Nr304 Final Exam 1 Exam Questions With Correct Verified Answers | 100% Pass (A+ Certified)

. A client living with peripheral arterial disease (PAD) in the lower extremities asks the nurse what causes their pain at rest. What is the best response provided by the nurse? "Disease in the arteries causes decreased arterial blood flow to the nerves in your legs." "The cause is a vasospasm of small cutaneous arteries in the feet." "An increase in retrograde venous blood flow in the legs puts pressure on the arteries." "Your muscles do not get enough arterial blood when you exercise. When you rest, the blood flow increases, causing the pain you feel." Correct Answer "Disease in the arteries causes decreased arterial blood flow to the nerves in your legs." 2. The nurse caring for a client hospitalized with infective endocarditis is told by an unlicensed assistive personnel (UAP) that the client is reporting sudden left leg pain with pallor, paresthesia, and a loss of peripheral pulses. What action should the nurse take first? 2 / 41 Start anticoagulant therapy with IV heparin. Elevate the leg to promote venous return. Notify the client's healthcare provider of the change in peripheral perfusion. Complete a focused neurovascular assessment Correct Answer Complete a focused neurovascular assessment. 3. Which observed assessment finding of the lower extremities may result from a peripheral vascular disorder? Correct Answer The skin is red in color, with peeling skin and sores. 4. The nurse is assessing an adult client who is 5' 5" (165.1 cm), weighs 209 lb (95 kg), and has a history of tobacco use, hypertension, high sodium intake, a sedentary lifestyle, and a family history of cardiovascular disease (CVD). When planning care, the nurse determines that the client should prioritize modifying which two risk factors for peripheral artery disease? Sodium intake Family history of CVD Sedentary lifestyle Weight Tobacco use Correct Answer Weight Tobacco use 3 / 41 5. Which clinical manifestations do clients with Buerger's disease and those with Raynaud's phenomenon have in common? Select all that apply. Intermittent fevers Sensitivity to cold temperatures Gangrenous ulcers on fingertips Color changes of fingers and toes Episodes of superficial vein thrombosis Correct Answer Sensitivity to cold temperatures Gangrenous ulcers on fingertips Color changes of fingers and toes 6. Which client is at the highest risk of developing deep vein thrombosis (DVT)? A 26-year-old woman who is 3 days postpartum and received maintenance IV fluids during 12 hours of labor A 72-year-old man at home who walks hourly while recovering from prostate surgery A 38-year-old woman who smokes, takes oral contraceptives, and is flying across the Atlantic Ocean soon A 62-year-old man with spider veins who is having arthroscopic knee surgery Correct Answer A 38-year-old woman who smokes, takes oral contraceptives, and is flying across the Atlantic Ocean soon 4 / 41 7. he nurse ascultates a heart murmur that was not previously documented. What additional questions will the nurse ask the client related to the murmur? Select all that apply. "When was your last chest x-ray?" "How long has your foot been cool to the touch?" "Have you ever been told you have a heart murmur?" "Do you have a history of cardiac valve disease?" "Have you ever had an electrocardiogram?" Correct Answer "Have you ever been told you have a heart murmur?" "Do you have a history of cardiac valve disease?" 8. The oncoming caregiver is entering the room for the first time. What is the current priority assessment? Peripheral circulation Pain Vital signs Heart rate Correct Answer Pain 9. The examiner's assessment of Mr. Ayo's lower extremities confirms that his right foot is cool to the touch with absent posterior tibial and dorsalis pedis pulses. What additional objective data is collected related to circulation during a focused assessment? Select all that apply. 5 / 41 Swelling of feet and ankles Location and timing of pain Absence of hair on toes Presence of ulcers Type of shoes worn Correct Answer Swelling of feet and ankles Location and timing of pain Absence of hair on toes Presence of ulcers 10. Based on subjective and objective assessment data, the nurse hypothesizes that the changes in the right foot are due to which alteration in health? Peripheral venous disease Diabetic neuropathy Peripheral arterial disease Normal variation for age Correct Answer Peripheral arterial disease 11. The unlicensed assistive personnel (UAP) reports to the nurse that a client is reporting pain and tingling in their right hand that started about 10 minutes ago. The nurse knows the client had an arterial blood gas (ABG) sample taken from their right brachial artery within the past 20 minutes. Which additional assessment data should the nurse anticipate if this 6 / 41 client is experiencing an acute arterial occlusion related to ABG? Select all that apply. The right hand is cool to the touch. Loss of finger movement occurs on the right hand. Pain is worse in the fingertips of the impacted hand. Tingling occurs in the right fingers and palm. An absence of right carotid pulse occurs. Pallor appears in bilateral arms Correct Answer Pain is worse in the fingertips of the impacted hand. Tingling occurs in the right fingers and palm. The right hand is cool to the touch. 12. An examiner documenting the assessment of the wound pictured here includes which descriptive words or phrases? Select all that apply. Irregular edges Lateral malleolus Varicose veins Edema Diffuse discoloration Correct Answer Diffuse discoloration Varicose veins