Question 1

The nurse reading the admission note for a client who has an arterial leg ulcer would anticipate that the ulcer will be characterized

Accepted Answer

A)   as being surrounded by atrophic tissue.
B)   as producing minimal pain.
C)   by a deep-red base.
D)   by irregular borders.E) A) and B)
F) A) and C)

Question 2

A client is scheduled for a guillotine amputation and is crying, stating that he/she cannot live with "such an ugly leg." The information from the nurse that would best help the client cope with the upcoming surgery is to tell the client that

Accepted Answer

A)   in another operation, the stump edge will be covered with a skin flap.
B)   it is either have the amputation or die from the infection.
C)   later cosmetic surgery is an option if the amputation cures the infection.
D)   while wearing a prosthesis, no one will be able to see the "ugly leg."E) A) and B)
F) All of the above

Question 3

A client's blood pressure is (150/76)  mm Hg in the brachial artery and (162/80)  mm Hg in the tibialis artery. After computing the A/B index, the nurse would record that the client's index indicates

Accepted Answer

A)   a normal ratio.
B)   mild ischemia.
C)   moderate ischemia.
D)   severe ischemia.E) A) and C)
F) B) and C)

Question 4

For a client admitted with a history of chronic arterial insufficiency, the nurse would anticipate that physical assessment will reveal

Accepted Answer

A)   rubor with elevation of feet.
B)   pallor when feet are dependent.
C)   diminished pedal pulses.
D)   warm, edematous skin.E) B) and C)
F) All of the above

Question 5

A nurse suspects a client has an acute arterial occlusion. Early assessment findings that would confirm her suspicion include (Select all that apply)

Accepted Answer

A)   pain.
B)   pallor.
C)   paralysis.
D)   paresthesias
E)   pulselessness.F) A) and E)
G) A) and B)

Question 6

A client scheduled for a repair of an abdominal aortic aneurysm reports increased abdominal pain accompanied by new onset of intense back and flank pain. The priority action by the nurse would be to

Accepted Answer

A)   administer a prescribed analgesic.
B)   notify the physician immediately.
C)   reassess the client in another 5 minutes.
D)   take another set of vital signs.E) A) and C)
F) A) and B)

Question 7

A client who is overweight and smokes is newly diagnosed with thromboangiitis obliterans. The nurse's teaching plan would focus on the highest priority of

Accepted Answer

A)   controlling high blood pressure.
B)   exercising regularly.
C)   following a low-fat diet.
D)   smoking cessation.E) A) and B)
F) None of the above

Question 8

A client is scheduled to have a femoral-popliteal bypass with a synthetic graft. The nurse's preoperative teaching would include information about preoperative

Accepted Answer

A)   antibiotics.
B)   anticoagulants.
C)   platelets.
D)   skin preparation.E) A) and D)
F) A) and B)

Question 9

When a client complains of heaviness, aching, and itching of both legs for the past year, the nurse recognizes these complaints as being most suggestive of

Accepted Answer

A)   Buerger's disease.
B)   deep vein thrombosis.
C)   Raynaud's phenomenon.
D)   varicose veins.E) All of the above
F) B) and D)

Question 10

An appropriate nursing diagnosis to guide self-care teaching for a client who has lymphedema is

Accepted Answer

A)   Impaired Adjustment.
B)   Risk for Disuse Syndrome.
C)   Risk for Fluid Volume Excess.
D)   Risk for Infection.E) A) and B)
F) All of the above

Question 11

Immediately after a client's revascularization surgery, the nurse would position the client with the

Accepted Answer

A)   feet elevated on pillows.
B)   legs flexed with the knee gatch up.
C)   legs separated with pillows.
D)   operative leg totally flat.E) A) and D)
F) B) and C)

Question 12

For a hospitalized client who experienced a sudden arterial occlusion yesterday, the nurse would review the chart for a history of

Accepted Answer

A)   atrial fibrillation.
B)   hypertension.
C)   iron deficiency anemia.
D)   oral contraceptive use.E) A) and B)
F) All of the above

Question 13

The nurse would explain to a client that anticoagulant therapy is used in the treatment of thromboembolic disease because anticoagulants can

Accepted Answer

A)   decrease blood viscosity.
B)   dissolve the thrombi.
C)   inhibit the synthesis of clotting factors.
D)   prevent absorption of vitamin K.E) All of the above
F) C) and D)

Question 14

When teaching foot care to a client with chronic arterial occlusive disease, the nurse would tell the client to avoid

Accepted Answer

A)   using cornstarch on the feet.
B)   using toenail clippers.
C)   wearing canvas shoes.
D)   wearing cotton socks.E) A) and B)
F) None of the above

Question 15

When a client with arterial insufficiency complains of being awakened at night by pain in the legs, the nurse would recommend that the client sleep

Accepted Answer

A)   after exercising for 10 to 15 minutes.
B)   in a recliner with feet dependent.
C)   propped up by several pillows.
D)   with legs covered by an extra blanket.E) B) and D)
F) None of the above

Question 16

For a client with deep vein thrombosis (DVT) , the nurse would include in the plan of nursing care the intervention of

Accepted Answer

A)   applying cool compresses to the area.
B)   maintaining the legs in the dependent position.
C)   raising the foot of the bed 6 inches.
D)   restricting fluids.E) A) and B)
F) B) and C)

Question 17

The nurse would inform a client diagnosed with a 2-cm aneurysm that such aneurysms usually require

Accepted Answer

A)   a resection.
B)   grafting.
C)   medications to raise BP.
D)   semi-annual ultrasound.E) A) and B)
F) A) and C)

Question 18

Important health promotion measures a nurse could teach a client in order to avoid another episode of DVT include (Select all that apply)

Accepted Answer

A)   avoiding prolonged sitting.
B)   elevating the legs when sitting.
C)   maintaining an ideal body weight.
D)   remaining hydrated.E) A) and D)
F) A) and B)

Exam 53: Management of Clients with Vascular Disorders

For a hospitalized client who experienced a sudden arterial occlusion yesterday, the nurse would review the chart for a history of

Correct Answer
verified

Important health promotion measures a nurse could teach a client in order to avoid another episode of DVT include (Select all that apply)

Correct Answer
verified

A nurse suspects a client has an acute arterial occlusion. Early assessment findings that would confirm her suspicion include (Select all that apply)

Correct Answer
verified

A client is scheduled to have a femoral-popliteal bypass with a synthetic graft. The nurse's preoperative teaching would include information about preoperative

Correct Answer
verified

A client scheduled for a repair of an abdominal aortic aneurysm reports increased abdominal pain accompanied by new onset of intense back and flank pain. The priority action by the nurse would be to

Correct Answer
verified

When teaching foot care to a client with chronic arterial occlusive disease, the nurse would tell the client to avoid

Correct Answer
verified

When a client complains of heaviness, aching, and itching of both legs for the past year, the nurse recognizes these complaints as being most suggestive of

Correct Answer
verified

The nurse would explain to a client that anticoagulant therapy is used in the treatment of thromboembolic disease because anticoagulants can

Correct Answer
verified

The nurse would inform a client diagnosed with a 2-cm aneurysm that such aneurysms usually require

Correct Answer
verified

An appropriate nursing diagnosis to guide self-care teaching for a client who has lymphedema is

Correct Answer
verified

The nurse reading the admission note for a client who has an arterial leg ulcer would anticipate that the ulcer will be characterized

Correct Answer
verified

A client who is overweight and smokes is newly diagnosed with thromboangiitis obliterans. The nurse's teaching plan would focus on the highest priority of

Correct Answer
verified

A client's blood pressure is (150/76) mm Hg in the brachial artery and (162/80) mm Hg in the tibialis artery. After computing the A/B index, the nurse would record that the client's index indicates

Correct Answer
verified

A client is scheduled for a guillotine amputation and is crying, stating that he/she cannot live with "such an ugly leg." The information from the nurse that would best help the client cope with the upcoming surgery is to tell the client that

Correct Answer
verified

For a client with deep vein thrombosis (DVT) , the nurse would include in the plan of nursing care the intervention of

Correct Answer
verified

Immediately after a client's revascularization surgery, the nurse would position the client with the

Correct Answer
verified

When a client with arterial insufficiency complains of being awakened at night by pain in the legs, the nurse would recommend that the client sleep

Correct Answer
verified

For a client admitted with a history of chronic arterial insufficiency, the nurse would anticipate that physical assessment will reveal

Correct Answer
verified

Exam 53: Management of Clients with Vascular Disorders

For a hospitalized client who experienced a sudden arterial occlusion yesterday, the nurse would review the chart for a history of

Correct AnswerverifiedShow Answer

Important health promotion measures a nurse could teach a client in order to avoid another episode of DVT include (Select all that apply)

Correct AnswerverifiedShow Answer

A nurse suspects a client has an acute arterial occlusion. Early assessment findings that would confirm her suspicion include (Select all that apply)

Correct AnswerverifiedShow Answer

A client is scheduled to have a femoral-popliteal bypass with a synthetic graft. The nurse's preoperative teaching would include information about preoperative

Correct AnswerverifiedShow Answer

A client scheduled for a repair of an abdominal aortic aneurysm reports increased abdominal pain accompanied by new onset of intense back and flank pain. The priority action by the nurse would be to

Correct AnswerverifiedShow Answer

When teaching foot care to a client with chronic arterial occlusive disease, the nurse would tell the client to avoid

Correct AnswerverifiedShow Answer

When a client complains of heaviness, aching, and itching of both legs for the past year, the nurse recognizes these complaints as being most suggestive of

Correct AnswerverifiedShow Answer

The nurse would explain to a client that anticoagulant therapy is used in the treatment of thromboembolic disease because anticoagulants can

Correct AnswerverifiedShow Answer

The nurse would inform a client diagnosed with a 2-cm aneurysm that such aneurysms usually require

Correct AnswerverifiedShow Answer

An appropriate nursing diagnosis to guide self-care teaching for a client who has lymphedema is

Correct AnswerverifiedShow Answer

The nurse reading the admission note for a client who has an arterial leg ulcer would anticipate that the ulcer will be characterized

Correct AnswerverifiedShow Answer

A client who is overweight and smokes is newly diagnosed with thromboangiitis obliterans. The nurse's teaching plan would focus on the highest priority of

Correct AnswerverifiedShow Answer

A client's blood pressure is (150/76) mm Hg in the brachial artery and (162/80) mm Hg in the tibialis artery. After computing the A/B index, the nurse would record that the client's index indicates

Correct AnswerverifiedShow Answer

A client is scheduled for a guillotine amputation and is crying, stating that he/she cannot live with "such an ugly leg." The information from the nurse that would best help the client cope with the upcoming surgery is to tell the client that

Correct AnswerverifiedShow Answer

For a client with deep vein thrombosis (DVT) , the nurse would include in the plan of nursing care the intervention of

Correct AnswerverifiedShow Answer

Immediately after a client's revascularization surgery, the nurse would position the client with the

Correct AnswerverifiedShow Answer

When a client with arterial insufficiency complains of being awakened at night by pain in the legs, the nurse would recommend that the client sleep

Correct AnswerverifiedShow Answer

For a client admitted with a history of chronic arterial insufficiency, the nurse would anticipate that physical assessment will reveal

Correct AnswerverifiedShow Answer

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