NURSING NUR2349 >Chapter 27--Vascular Dysfunction: Nursing Management

Chapter 27--Vascular Dysfunction: Nursing Management MULTIPLE CHOICE 1. Which of the following should the nurse instruct a client in order to reduce the risk factors for developing arteriosclerosis? 1. Limit diet to contain less than 40% fat 2. Restrict exercise 3. Stop smoking 4. Avoid prescription medications ANS: 3 To reduce the risk for arteriosclerosis, the nurse should instruct the client to stop smoking. The diet should be limited to less than 30% of fat. Exercise should be encouraged. Prescription medications are often prescribed for clients with symptoms of arteriosclerosis. PTS: 1 DIF: Apply REF: Arteriosclerosis and Atherosclerosis: Planning and Implementation: Goals 2. The nurse is concerned that an elderly client has evidence of arteriosclerosis since the client’s capillary refill is greater than: 1. 3 seconds. 2. 4 seconds. 3. 5 seconds. 4. 6 seconds. ANS: 3 Elderly patients have a greater capillary refill time due to aging. Capillary refill greater than 5 seconds is significant. Capillary refill in non-elderly clients should be 3 seconds. Capillary refill in a nonelderly client of 4 seconds would be an abnormal finding. Capillary refill of 6 seconds for all clients is an abnormal assessment finding. PTS: 1 DIF: Analyze REF: Arteriosclerosis and Atherosclerosis: Assessment with Clinical Manifestations 3. When instructing a client on ways to lower his cholesterol levels, which of the following should the nurse include? 1. Eat more meat and eggs. 2. Consume less meat and eggs. 3. Incorporate more vegetables. 4. Limit fruits. ANS: 2 Cholesterol is located in animal sources, so decreasing meat and eggs will lower cholesterol levels. The client should not be instructed to eat more meat and eggs. Vegetables and fruits do not impact the cholesterol level. PTS: 1 DIF: Apply REF: Arteriosclerosis and Atherosclerosis: Planning and Implementation: Nutrition 4. A client diagnosed with arteriosclerosis is prescribed an anticoagulant. For which of the following should the nurse assess in this client? 1. Respiratory distress This study source was downloaded by from CourseH on :15:05 GMT -05:00 2. Skin breakdown 3. Decreased urine output 4. Bruising and bleeding ANS: 4 A client who is prescribed blood-thinning medication is at a greater risk of bleeding and bruising. Anticoagulant therapy does not increase a client’s risk for developing respiratory distress, skin breakdown, or decreased urine output. PTS: 1 DIF: Apply REF: Table 27-2 Pharmacology Facts: Pharmacology Therapy for Management of Arteriosclerosis and Atherosclerosis 5. The nurse is assessing a client diagnosed with an abdominal aortic aneurysm. Which of the following sounds did the nurse auscultate during the assessment? 1. Pleural rub 2. Hyperactive bowel sounds 3. Crackles 4. Bruit ANS: 4 The nurse may auscult