Question 1

A nurse is reviewing the physiological factors that affect a patients cardiovascular health and tissue oxygenation. What is the systemic arteriovenous oxygen difference?

Accepted Answer

A)   The average amount of oxygen removed by each organ in the body
B)   The amount of oxygen removed from the blood by the heart
C)   The amount of oxygen returning to the lungs via the pulmonary artery
D)   The amount of oxygen in aortic blood minus the amount of oxygen in the vena caval bloodE) A) and D)
F) B) and C)

Question 2

A nurse is creating an education plan for a patient with venous insufficiency. What measure should the nurse include in the plan?

Accepted Answer

A)   Avoiding tight-fitting socks.
B)   Limit activity whenever possible.
C)   Sleep with legs in a dependent position.
D)   Avoid the use of pressure stockings.E) C) and D)
F) A) and D)

Question 3

A patient presents to the clinic complaining of the inability to grasp objects with her right hand. The patients right arm is cool and has a difference in blood pressure of more than  20 mmHg20 \mathrm{~mm} \mathrm{Hg}20 mmHg  compared with her left arm. The nurse should expect that the primary care provider may diagnose the woman with what health problem?

Accepted Answer

A)   Lymphedema
B)   Raynauds phenomenon
C)   Upper extremity arterial occlusive disease
D)   Upper extremity VTE E) A) and B)
F) All of the above

Question 4

A nurse is closely monitoring a patient who has recently been diagnosed with an abdominal aortic aneurysm. What assessment finding would signal an impending rupture of the patients aneurysm?

Accepted Answer

A)   Sudden increase in blood pressure and a decrease in heart rate
B)   Cessation of pulsating in an aneurysm that has previously been pulsating visibly
C)   Sudden onset of severe back or abdominal pain
D)   New onset of hemoptysisE) B) and D)
F) None of the above

Question 5

The triage nurse in the ED is assessing a patient who has presented with complaint of pain and swelling in her right lower leg. The patients pain became much worse last night and appeared along with fever, chills, and sweating. The patient states, I hit my leg on the car door 4 or 5 days ago and it has been sore ever since. The patient has a history of chronic venous insufficiency. What intervention should the nurse anticipate for this patient?

Accepted Answer

A)   Platelet transfusion to treat thrombocytopenia
B)   Warfarin to treat arterial insufficiency
C)   Antibiotics to treat cellulitis
D)   Heparin IV to treat VTEE) All of the above
F) C) and D)

Question 6

The nurse is caring for a patient with a large venous leg ulcer. What intervention should the nurse implement to promote healing and prevent infection?

Accepted Answer

A)   Provide a high-calorie, high-protein diet.
B)   Apply a clean occlusive dressing once daily and whenever soiled.
C)   Irrigate the wound with hydrogen peroxide once daily.
D)   Apply an antibiotic ointment on the surrounding skin with each dressing change.E) A) and B)
F) A) and C) A

Question 7

The nurse is caring for a 72-year-old patient who is in cardiac rehabilitation following heart surgery. The patient has been walking on a regular basis for about a week and walks for 15 minutes 3 times a day. The patient states that he is having a cramp-like pain in the legs every time he walks and that the pain gets better when I rest. The patients care plan should address what problem?

Accepted Answer

A)   Decreased mobility related to VTE
B)   Acute pain related to intermittent claudication
C)   Decreased mobility related to venous insufficiency
D)   Acute pain related to vasculitisE) All of the above
F) C) and D)

Question 8

A nurse working in a long-term care facility is performing the admission assessment of a newly admitted, 85-year-old resident. During inspection of the residents feet, the nurse notes that she appears to have early evidence of gangrene on one of her great toes. The nurse knows that gangrene in the elderly is often the first sign of what?

Accepted Answer

A)   Chronic venous insufficiency
B)   Raynauds phenomenon
C)   VTE
D)   PADE) A) and D)
F) A) and B)

Question 9

A nurse is assessing a new patient who is diagnosed with PAD. The nurse cannot feel the pulse in the patients left foot. How should the nurse proceed with assessment?

Accepted Answer

A)   Have the primary care provider order a CT.
B)   Apply a tourniquet for 3 to 5 minutes and then reassess.
C)   Elevate the extremity and attempt to palpate the pulses.
D)   Use Doppler ultrasound to identify the pulses.E) A) and D)
F) None of the above

Question 10

While assessing a patient the nurse notes that the patients ankle-brachial index (ABI)  of the right leg is 0.40 . How should the nurse best respond to this assessment finding?

Accepted Answer

A)   Assess the patients use of over-the-counter dietary supplements.
B)   Implement interventions relevant to arterial narrowing.
C)   Encourage the patient to increase intake of foods high in vitamin  K\mathrm{K}K .
D)   Adjust the patients activity level to accommodate decreased coronary output. E) A) and B)
F) A) and C)

Question 11

A postsurgical patient has illuminated her call light to inform the nurse of a sudden onset of lower leg pain. On inspection, the nurse observes that the patients left leg is visibly swollen and reddened. What is the nurses most appropriate action?

Accepted Answer

A)   Administer a PRN dose of subcutaneous heparin.
B)   Inform the physician that the patient has signs and symptoms of VTE.
C)   Mobilize the patient promptly to dislodge any thrombi in the patients lower leg.
D)   Massage the patients lower leg to temporarily restore venous return.E) All of the above
F) B) and D) B

Question 12

A nurse in a long-term care facility is caring for an 83-year-old woman who has a history of HF and peripheral arterial disease (PAD) . At present the patient is unable to stand or ambulate. The nurse should implement measures to prevent what complication?

Accepted Answer

A)   Aoritis
B)   Deep vein thrombosis
C)   Thoracic aortic aneurysm
D)   Raynauds diseaseE) C) and D)
F) None of the above

Question 13

You are caring for a patient who is diagnosed with Raynauds phenomenon. The nurse should plan interventions to address what nursing diagnosis?

Accepted Answer

A)   Chronic pain
B)   Ineffective tissue perfusion
C)   Impaired skin integrity
D)   Risk for injuryE) A) and D)
F) A) and C)

Question 14

A nurse in the rehabilitation unit is caring for an older adult patient who is in cardiac rehabilitation following an MI. The nurses plan of care calls for the patient to walk for 10 minutes 3 times a day. The patient questions the relationship between walking and heart function. How should the nurse best reply?

Accepted Answer

A)   The arteries in your legs constrict when you walk and allow the blood to move faster and with more pressure on the tissue.
B)   Walking increases your heart rate and blood pressure. Therefore your heart is under less stress.
C)   Walking helps your heart adjust to your new arteries and helps build your self-esteem.
D)   When you walk, the muscles in your legs contract and pump the blood in your veins back toward your heart, which allows more blood to return to your heart.E) B) and C)
F) A) and D)

Question 15

How should the nurse best position a patient who has leg ulcers that are venous in origin?

Accepted Answer

A)   Keep the patients legs flat and straight.
B)   Keep the patients knees bent to 45-degree angle and supported with pillows.
C)   Elevate the patients lower extremities.
D)   Dangle the patients legs over the side of the bed.E) A) and D)
F) A) and C)

Question 16

A nurse is admitting a 45-year-old man to the medical unit who has a history of PAD. While providing his health history, the patient reveals that he smokes about two packs of cigarettes a day, has a history of alcohol abuse, and does not exercise. What would be the priority health education for this patient?

Accepted Answer

A)   The lack of exercise, which is the main cause of PAD.
B)   The likelihood that heavy alcohol intake is a significant risk factor for PAD.
C)   Cigarettes contain nicotine, which is a powerful vasoconstrictor and may cause or aggravate PAD.
D)   Alcohol suppresses the immune system, creates high glucose levels, and may cause PAD.E) A) and B)
F) B) and C) C

Question 17

The nurse has performed a thorough nursing assessment of the care of a patient with chronic leg ulcers. The nurses assessment should include which of the following components? Select all that apply.

Accepted Answer

A)   Location and type of pain
B)   Apical heart rate
C)   Bilateral comparison of peripheral pulses
D)   Comparison of temperature in the patients legs
E)   Identification of mobility limitationsF) A) and D)
G) D) and E)

Question 18

The nurse is caring for an acutely ill patient who is on anticoagulant therapy. The patient has a comorbidity of renal insufficiency. How will this patients renal status affect heparin therapy?

Accepted Answer

A)   Heparin is contraindicated in the treatment of this patient.
B)   Heparin may be administered subcutaneously, but not IV.
C)   Lower doses of heparin are required for this patient.
D)   Coumadin will be substituted for heparin.E) None of the above
F) A) and B)

Question 19

The prevention of VTE is an important part of the nursing care of high-risk patients. When providing patient teaching for these high-risk patients, the nurse should advise lifestyle changes, including which of the following? Select all that apply.

Accepted Answer

A)   High-protein diet
B)   Weight loss
C)   Regular exercise
D)   Smoking cessation
E)   Calcium and vitamin D supplementationF) C) and D)
G) B) and E)

Question 20

The nurse is evaluating a patients diagnosis of arterial insufficiency with reference to the adequacy of the patients blood flow. On what physiological variables does adequate blood flow depend? Select all that apply.

Accepted Answer

A)   Efficiency of heart as a pump
B)   Adequacy of circulating blood volume
C)   Ratio of platelets to red blood cells
D)   Size of red blood cells
E)   Patency and responsiveness of the blood vesselsF) B) and C)
G) B) and E)

Exam 30: Assessment and Management of Patients With Vascular Disorders and Problems of Peripheral Circulation

A nurse is reviewing the physiological factors that affect a patients cardiovascular health and tissue oxygenation. What is the systemic arteriovenous oxygen difference?

Correct Answer
verified

A nurse is creating an education plan for a patient with venous insufficiency. What measure should the nurse include in the plan?

Correct Answer
verified

Correct Answer
verified

A nurse is closely monitoring a patient who has recently been diagnosed with an abdominal aortic aneurysm. What assessment finding would signal an impending rupture of the patients aneurysm?

Correct Answer
verified

Correct Answer
verified

The nurse is caring for a patient with a large venous leg ulcer. What intervention should the nurse implement to promote healing and prevent infection?

Correct Answer
verified
A

Correct Answer
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Correct Answer
verified

A nurse is assessing a new patient who is diagnosed with PAD. The nurse cannot feel the pulse in the patients left foot. How should the nurse proceed with assessment?

Correct Answer
verified

While assessing a patient the nurse notes that the patients ankle-brachial index (ABI) of the right leg is 0.40 . How should the nurse best respond to this assessment finding?

Correct Answer
verified

A postsurgical patient has illuminated her call light to inform the nurse of a sudden onset of lower leg pain. On inspection, the nurse observes that the patients left leg is visibly swollen and reddened. What is the nurses most appropriate action?

Correct Answer
verified
B

A nurse in a long-term care facility is caring for an 83-year-old woman who has a history of HF and peripheral arterial disease (PAD) . At present the patient is unable to stand or ambulate. The nurse should implement measures to prevent what complication?

Correct Answer
verified

You are caring for a patient who is diagnosed with Raynauds phenomenon. The nurse should plan interventions to address what nursing diagnosis?

Correct Answer
verified

Correct Answer
verified

How should the nurse best position a patient who has leg ulcers that are venous in origin?

Correct Answer
verified

Correct Answer
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C

The nurse has performed a thorough nursing assessment of the care of a patient with chronic leg ulcers. The nurses assessment should include which of the following components? Select all that apply.

Correct Answer
verified

The nurse is caring for an acutely ill patient who is on anticoagulant therapy. The patient has a comorbidity of renal insufficiency. How will this patients renal status affect heparin therapy?

Correct Answer
verified

The prevention of VTE is an important part of the nursing care of high-risk patients. When providing patient teaching for these high-risk patients, the nurse should advise lifestyle changes, including which of the following? Select all that apply.

Correct Answer
verified

The nurse is evaluating a patients diagnosis of arterial insufficiency with reference to the adequacy of the patients blood flow. On what physiological variables does adequate blood flow depend? Select all that apply.

Correct Answer
verified

Exam 30: Assessment and Management of Patients With Vascular Disorders and Problems of Peripheral Circulation

A nurse is reviewing the physiological factors that affect a patients cardiovascular health and tissue oxygenation. What is the systemic arteriovenous oxygen difference?

Correct AnswerverifiedShow Answer

A nurse is creating an education plan for a patient with venous insufficiency. What measure should the nurse include in the plan?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

A nurse is closely monitoring a patient who has recently been diagnosed with an abdominal aortic aneurysm. What assessment finding would signal an impending rupture of the patients aneurysm?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

The nurse is caring for a patient with a large venous leg ulcer. What intervention should the nurse implement to promote healing and prevent infection?

Correct AnswerverifiedA

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

A nurse is assessing a new patient who is diagnosed with PAD. The nurse cannot feel the pulse in the patients left foot. How should the nurse proceed with assessment?

Correct AnswerverifiedShow Answer

While assessing a patient the nurse notes that the patients ankle-brachial index (ABI) of the right leg is 0.40 . How should the nurse best respond to this assessment finding?

Correct AnswerverifiedShow Answer

A postsurgical patient has illuminated her call light to inform the nurse of a sudden onset of lower leg pain. On inspection, the nurse observes that the patients left leg is visibly swollen and reddened. What is the nurses most appropriate action?

Correct AnswerverifiedB

A nurse in a long-term care facility is caring for an 83-year-old woman who has a history of HF and peripheral arterial disease (PAD) . At present the patient is unable to stand or ambulate. The nurse should implement measures to prevent what complication?

Correct AnswerverifiedShow Answer

You are caring for a patient who is diagnosed with Raynauds phenomenon. The nurse should plan interventions to address what nursing diagnosis?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

How should the nurse best position a patient who has leg ulcers that are venous in origin?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedC

The nurse has performed a thorough nursing assessment of the care of a patient with chronic leg ulcers. The nurses assessment should include which of the following components? Select all that apply.

Correct AnswerverifiedShow Answer

The nurse is caring for an acutely ill patient who is on anticoagulant therapy. The patient has a comorbidity of renal insufficiency. How will this patients renal status affect heparin therapy?

Correct AnswerverifiedShow Answer

The prevention of VTE is an important part of the nursing care of high-risk patients. When providing patient teaching for these high-risk patients, the nurse should advise lifestyle changes, including which of the following? Select all that apply.

Correct AnswerverifiedShow Answer

The nurse is evaluating a patients diagnosis of arterial insufficiency with reference to the adequacy of the patients blood flow. On what physiological variables does adequate blood flow depend? Select all that apply.

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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A

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B

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C

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