CHAPTER 37: VASCULAR DISORDERS
LEWIS: MEDICAL-SURGICAL NURSING,
10TH EDITION QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
Chapter 37: Vascular Disorders Lewis: Medical-Surgical Nursing, 10th Edition
A patient in the outpatient clinic has a new diagnosis of peripheral artery disease (PAD). Which group of
drugs will the nurse plan to include when teaching about PAD management?
a. Statins
b. Antibiotics
c. Thrombolytics
d. Anticoagulants - ANSWER ANS: A
Research indicates that statin use by patients with PAD improves multiple outcomes. There is no
research that supports the use of the other drug categories in PAD.
An older patient with chronic atrial fibrillation develops sudden severe pain, pulselessness, pallor, and
coolness in the right leg. The nurse should notify the health care provider and immediately
a. apply a compression stocking to the leg.
b. elevate the leg above the level of the heart.
c. assist the patient in gently exercising the leg.
d. keep the patient in bed in the supine position. - ANSWER ANS: D
The patient's history and clinical manifestations are consistent with acute arterial occlusion, and resting
the leg will decrease the O2 demand of the tissues and minimize ischemic damage until circulation can
be restored. Elevating the leg or applying an elastic wrap will further compromise blood flow to the leg.
Exercise will increase oxygen demand for the tissues of the
A patient at the clinic says, "I always walk after dinner, but lately my leg cramps and hurts after just a few
minutes of starting. The pain goes away after I stop walking, though." The nurse should
a. look for the presence of tortuous veins bilaterally on the legs.
b. ask about any skin color changes that occur in response to cold.
c. assess for unilateral swelling, redness, and tenderness of either leg.
, d. palpate for the presence of dorsalis pedis and posterior tibial pulses. - ANSWER ANS: D
The nurse should assess for other clinical manifestations of peripheral arterial disease in a patient who
describes intermittent claudication. Changes in skin color that occur in response to cold are consistent
with Raynaud's phenomenon. Tortuous veins on the legs suggest venous insufficiency. Unilateral leg
swelling, redness, and tenderness indicate venous thromboembolism.
The nurse performing an assessment of a patient who has chronic peripheral artery disease (PAD) of the
legs and an ulcer on the right second toe would expect to find
a. dilated superficial veins.
b. swollen, dry, scaly ankles.
c. prolonged capillary refill in all the toes.
d. serosanguineous drainage from the ulcer - ANSWER ANS: C
Capillary refill is prolonged in PAD because of the slower and decreased blood flow to the periphery. The
other listed clinical manifestations are consistent with chronic venous disease
When evaluating the discharge teaching for a patient with chronic peripheral artery disease (PAD), the
nurse determines a need for further instruction when the patient says, "I will
a. use a heating pad on my feet at night to increase the circulation."
b. buy some loose clothes that do not bind across my legs or waist."
c. walk to the point of pain, rest, and walk again for at least 30 minutes 3 times a week."
d. change my position every hour and avoid long periods of sitting with my legs crossed." - ANSWER ANS:
A
Because the patient has impaired circulation and sensation to the feet, the use of a heating pad could
lead to burns. The other patient statements are correct and indicate that teaching has been successful.
After teaching a patient with newly diagnosed Raynaud's phenomenon about how to manage the
condition, which action by the patient best demonstrates that the teaching has been effective?
a. The patient exercises indoors during the winter months.
b. The patient immerses hands in hot water when they turn pale.
c. The patient takes pseudoephedrine (Sudafed) for cold symptoms.
d. The patient avoids taking nonsteroidal antiinflammatory drugs (NSAIDs). - ANSWER ANS: A
LEWIS: MEDICAL-SURGICAL NURSING,
10TH EDITION QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
Chapter 37: Vascular Disorders Lewis: Medical-Surgical Nursing, 10th Edition
A patient in the outpatient clinic has a new diagnosis of peripheral artery disease (PAD). Which group of
drugs will the nurse plan to include when teaching about PAD management?
a. Statins
b. Antibiotics
c. Thrombolytics
d. Anticoagulants - ANSWER ANS: A
Research indicates that statin use by patients with PAD improves multiple outcomes. There is no
research that supports the use of the other drug categories in PAD.
An older patient with chronic atrial fibrillation develops sudden severe pain, pulselessness, pallor, and
coolness in the right leg. The nurse should notify the health care provider and immediately
a. apply a compression stocking to the leg.
b. elevate the leg above the level of the heart.
c. assist the patient in gently exercising the leg.
d. keep the patient in bed in the supine position. - ANSWER ANS: D
The patient's history and clinical manifestations are consistent with acute arterial occlusion, and resting
the leg will decrease the O2 demand of the tissues and minimize ischemic damage until circulation can
be restored. Elevating the leg or applying an elastic wrap will further compromise blood flow to the leg.
Exercise will increase oxygen demand for the tissues of the
A patient at the clinic says, "I always walk after dinner, but lately my leg cramps and hurts after just a few
minutes of starting. The pain goes away after I stop walking, though." The nurse should
a. look for the presence of tortuous veins bilaterally on the legs.
b. ask about any skin color changes that occur in response to cold.
c. assess for unilateral swelling, redness, and tenderness of either leg.
, d. palpate for the presence of dorsalis pedis and posterior tibial pulses. - ANSWER ANS: D
The nurse should assess for other clinical manifestations of peripheral arterial disease in a patient who
describes intermittent claudication. Changes in skin color that occur in response to cold are consistent
with Raynaud's phenomenon. Tortuous veins on the legs suggest venous insufficiency. Unilateral leg
swelling, redness, and tenderness indicate venous thromboembolism.
The nurse performing an assessment of a patient who has chronic peripheral artery disease (PAD) of the
legs and an ulcer on the right second toe would expect to find
a. dilated superficial veins.
b. swollen, dry, scaly ankles.
c. prolonged capillary refill in all the toes.
d. serosanguineous drainage from the ulcer - ANSWER ANS: C
Capillary refill is prolonged in PAD because of the slower and decreased blood flow to the periphery. The
other listed clinical manifestations are consistent with chronic venous disease
When evaluating the discharge teaching for a patient with chronic peripheral artery disease (PAD), the
nurse determines a need for further instruction when the patient says, "I will
a. use a heating pad on my feet at night to increase the circulation."
b. buy some loose clothes that do not bind across my legs or waist."
c. walk to the point of pain, rest, and walk again for at least 30 minutes 3 times a week."
d. change my position every hour and avoid long periods of sitting with my legs crossed." - ANSWER ANS:
A
Because the patient has impaired circulation and sensation to the feet, the use of a heating pad could
lead to burns. The other patient statements are correct and indicate that teaching has been successful.
After teaching a patient with newly diagnosed Raynaud's phenomenon about how to manage the
condition, which action by the patient best demonstrates that the teaching has been effective?
a. The patient exercises indoors during the winter months.
b. The patient immerses hands in hot water when they turn pale.
c. The patient takes pseudoephedrine (Sudafed) for cold symptoms.
d. The patient avoids taking nonsteroidal antiinflammatory drugs (NSAIDs). - ANSWER ANS: A
