Jersey College Med Surg Prep U Chp 30 Assessment And Management Of Patients With Vascular Disorders And Problems Of Peripheral Circulation

JERSEY COLLEGE MED SURG PREP U CHP 30 ASSESSMENT
AND MANAGEMENT OF PATIENTS WITH VASCULAR
DISORDERS AND PROBLEMS OF PERIPHERAL CIRCULATION
A client is diagnosed with deep vein thrombosis (DVT). Which nursing diagnosis
should receive highest priority at this time?


Answers Ineffective peripheral tissue perfusion related to venous congestion
A nurse is instructing a client about using antiembolism stockings. Antiembolism
stockings help prevent deep vein thrombosis (DVT) by:


Answers forcing blood into the deep venous system.
A client is diagnosed with peripheral arterial disease. Review of the client's chart
shows an ankle-brachial index (ABI) on the right of 0.45. This indicates that the
right foot has which of the following?


Answers Moderate to severe arterial insufficiency
Which of the following is the hallmark symptom for peripheral arterial disease
(PAD) in the lower extremity?


Answers Intermittent claudication
To assess the dorsalis pedis artery, the nurse would use the tips of three fingers and
apply light pressure to the:


Answers Anterior surface of the foot near the ankle joint.
A client with systemic lupus erythematosus (SLE) complains that his hands
become pale, blue, and painful when exposed to the cold. What disease should the
nurse cite as an explanation for these signs and symptoms?

, Answers Raynaud's disease
A client with venous insufficiency asks the nurse what they can do to decrease their
risk of complications. What advice should the nurse provide to clients with venous
insufficiency?


Answers Elevate the legs periodically for at least 15 to 20 minutes.
Which of the following is the hallmark symptom for peripheral arterial disease
(PAD) in the lower extremity?


Answers Intermittent claudication
Which of the following is a diagnostic test that involves injection of a contrast
media into the venous system through a dorsal vein in the foot?


Answers Contrast phlebography
A client in the ED has a 5-cm thoracic aortic aneurysm that was discovered during
a routine chest x-ray. When obtaining the client's history, which symptoms will it
be most important for the nurse to ask about?


Answers Hoarse voice and difficulty swallowing
A physician admits a client to the health care facility for treatment of an abdominal
aortic aneurysm. When planning this client's care, which goal should the nurse
keep in mind as she formulates interventions?


Answers Stabilizing heart rate and blood pressure and easing anxiety
A client is recovering from surgical repair of a dissecting aortic aneurysm. Which
assessment findings indicate possible bleeding or recurring dissection?


Answers Blood pressure of 82/40 mm Hg and heart rate of 125 beats/minute