PERFUSION (PAD, PVD, DVT) NCLEX QUESTIONS WITH 100% CORRECT ANSWERS

A nurse is caring for a client with a DVT. Which presentation would cause immediate action by the nurse: A) Reports of tinging feet B) Pain in the legs C) Shortness of breath D) Edema C - shortness of breath may indicate the clot has dislodged and become a pulmonary embolism A patient has been diagnosed with PAD. What would the nurse expect to find during assessment: (Select all that apply) A) Pain with waking that is relieved with rest B) Patient has a history of diabetes and smoking C) Large, pink, wet ulcers D) Necrosing ulcers at bony prominences E) Edema F) Thick toenails A, B, D, F A patient has been diagnosed with PVD. What would the nurse expect to find during assessment: (Select all that apply) A) Constant pain not relieved by rest B) Patient has a history of diabetes and smoking C) Large, pink, wet ulcers D) Skin is cool to touch E) Edema F) Thick toenails A, C, E A patient is suspected to have PAD. Which diagnostic test would the nurse expect to be ordered first? A) Ankle-brachial index B) Stress test C) Doppler ultrasound D) D-dimer A A patient is suspected to have PAD. Which diagnostic test would the nurse expect to be ordered first? A) Ankle-brachial index B) Stress test C) Doppler ultrasound D) D-dimer D A nurse has provided education for a patient diagnosed with PAD. What statement by the patient indicates that patient has not understood the teaching? A) I should contact my doctor if I notice my skin turning blue or i can't feel my toes B) I need to inspect and clean my feet regularly C) It is fine for me to sit with my legs crossed and my knees bent D) Placing my legs down will help relieve pain C A nurse has provided education for a patient diagnosed with PVD. What statement by the patient indicates that patient has not understood the teaching? A) I should contact my doctor if I have chest pain and fast breathing B) I should notify my doctors if i have a red, painful, warm area on my leg C) Compression stockings will help reduce my symptoms D) Placing my legs down will help relieve pain D A patient diagnosed with PVD is sent home from the hospital on warfarin. What does the nurse teach the patient at discharge: (select all that apply) A) You should carry an ID card that says you are taking warfarin B) You should expect black, tarry stools C) Take only NSAIDs for headaches while on this medication D) Do not take any aspirin or drink alcohol on this medication E) Use a soft toothbrush and electric razor to reduce risk of bleeding F) Notify you HCP if you have any significant bleeding including in your urine or stool A, D, E, F A patient comes in to the ED with edema and pain in one leg after having surgery last week. When the results for the lab come back, the nurse notes the D-dimer is 0.8 mcg/mL. What is the priority nursing intervention? A) Ambulate the patient B) Place the patient on bedrest and elevate the head of the bed C) Call the HCP and get an order to start heparin D) Auscultate the lungs and evaluate LOC B A patient on warfarin therapy begins to have fever, chills, and urticaria. What should the nurse expect to administer? A) Aspirin B) Protamine Sulfate C) Vitamin K D) PO fluids C A patient on heparin therapy begins to have fever, chills, and urticaria. What should the nurse expect to administer? A) Aspirin B) Protamine Sulfate C) VItamin K D) PO fluids B A patient has been diagnosed with PAD. What risk factors will be included in the nurses education plan to reduce the progression of the PAD? A) He is an African American male B) Smoking cessation C) Diet low in fat D) Diabetes management E) Warfarin education F) A family history of cardiovascular disease B, C, D A 22 year old female is post-surgery after a left leg fracture. She normally takes hormonal birth control and is a smoker. What risk factors are present for this patient according to Virchow's triad? A) Surgery B) Smoking C) Dehydration D) Birth control E) Catheterization F) Impaired mobility A, B, D, F ABI formula, normal range, value that indicates PAD Systolic brachial/systolic ankle, 1.0, <1.0 D-dimer normal, increased or decreased indicates clot? Normal <0.5 mcg/mL, increased indicates clot PT normal range, therapeutic range, which med does it evaluate 11-12.5 s, 1.5-2x baseline clotting time, heparin PTT normal range, therapeutic range, which med does it evaluate 60-70s, 1.5-2.5x baseline clotting time, heparin INR normal range, therapeutic range, which med does it evaluate 1.0, 2-3x baseline clotting time, warfarin Add or remove terms