Vascular Disorders

55問 • 1年前

問題一覧

When discussing risk factor modification for a patient who has a 5-cm abdominal aortic aneurysm, the nurse will focus teaching on which patient risk factor?

uncontrolled hypertension

A patient has a 6-cm thoracic aortic aneurysm that was discovered during routine chest x-ray. When obtaining an admission history from the patient, it will be most important for the nurse to ask about

trouble swallowing

Several hours after a patient had an open surgical repair of an abdominal aortic aneurysm, the UAP reports to the nurse that urinary output for the past 2 hours has been 45 mL. The nurse notifies the health care provider and anticipates an order for a(n)

increased IV infusion rate

A patient in the outpatient clinic has a new diagnosis of peripheral artery disease (PAD). Which group of drugs will the nurse plan to include when teaching about PAD management?

statins

An older patient with chronic atrial fibrillation develops sudden severe pain, pulselessness, pallor, and coolness in the right leg. The nurse should notify the health care provider and immediately

keep the patient in bed in the supine position.

A patient at the clinic says, "I always walk after dinner, but lately my leg cramps and hurts after just a few minutes of starting. The pain goes away after I stop walking, though." The nurse should

palpate for the presence of dorsalis pedis and posterior tibial pulses.

The nurse performing an assessment of a patient who has chronic peripheral artery disease (PAD) of the legs and an ulcer on the right second toe would expect to find

Prolonged capillary refill in all the toes

When evaluating the discharge teaching for a patient with chronic peripheral artery disease (PAD), the nurse determines a need for further instruction when the patient says,

"I will use a heating pad on my feet at night to increase the circulation."

After teaching a patient with newly diagnosed Raynaud's phenomenon about how to manage the condition, which action by the patient best demonstrates that the teaching has been effective?

The patient exercises indoors during the winter months.

The health care provider has prescribed bed rest with the feet elevated for a patient admitted to the hospital with venous thromboembolism. Which action by the nurse to elevate the patient's feet is best?

One pillow is placed under the thighs and two pillows are placed under the lower legs

The health care provider prescribes an infusion of heparin and daily partial thromboplastin time (PTT) testing for a patient with venous thromboembolism (VTE). The nurse will plan to

avoid giving IM medications to prevent localized bleeding.

A patient with a venous thromboembolism (VTE) is started on enoxaparin (Lovenox) and warfarin (Coumadin). The patient asks the nurse why two medications are necessary. Which response by the nurse is most accurate?

"Enoxaparin will work right away, but warfarin takes several days to begin preventing clots."

The nurse has started discharge teaching for a patient who is to continue warfarin (Coumadin) after hospitalization for venous thromboembolism (VTE). The nurse determines that additional teaching is needed when the patient says which of the following?

"I should reduce the amount of green, leafy vegetables that I eat."

A 46-yr-old service-counter worker undergoes sclerotherapy for treatment ofsuperficial varicose veins at an outpatient center. Which instructions shouldthe nurse provide to the patient beforedischarge?

Elastic compression stockings should beapplied before getting out of bed.

Which topic should the nurse include inpatient teaching for a patient with a venous stasis ulcer on the left lower leg?

Application of elastic compression stockings

Which patient statement to the nurse ismost consistent with the diagnosis of venous insufficiency?

"I can't get my shoes on at the end of theday."

The nurse is developing a dischargeteaching plan for a patient diagnosedwith thromboangiitis obliterans (Buerger's disease). Which expected outcomehas the highest priority for this patient?

Cessation of all tobacco use

Which nursing action should be includedin the plan of care after endovascularrepair of an abdominal aortic aneurysm?

Monitor fluid intake and urine output.

Which action by a new nurse who isgiving fondaparinux (Arixtra) to a patient with a lower leg venous thromboembolism (VTE) indicates that more education about the drug is needed?

The nurse ejects the air bubble from thesyringe before giving the drug.

A young adult patient tells the health careprovider about experiencing cold, numbfingers when running during the winter,and Raynaud's phenomenon is suspected. The nurse will anticipate teaching thepatient about tests for

autoimmune disorders.

While working in the outpatient clinic, thenurse notes that a patient has a historyof intermittent claudication. Which statement by the patient would support thisinformation?

"My legs cramp when I walk more than ablock."

Which instructions should the nurse include in a teaching plan for an older patient newly diagnosed with peripheralartery disease (PAD)?

"It is very important that you stop smoking cigarettes."

An older patient with a history of anabdominal aortic aneurysm arrives atthe emergency department (ED) with severe back pain and absent pedal pulses.Which action should the nurse take first?

Check the patient's blood pressure.

After receiving change of shift report,which patient admitted to the emergencydepartment should the nurse assessfirst?

A 50-yr-old patient who is complainingof sudden sharp and severe upper backpain

The nurse is caring for a patient immediately after repair of an abdominal aorticaneurysm. On assessment, the patienthas absent popliteal, posterior tibial, anddorsalis pedis pulses. The legs are cooland mottled. Which action should thenurse take first?

Notify the surgeon and anesthesiologist.

When caring for a patient on the firstpostoperative day after an abdominalaortic aneurysm repair, which assessment finding is most important for thenurse to communicate to the health careprovider?

Maroon-colored liquid stool

The nurse is caring for a patient with critical limb ischemia who has just arrivedon the nursing unit after having percutaneous transluminal balloon angioplasty.Which action should the nurse performfirst?

obtain vital signs

A patient who is 2 days post femoralpopliteal bypass graft to the right legis being cared for on the vascular unit.Which action by a licensed practical/vocational nurse (LPN/LVN) caring for thepatient requires the registered nurse(RN) to intervene?

The LPN/LVN has the patient to sit in achair for 2 hours.

Which assessment finding for a patientwho has been admitted with a rightcalf venous thromboembolism (VTE) requires immediate action by the nurse?

New onset shortness of breath

Which nursing intervention for a patientwho had an open repair of an abdominal aortic aneurysm 2 days previously isappropriate for the nurse to delegate tounlicensed assistive personnel (UAP)?

Help the patient to use a pillow to splintwhile coughing.

The nurse is caring for a patient with adescending aortic dissection. Which assessment finding is most important toreport to the health care provider

Blood pressure of 138/88 mm Hg

A patient is being evaluated for postthrombotic syndrome. Which assessment will the nurse perform?

Inspect for presence of lipodermatosclerosis.

Which actions could the nurse delegateto unlicensed assistive personnel (UAP)who are providing care for a patient whois at risk for venous thromboembolism?

Apply sequential compression devicewhenever the patient is in bed.

The nurse who works in the vascularclinic has several patients with venousinsufficiency scheduled today. Which patient should the nurse assign to an experienced licensed practical/vocationalnurse (LPN/LVN)?

Patient who needs wound care for achronic venous stasis ulcer on the rightlower leg

The nurse is admitting a patient newly diagnosed with peripheral artery disease.Which admission order should the nurse question?

Omeprazole drug therapy

When gathering nursing assessmentdata, what finding will adults with chroniccardiac diseases most frequently manifest?

Clubbed fingertips

During a routine preemployment physical examination of a 28-year-old, a heart murmur is heard. If the heart murmuris related to valve damage caused by achildhood infection, the nurse would expect the client to report having had whatdisease?

Rheumatic fever

The nurse notes that postoperatively theclient experiences shortness of breathduring self-care. What nursing actionwould best reduce the client's energy expenditure?

Staggering self-care activities over several hours

A patient reports that their hands alwaysfeel cold. Recently, they went outside incold weather without gloves, and theirhands became blue and painful. Whenthe patient went back inside and warmedtheir hands, they turned red. Which disease process do these symptoms correlate with most closely?

Raynaud syndrome

The nurse is caring for a patient withperipheral arterial disease (PAD). Whichstep should be taken first in managing PAD?

Lifestyle changes

The nurse is caring for a patient withan abdominal aortic aneurysm. Whichcause is the most common cause of anacquired aneurysm?

Atherosclerosis

The nurse is caring for a patient whodeveloped postoperative venous thrombosis. Which teaching should the nurseprovide to the patient?

Protect the legs from pressure and trauma.

The nurse is contributing to the data collection for a patient who was admittedwith diabetes mellitus. Which symptomsobserved by the nurse would indicate peripheral vascular disease?

Legs and feet that are pale

The nurse is assisting a patient to ambulate. After 20 days, the patient complains of severe burning pain in his leftcalf. The patient has no significant musculoskeletal history. Which priority intervention should be implemented?

Assist the patient to sit down.

The nurse answers a call light from a patient who is lying flat in bed. The patientcomplains of a severe burning pain inhis left calf at an 8 of 10 level that wokehim. Which measure will relieve the paincaused by severe arterial occlusion?

Assist the patient to sit on the side of the bed.

The nurse is unable to find a pedal pulseby palpation on the patient's right leg; theleft pedal pulse is palpable. Which disease process do these symptoms mostclosely correlate?

Arterial occlusion

The nurse is caring for a patient withvenous thrombosis and has orders to initiate anticoagulants. Which action doesthe nurse perform before giving anticoagulants?

Check lab results and follow organizationpolicy

Which leg signs and/or symptoms aremost closely correlated with a varicosevein disease? (Select all that apply.)

Fatigue, Cramping, Heaviness

Which information should a nurse aska patient related to past history ofdeep-vein thrombosis (DVT) and othervascular problems?

Recurring chest pain

A 69-year-old patient reports a burning,aching pain in the legs when walkingto the mailbox. These symptoms are relieved with rest. Which diagnosis shouldthe nurse suspect?

Claudication

A nurse records the assessment of stasis dermatitis on an intake assessment for a patient with peripheral vascular disease (PVD). Which description is thebest way to document this finding?

Brownish skin discoloration on the lowerlegs

A nurse notes ulcerations on the surfaces of a patient's toes. Which diagnosisshould this assessment most likely indicate?

Arterial stasis

Which characteristic is indicative of a venous stasis ulcer?

Painlessness

A patient has returned from a vein ligation and stripping. Which instructions areappropriate for a nurse to provide?

Wear compression stockings to promotecirculation.

An obese postsurgical patient complainsof sudden discomfort in their leg. Thenurse assesses the leg and finds it coldand pale with no pedal or popliteal pulse.Which diagnosis should the nurse suspect?

Arterial occlusion

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ユーザ名非公開 · 61問 · 1年前

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