NU371 HESI Case Study: PVD with Amputation NU371
HESI Case Study: Peripheral Vascular Disease (PVD) with
Amputation (week 4) Questions With Complete Solutions
A Complication Occurs Correct Answer The client's blood
pressure is 84/58 mmHg, his pulse is 114, beats/minute and the
residual limb dressing is soaked with blood. He is difficult to
arouse.
A student nurse is assigned to care for the client. She asks the
primary nurse, "How can his right leg hurt when he doesn't have
a right leg?" Correct Answer -
Clinic Visit Correct Answer The client comes to the Clinic at
the scheduled time. The nurse notices that he is limping, and that
the residual limb dressing is dirty and has an odor. When she
removes the dressing, the nurse notes that the incisional wound
is reddened with green drainage. The client has a temperature of
101.4° F (38.5° C) and tells the nurse that this is the first time he
put on "The Tree" because his leg has been hurting.
Discharge Planning Correct Answer The client tells the nurse
that the social worker wants him to go to a nursing home, and he
doesn't want to go. He wants to go back to the streets where he
has a sheltered area that he lives in and friends that will help
him. The client is scared that he will be forced to go to the
nursing home.
Discharge Teaching Correct Answer Living arrangements are
made, and the client will be discharged in the morning. In
,providing discharge teaching, the nurse includes information
about PVD.
Home Health Correct Answer The clinic nurse sends a referral
to the home healthcare agency. The home healthcare nurse will
visit the client the next day.
Homeless Issues Correct Answer Some of the rehabilitation
nurses are eating in the cafeteria. They start discussing the
situation of people in their city who are homeless.
How should the nurse correctly document this data?
a) Paresthesia.
b) Intermittent claudication.
c) Deep vein thrombosis (DVT).
d) Peripheral neuropathy. Correct Answer b) Intermittent
claudication.
-
The hallmark sign of PVD is intermittent claudication (pain
described as aching, cramping, fatigue, or weakness) that occurs
with exercise and is relieved with rest.
How should the nurse respond to the client's question?
a) "You will be living with a roommate who will assist you as
needed."
b) "You can visit the apartment and talk to the staff before you
decide if this is right for you."
c) "You will be living alone, but there will be people checking
on you often."
d) "There will be lots of other people around, and you will make
lots of friends." Correct Answer b) "You can visit the
, apartment and talk to the staff before you decide if this is right
for you."
-
Allowing the client to make his own decision is empowering for
him.
How should the nurse respond to the student?
a) Phantom limb pain is caused by the severing of peripheral
nerves.
b) It is purely psychological, but most clients with amputations
don't have it.
c) Phantom pain is really incisional pain, but it is called phantom
pain.
d) You must always believe the client when he says he is having
pain. Correct Answer a) Phantom limb pain is caused by the
severing of peripheral nerves.
-
The pathogenesis of the phantom limb phenomenon is unknown,
but it seems that nerves do not realize that the leg has been
amputated. Therefore, the pain sensation is still transmitted to
the brain.
How should the nurse respond?
a) "I will make sure that you do everything you are supposed to
do to get better."
b) "I hope to help you stay out of the hospital and to prevent
further complications."
c) "I will arrange for someone to bring meals to you three times
a day."
HESI Case Study: Peripheral Vascular Disease (PVD) with
Amputation (week 4) Questions With Complete Solutions
A Complication Occurs Correct Answer The client's blood
pressure is 84/58 mmHg, his pulse is 114, beats/minute and the
residual limb dressing is soaked with blood. He is difficult to
arouse.
A student nurse is assigned to care for the client. She asks the
primary nurse, "How can his right leg hurt when he doesn't have
a right leg?" Correct Answer -
Clinic Visit Correct Answer The client comes to the Clinic at
the scheduled time. The nurse notices that he is limping, and that
the residual limb dressing is dirty and has an odor. When she
removes the dressing, the nurse notes that the incisional wound
is reddened with green drainage. The client has a temperature of
101.4° F (38.5° C) and tells the nurse that this is the first time he
put on "The Tree" because his leg has been hurting.
Discharge Planning Correct Answer The client tells the nurse
that the social worker wants him to go to a nursing home, and he
doesn't want to go. He wants to go back to the streets where he
has a sheltered area that he lives in and friends that will help
him. The client is scared that he will be forced to go to the
nursing home.
Discharge Teaching Correct Answer Living arrangements are
made, and the client will be discharged in the morning. In
,providing discharge teaching, the nurse includes information
about PVD.
Home Health Correct Answer The clinic nurse sends a referral
to the home healthcare agency. The home healthcare nurse will
visit the client the next day.
Homeless Issues Correct Answer Some of the rehabilitation
nurses are eating in the cafeteria. They start discussing the
situation of people in their city who are homeless.
How should the nurse correctly document this data?
a) Paresthesia.
b) Intermittent claudication.
c) Deep vein thrombosis (DVT).
d) Peripheral neuropathy. Correct Answer b) Intermittent
claudication.
-
The hallmark sign of PVD is intermittent claudication (pain
described as aching, cramping, fatigue, or weakness) that occurs
with exercise and is relieved with rest.
How should the nurse respond to the client's question?
a) "You will be living with a roommate who will assist you as
needed."
b) "You can visit the apartment and talk to the staff before you
decide if this is right for you."
c) "You will be living alone, but there will be people checking
on you often."
d) "There will be lots of other people around, and you will make
lots of friends." Correct Answer b) "You can visit the
, apartment and talk to the staff before you decide if this is right
for you."
-
Allowing the client to make his own decision is empowering for
him.
How should the nurse respond to the student?
a) Phantom limb pain is caused by the severing of peripheral
nerves.
b) It is purely psychological, but most clients with amputations
don't have it.
c) Phantom pain is really incisional pain, but it is called phantom
pain.
d) You must always believe the client when he says he is having
pain. Correct Answer a) Phantom limb pain is caused by the
severing of peripheral nerves.
-
The pathogenesis of the phantom limb phenomenon is unknown,
but it seems that nerves do not realize that the leg has been
amputated. Therefore, the pain sensation is still transmitted to
the brain.
How should the nurse respond?
a) "I will make sure that you do everything you are supposed to
do to get better."
b) "I hope to help you stay out of the hospital and to prevent
further complications."
c) "I will arrange for someone to bring meals to you three times
a day."
