Chapter 33: Concepts of Care for Patients With Vascular Problems Ignatavicius: Medical-Surgical Nursing, 10th Edition questions with correct answers

A nurse is assessing the peripheral vascular system of an older adult. What action by the nurse would cause the supervising nurse to intervene? a. Assessing blood pressure in both upper extremities b. Auscultating the carotid arteries for any bruits c. Classifying capillary filling of 4 seconds as normal d. Palpating both carotid arteries at the same time Answer d. Palpating both carotid arteries at the same time ANS: D The nurse would not compress both carotid arteries at the same time to avoid brain ischemia.Blood pressure would be taken and compared in both arms. Prolonged capillary filling is considered to be greater than 5 seconds in an older adult, so classifying refill of 4 seconds as normal would not require intervention. Bruits would be auscultated. The nurse is evaluating a 3-day diet history with a client who has an elevated lipid panel.What meal selection indicates that the client is managing this condition well with diet? a. A 4-ounce steak, French fries, iceberg lettuce b. Baked chicken breast, broccoli, tomatoes c. Fried catfish, cornbread, peas d. Spaghetti with meat sauce, garlic bread Answer b. Baked chicken breast, broccoli, tomatoes