Final Exam | Complete Exam Questions and
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Answers
An 80-year-old patient with a history of an abdominal aortic aneurysm arrives at
the emergency department (ED) with severe back pain and absent pedal pulses.
Which actions should the nurse take first? ---------CORRECT ANSWER-----------------
Obtain the blood pressure.
After receiving report, which patient admitted to the emergency department
should the nurse assess first? ---------CORRECT ANSWER-----------------50-year-old
who is complaining of sudden "sharp" and "worst ever" upper back pain
The nurse is caring for a patient immediately after repair of an abdominal aortic
aneurysm. On assessment, the patient has absent popliteal, posterior tibial, and
dorsalis pedis pulses. The legs are cool and mottled. Which action should the
nurse take first? ---------CORRECT ANSWER-----------------Notify the surgeon and
anesthesiologist.
The nurse has started discharge teaching for a patient who is to continue warfarin
(Coumadin) following hospitalization for venous thromboembolism (VTE). The
nurse determines that additional teaching is needed when the patient says which
,of the following? ---------CORRECT ANSWER-----------------"I should reduce the
amount of green, leafy vegetables that I eat."
When caring for a patient on the first postoperative day after an abdominal aortic
aneurysm repair, which assessment finding is most important for the nurse to
communicate to the health care provider? ---------CORRECT ANSWER-----------------
Loose, bloody stools
A 46-year-old service-counter worker undergoes sclerotherapy for treatment of
superficial varicose veins at an outpatient center. Which instructions should the
nurse provide to the patient before discharge? ---------CORRECT ANSWER------------
-----Elastic compression stockings should be applied before getting out of bed.
The nurse is caring for a patient with critical limb ischemia who has just arrived on
the nursing unit after having percutaneous transluminal balloon angioplasty.
Which action should the nurse perform first? ---------CORRECT ANSWER--------------
---Obtain vital signs.
Which topic should the nurse include in patient teaching for a patient with a
venous stasis ulcer on the left lower leg? ---------CORRECT ANSWER-----------------
Application of elastic compression stockings
, A patient who is 2 days post-femoral-popliteal bypass graft to the right leg is
being cared for on the vascular unit. Which action by a licensed
practical/vocational nurse (LPN/LVN) caring for the patient requires the registered
nurse (RN) to intervene? ---------CORRECT ANSWER-----------------The LPN/LVN has
the patient sit in a chair for 90 minutes.
A 67-year-old patient is admitted to the hospital with a diagnosis of venous
insufficiency. Which patient statement is most supportive of the diagnosis? --------
-CORRECT ANSWER-----------------"I can't get my shoes on at the end of the day."
A 46-year-old is diagnosed with thromboangiitis obliterans (Buerger's disease).
When the nurse is developing a discharge teaching plan for the patient, which
outcome has the highest priority for this patient? ---------CORRECT ANSWER---------
--------Cessation of all tobacco use
Which nursing action should be included in the plan of care after endovascular
repair of an abdominal aortic aneurysm? ---------CORRECT ANSWER-----------------
Monitor fluid intake and urine output.
Which action by a nurse who is giving fondaparinux (Arixtra) to a patient with a
lower leg venous thromboembolism (VTE) indicates that more education about
the drug is needed? ---------CORRECT ANSWER-----------------The nurse ejects the air
bubble in the syringe before giving the drug.