MED SURG III - Quiz 2 Questions and Verified
Answers
Arterial Insufficiency Etiology Correct Answer: - Arteriosclerosis Obliterans (Buerger's Disease)
- Atheroembolism
Venous Insufficiency Etiology Correct Answer: - Thrombophebitis
- Trauma, vein obstruction
Arterial Insufficiency Risk factors: Correct Answer: - Smoking, Diabetis meliitus
- Hyperlipproteinemia
- hypertension
Venous Insufficiency Risk factors: Correct Answer: - Venous hypertension
- Varicose veins
- Inherited trait
Arterial Insufficiency PAIN Correct Answer: -Severe muscle ischemia
-Intermittent Claudication
- Worse with exercise, relived by rest
- Rest pain = Severe involvement
- Muscle fatigue, cramping, numbness, paresthesias overtime
Venous Insufficiency PAIN Correct Answer: - Minimal to moderate steady pain
- Aching pain in LE with prologned standing or sitting (dependency)
,- Superficial pain along the course of vein
Arterial Insufficiency Location of Pain Correct Answer: - Usually calf, lower leg or dorsum of foot
- May occur in thigh, hip or buttock
Venous Insufficiency Location of Pain Correct Answer: - Muscle compartment tenderness
Arterial Insufficiency Vascular Correct Answer: - Decreased or absent pulses
- Pallor of forefoot on elevation, dependent rubor
Venous Insufficiency Vascular Correct Answer: - Venous dilatation or variscosity
- Edema: Moderate to severe
Skin changes associated with:Arterial Insufficiency Correct Answer: - Pale, shiny, dry, loss of hair
- Nail changes - thickened and ridged
- Coolness of extremity
-edema minimal unless extremity kept in dependent position to relieve pain
Skin changes associated with: Venous Insufficiency Correct Answer: - liposclerosis (thickening in the
tissues underneath the skin)
- dark, cyanotic
- thickened, brown
- may lead to stasis dermatitis, cellulitis
Arterial Insufficiency Acute Stage Correct Answer: - Acute arterial obstruction
- Distal pain, paresthtic, pale, pulseless, sudden onset
Venous Insufficiency Acute Stage Correct Answer: - Acute thrombophlebitis (DVT)
, - Calf pain, aching, edema, muscle tenderness
- 50% asymptomatic
Arterial Insufficiency :Ulceration Correct Answer: - May develop in toes or feet or areas of trauma
- Gangrene may develop
Venous Insufficiency:Ulceration Correct Answer: - May develop at sides of ankles, especially MEDIAL
MALLEOLUS
- Gangrene absent
Nursing goals of an ulcer patient Correct Answer: Restoration of skin integrity
Increase physical mobility
adequate nutrition
Absence of complications
A PT who works at a local hospital sees a patient leg to be narrow at the ankle and becomes progressively
much fatter in the upper part of the calf below the knee (Inverted champagne bottle). What condition is
associated with this finding? Correct Answer: Chronic Venous Insufficiency
Pericarditis Correct Answer: -Inflammation of the pericardium (membranous sac enveloping the heart).
Disrupts heart's normal rhythm or function ; can rarely lead to death
Can be acute or chronic
Causes of Pericarditis. Correct Answer: Infections-respiratory - bacterial, fungal, or viral, autoimmune
disorders, MI, trauma to the heart, heart surgery, radiation to the chest, cancer, TB, kidney failure, side
effects of medication (phenytoin, heparin, procainamide)
S/S of Pericarditis Correct Answer: - Sharp, stabbing chest pain, clavicle, neck. or scapula -Pain is
constant but may worsen with deep inspiration, lying down flat, or turning. May be relieved by leaning
forward while sitting.
-Mild fever
Answers
Arterial Insufficiency Etiology Correct Answer: - Arteriosclerosis Obliterans (Buerger's Disease)
- Atheroembolism
Venous Insufficiency Etiology Correct Answer: - Thrombophebitis
- Trauma, vein obstruction
Arterial Insufficiency Risk factors: Correct Answer: - Smoking, Diabetis meliitus
- Hyperlipproteinemia
- hypertension
Venous Insufficiency Risk factors: Correct Answer: - Venous hypertension
- Varicose veins
- Inherited trait
Arterial Insufficiency PAIN Correct Answer: -Severe muscle ischemia
-Intermittent Claudication
- Worse with exercise, relived by rest
- Rest pain = Severe involvement
- Muscle fatigue, cramping, numbness, paresthesias overtime
Venous Insufficiency PAIN Correct Answer: - Minimal to moderate steady pain
- Aching pain in LE with prologned standing or sitting (dependency)
,- Superficial pain along the course of vein
Arterial Insufficiency Location of Pain Correct Answer: - Usually calf, lower leg or dorsum of foot
- May occur in thigh, hip or buttock
Venous Insufficiency Location of Pain Correct Answer: - Muscle compartment tenderness
Arterial Insufficiency Vascular Correct Answer: - Decreased or absent pulses
- Pallor of forefoot on elevation, dependent rubor
Venous Insufficiency Vascular Correct Answer: - Venous dilatation or variscosity
- Edema: Moderate to severe
Skin changes associated with:Arterial Insufficiency Correct Answer: - Pale, shiny, dry, loss of hair
- Nail changes - thickened and ridged
- Coolness of extremity
-edema minimal unless extremity kept in dependent position to relieve pain
Skin changes associated with: Venous Insufficiency Correct Answer: - liposclerosis (thickening in the
tissues underneath the skin)
- dark, cyanotic
- thickened, brown
- may lead to stasis dermatitis, cellulitis
Arterial Insufficiency Acute Stage Correct Answer: - Acute arterial obstruction
- Distal pain, paresthtic, pale, pulseless, sudden onset
Venous Insufficiency Acute Stage Correct Answer: - Acute thrombophlebitis (DVT)
, - Calf pain, aching, edema, muscle tenderness
- 50% asymptomatic
Arterial Insufficiency :Ulceration Correct Answer: - May develop in toes or feet or areas of trauma
- Gangrene may develop
Venous Insufficiency:Ulceration Correct Answer: - May develop at sides of ankles, especially MEDIAL
MALLEOLUS
- Gangrene absent
Nursing goals of an ulcer patient Correct Answer: Restoration of skin integrity
Increase physical mobility
adequate nutrition
Absence of complications
A PT who works at a local hospital sees a patient leg to be narrow at the ankle and becomes progressively
much fatter in the upper part of the calf below the knee (Inverted champagne bottle). What condition is
associated with this finding? Correct Answer: Chronic Venous Insufficiency
Pericarditis Correct Answer: -Inflammation of the pericardium (membranous sac enveloping the heart).
Disrupts heart's normal rhythm or function ; can rarely lead to death
Can be acute or chronic
Causes of Pericarditis. Correct Answer: Infections-respiratory - bacterial, fungal, or viral, autoimmune
disorders, MI, trauma to the heart, heart surgery, radiation to the chest, cancer, TB, kidney failure, side
effects of medication (phenytoin, heparin, procainamide)
S/S of Pericarditis Correct Answer: - Sharp, stabbing chest pain, clavicle, neck. or scapula -Pain is
constant but may worsen with deep inspiration, lying down flat, or turning. May be relieved by leaning
forward while sitting.
-Mild fever
