
Raynaud's phenomenon
C)
Upper extremity arterial occlusive disease
D)
Upper extremity VTE - ANSWER ✓ C

A nurse working in a long-term care facility is performing the
admission assessment of a newly admitted, 85-year-old resident.
During inspection of the resident's feet, the nurse notes that she
appears to have early evidence of gangrene on one of her great toes.
The nurse knows that gangrene in the elderly is often the first sign of
what?

A)
Chronic venous insufficiency
B)
Raynaud's phenomenon
C)
VTE
D)
PAD - ANSWER ✓ D

The prevention of VTE is an important part of the nursing care of
high-risk patients. When providing patient teaching for these high-

, risk patients, the nurse should advise lifestyle changes, including
which of the following? Select all that apply.
A)
High-protein diet
B)
Weight loss
C)
Regular exercise
D)
Smoking cessation
E)
Calcium and vitamin D supplementation - ANSWER ✓ B,C,D

The nurse is caring for an acutely ill patient who is on anticoagulant
therapy. The patient has a comorbidity of renal insufficiency. How
will this patient's renal status affect heparin therapy?

A)
Heparin is contraindicated in the treatment of this patient.
B)
Heparin may be administered subcutaneously, but not IV.
C)
Lower doses of heparin are required for this patient.
D)
Coumadin will be substituted for heparin. - ANSWER ✓ C

The nurse is assessing a woman who is pregnant at 27 weeks'
gestation. The patient is concerned about the recent emergence of
varicose veins on the backs of her calves. What is the nurse's best
response?

A)
Facilitate a referral to a vascular surgeon.
B)

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