NURS 434 Final Exam WITH ANSWERS |\ |\ |\ |\ |\
The nurse is caring for a client with peripheral artery
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
disease. What is the leading cause of peripheral artery
|\ |\ |\ |\ |\ |\ |\ |\ |\
disease? - CORRECT ANSWERS ✔✔COPD |\ |\ |\ |\
Atherosclerosis The leading cause of PAD is |\ |\ |\ |\ |\ |\ |\
atherosclerosis, a gradual thickening of the intima |\ |\ |\ |\ |\ |\ |\
(innermost layer of the arterial wall) and media (middle|\ |\ |\ |\ |\ |\ |\ |\ |\
layer of the arterial wall).
|\ |\ |\ |\
Diabetes
Tobacco Use |\
The nurse is assessing a patient with peripheral artery
|\ |\ |\ |\ |\ |\ |\ |\ |\
disease. Which items are characteristics of peripheral
|\ |\ |\ |\ |\ |\ |\
artery disease? (Select All That Apply) - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Taut and shiny skin |\ |\ |\ |\
Loss of hair on legs
|\ |\ |\ |\
Capillary refill >3 seconds |\ |\ |\
Lower leg edema |\ |\
Brittle nails |\
Loss of hair on legs, brittle nails, capillary refill >3
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
seconds, and taught and shiny skin are part of PAD. Leg
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
edema is characteristics of PVD. There are many more.
|\ |\ |\ |\ |\ |\ |\ |\
,A nurse is assessing the peripheral pulses of a client with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
peripheral artery disease and is having a difficult time. |\ |\ |\ |\ |\ |\ |\ |\ |\
What would be the best way to determine if they have
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
peripheral pulses? - CORRECT ANSWERS ✔✔Doppler |\ |\ |\ |\ |\ |\
ultrasound When palpation of a peripheral pulse is |\ |\ |\ |\ |\ |\ |\ |\
difficulty because of severe PAD, the Doppler ultrasound
|\ |\ |\ |\ |\ |\ |\ |\
can determine the degree of blood flow. A palpable pulse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and a Doppler pulse are not equivalent, and the terms are
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
not interchangeable.
|\ |\
Duplex Imaging |\
Angiography
Magnetic resonance angiography |\ |\
What type of aneurysm still has one vessel layer intact? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔False aneurysm |\ |\ |\
True aneurysm A true aneurysm is one in which the wall
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of the artery forms the aneurysm, with at least one vessel
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
layer still intact. A false or pseudoaneurysm is a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
disruption of all arterial wall layers with bleeding that is|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
contained by surrounding anatomic structures. A |\ |\ |\ |\ |\ |\
dissecting aneurysm is a disruption in the layers of the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aortic wall. |\
Pseudoaneurysm
Dissecting aneurysm |\
, The nurse is sending a client for a diagnostic test to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
determine the most accurate length and diameter of an |\ |\ |\ |\ |\ |\ |\ |\ |\
aneurysm. Which test would the nurse be anticipating for |\ |\ |\ |\ |\ |\ |\ |\ |\
this client? - CORRECT ANSWERS ✔✔Abdominal x-ray
|\ |\ |\ |\ |\ |\
Chest x-ray |\
MRI
CT scan A CT scan is the most accurate test to determine
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the length and cross-sectional diameter and the presence
|\ |\ |\ |\ |\ |\ |\
of thrombus in the aneurysm.
|\ |\ |\ |\ |\
The nurse is caring for a client who has an abdominal
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aortic aneurysm. The nurse recognizes which
|\ |\ |\ |\ |\ |\
complication of an aneurysm is the most life threatening? |\ |\ |\ |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔Surgical site infection
|\ |\ |\ |\ |\ |\
Rupture Rupture of an aneurysm is the most serious
|\ |\ |\ |\ |\ |\ |\ |\ |\
complication.Aneurysm rupture is a life-threatening |\ |\ |\ |\ |\
emergency, often resulting in massive hemorrhage, |\ |\ |\ |\ |\ |\
shock, and death. |\ |\
Thrombus formation can occur, but is not as life |\ |\ |\ |\ |\ |\ |\ |\ |\
threatening as rupture. |\ |\
Thrombus formation |\
Compartment Syndrome |\
The nurse is assessing a client who has been diagnosed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
with an abdominal aortic aneurysm. Which of the
|\ |\ |\ |\ |\ |\ |\ |\
following would the nurse expect to find in the |\ |\ |\ |\ |\ |\ |\ |\ |\
The nurse is caring for a client with peripheral artery
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
disease. What is the leading cause of peripheral artery
|\ |\ |\ |\ |\ |\ |\ |\ |\
disease? - CORRECT ANSWERS ✔✔COPD |\ |\ |\ |\
Atherosclerosis The leading cause of PAD is |\ |\ |\ |\ |\ |\ |\
atherosclerosis, a gradual thickening of the intima |\ |\ |\ |\ |\ |\ |\
(innermost layer of the arterial wall) and media (middle|\ |\ |\ |\ |\ |\ |\ |\ |\
layer of the arterial wall).
|\ |\ |\ |\
Diabetes
Tobacco Use |\
The nurse is assessing a patient with peripheral artery
|\ |\ |\ |\ |\ |\ |\ |\ |\
disease. Which items are characteristics of peripheral
|\ |\ |\ |\ |\ |\ |\
artery disease? (Select All That Apply) - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Taut and shiny skin |\ |\ |\ |\
Loss of hair on legs
|\ |\ |\ |\
Capillary refill >3 seconds |\ |\ |\
Lower leg edema |\ |\
Brittle nails |\
Loss of hair on legs, brittle nails, capillary refill >3
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
seconds, and taught and shiny skin are part of PAD. Leg
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
edema is characteristics of PVD. There are many more.
|\ |\ |\ |\ |\ |\ |\ |\
,A nurse is assessing the peripheral pulses of a client with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
peripheral artery disease and is having a difficult time. |\ |\ |\ |\ |\ |\ |\ |\ |\
What would be the best way to determine if they have
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
peripheral pulses? - CORRECT ANSWERS ✔✔Doppler |\ |\ |\ |\ |\ |\
ultrasound When palpation of a peripheral pulse is |\ |\ |\ |\ |\ |\ |\ |\
difficulty because of severe PAD, the Doppler ultrasound
|\ |\ |\ |\ |\ |\ |\ |\
can determine the degree of blood flow. A palpable pulse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and a Doppler pulse are not equivalent, and the terms are
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
not interchangeable.
|\ |\
Duplex Imaging |\
Angiography
Magnetic resonance angiography |\ |\
What type of aneurysm still has one vessel layer intact? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔False aneurysm |\ |\ |\
True aneurysm A true aneurysm is one in which the wall
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of the artery forms the aneurysm, with at least one vessel
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
layer still intact. A false or pseudoaneurysm is a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
disruption of all arterial wall layers with bleeding that is|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
contained by surrounding anatomic structures. A |\ |\ |\ |\ |\ |\
dissecting aneurysm is a disruption in the layers of the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aortic wall. |\
Pseudoaneurysm
Dissecting aneurysm |\
, The nurse is sending a client for a diagnostic test to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
determine the most accurate length and diameter of an |\ |\ |\ |\ |\ |\ |\ |\ |\
aneurysm. Which test would the nurse be anticipating for |\ |\ |\ |\ |\ |\ |\ |\ |\
this client? - CORRECT ANSWERS ✔✔Abdominal x-ray
|\ |\ |\ |\ |\ |\
Chest x-ray |\
MRI
CT scan A CT scan is the most accurate test to determine
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the length and cross-sectional diameter and the presence
|\ |\ |\ |\ |\ |\ |\
of thrombus in the aneurysm.
|\ |\ |\ |\ |\
The nurse is caring for a client who has an abdominal
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aortic aneurysm. The nurse recognizes which
|\ |\ |\ |\ |\ |\
complication of an aneurysm is the most life threatening? |\ |\ |\ |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔Surgical site infection
|\ |\ |\ |\ |\ |\
Rupture Rupture of an aneurysm is the most serious
|\ |\ |\ |\ |\ |\ |\ |\ |\
complication.Aneurysm rupture is a life-threatening |\ |\ |\ |\ |\
emergency, often resulting in massive hemorrhage, |\ |\ |\ |\ |\ |\
shock, and death. |\ |\
Thrombus formation can occur, but is not as life |\ |\ |\ |\ |\ |\ |\ |\ |\
threatening as rupture. |\ |\
Thrombus formation |\
Compartment Syndrome |\
The nurse is assessing a client who has been diagnosed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
with an abdominal aortic aneurysm. Which of the
|\ |\ |\ |\ |\ |\ |\ |\
following would the nurse expect to find in the |\ |\ |\ |\ |\ |\ |\ |\ |\
