NCLEX Questions Peripheral Vascular Diseases NCLEX with 100% correct answers

The most important factor in regulating the caliber of blood vessels, which determines resistance to flow is: 1. Hormonal secretion 2. Independent arterial wall activity 3. The influence of circulating chemicals 4. The sympathetic nervous system The sympathetic nervous system With peripheral arterial insufficiency, leg pain during rest can be reduced by: 1. Elevating the limb above the heart level 2. Lowering the limb so that it is independent 3. Massaging the limb after application of cold compress 4. Placing the limb in a plane horizontal to the body Lowing the limb so it is dependent Buerger's disease is characterized by all of the following except: 1. Arterial thrombosis formation and occlusion 2. Lipid deposits in the arteries 3. Redness or cyanosis in the limb when it is dependent 4. Venous inflammation and occlusions Lipid deposits in the arteries A significant cause of venous thrombosis is: 1. altered blood coagulation 2. stasis of blood 3. vessel wall injury 4. All of the above All of the above When caring for a patient who has started anticoagulation therapy with warfarin (Coumadin),the nurse knows not the expected therapeutic benefits for : 1. At least 12 hours 2. The first 24 hours 3. 2-3 Days 4. 1 week 2-3 Days Mike, a 43 year old worker, has a history of hypertension. he smokes two packs a day, is nervous about the possibility of being unemployed, and has difficulty coping with stress. His current concern is calf pain during minimal exercise that decreased with rest. The nurse assesses Mike's symptoms as being associated with peripheral arterial occlusive disease. the nursing diagnosis is probably: 1. 1. Alteration in tissue perfusion related to compromised circualtion 2. Dysfunctional use of extremities related to muscle spams 3. Impaired mobility related to stress associated with pain 4. Impairment in muscle use associated with pain on exertion alteration in tissue perfusion related to compromised circulation A 24 year old man seeks medical attention for complaints of claudication in the arch of the lower leg. The nurse would next assess the client for: 1. Familial tendency toward peripheral vascular disease 2. Smoking history 3. Recent exposures to allergens 4. History of insect bites Smoking history Intravenous heparin therapy is ordered for a client. While implementing this order, a nurse ensures that which of the following medications is available on the nursing unit? 1. Vitamin K 2. Amniocaproic acid 3. Potassium chloride 4. Protamine sulfate Promatime sulfate A client who has been receiving heparin therapy also is started on warfarin sodium (Coumadin). The client asks the nurse why both medications are being administered. In formulation a response, the nurse incorporated the understanding that warfarin sodium: Inhibits synthesis of specific clotting factors in the liver, and it takes 3 to 4 days for this medication to exert an anti-coagulation effect A nurse has an order to begin administering warfarin sodium (Coumadin) to a client. While implementing this order, the nurse ensures that which of the following medication is available on the nursing unit as the antidote for Coumadin? 1. Vitamin K 2. Amniocaproic acid 3. Potassium chloride 4. Protamine sulfate Vitamin K A nurse is assessing the neurovascular status of a client who returned to the surgical unit 4 hours ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the the nurse notes redness and edema. the pedal pulse is palpable and unchanged from admission. The nurse interprets that the neurovascular status is : Normal because of the increased blood flow through the leg A client is admitted with a venous stasis leg ulcer. A nurse assess the ulcer, expecting to note that the ulcer: 1. Has a pale colored base 2. Is deep, with even edges 3. Has little granulation tissue 4. Has brown pigmentation around it Has brown pigmentation around it In preparation for discharge of a client with arterial insufficiency Raynaud's disease, client teaching instructions should include: 1. Walking several times each day as an exercise program 2. Keeping the heat up so that the environment is warm 3. Wearing TED hose during the day 3. Using hydrotherapy for increasing oxygenation Keeping the heat up so that the environment is warm A client comes to the outpatient clinical and tells the nurse that he has had leg pains that began when he walks but cease when he stops walking. Which of the following conditions would the nurse assess for: 1. An acute obstruction in the vessels of the legs 2. Peripheral vascular problems in both legs 3. Diabetes 4. Calcium deficiency Peripheral vascular problems in both legs Which of the following characteristics is typical of the pain associated with DVT? 1. Dull ache 2. No pain 3. Sudden onset 4. Tingling Sudden onset Cancer can cause changes in what component of Virchow's triad? 1. Blood coagulabiulity 2. Vessel walls 3. Blood flow 4. Blood viscosity Blood coagulability