ACUTE ARTERIAL OCLUSION
A client presents at the emergency department complaining of sudden pain, numbness, pallor and pulselessness in the lower extremity. The nurse suspects acute arterial occlusion. Which additional findings will the nurse observe after assessment?
A. Warm, red skin
B. Strong, bounding pulse
C. Cyanosis and coolness of the affected limb
D. Increase capillary refill
C. Cyanosis and coolness of the affected limb
Which manifestation is characteristic of chronic venous insufficiency?
A. Chest pain & Confusion
B. Severe pain
C. Brown discoloration and ankle edema
D. Necrosis
C. Brown discoloration and ankle edema
Chronic Venous Insufficiency is caused by damaged valves in the arteries, resulting in poor circulation and skin discoloration
False (Veins)
Which diagnostic tests are commonly used to confirm acute arterial occlusion?
A. Arteriogram
B. Ultrasound
C. EGD
D. VQ Scan (lungs)
E. ECG
A. Arteriogram
B. Ultrasound
D. VQ Scan (lungs)
What is the highest priority problem for in Acute Arterial Occlusion?
A. Impaired Skin Integrity
B. Risk for Infection
C. Ineffective Tissue Perfusion
D. Altered Sensory Perception
C. Ineffective Tissue Perfusion
What is a common cause of Chronic Venous Insufficiency
A. Damaged valves in veins
B. MI
C. Atherosclerosis
D. A-fib
A. Damaged valves in veins
Surgical management for acute arterial occlusion may involve embolectomy to remove the clot obstructing blood flow
True
A nurse is assessing a client diagnosed with acute arterial occlusion. What are the signs when assessing neurovascular assessment for a patient with acute arterial occlusion?
A. Pallor (Cyanosis)
B. Pain
C. Bleeding
D. Poikilothermia (Coolness)
E. Pulse (Absent)
F. Diaphoresis
G. Paralysis (No movement)
H. Bruising
I. Paresthesia (Numbness & Tingling)
A. Pallor (Cyanosis)
B. Pain
D. Poikilothermia (Coolness)
E. Pulse (Absent)
G. Paralysis (No movement)
I. Paresthesia (Numbness & Tingling)
What is the primary pharmacological intervention for Acute Arterial Occlusion to prevent clot formation?
A. Thrombolytic Agents
B. Anticoagulants
C. Antiplatelet drugs
D. Beta-blockers
B. Anticoagulants
What vascular system carries nutrients and oxygenated blood to all body tissues?
A. Venous vascular system
B. Lymphatic system
C. Endocrine system
D. Arterial vascular system
D. Arterial vascular system
The primary manifestation of chronic venous insufficiency is severe pain and confusion
False (Acute Arterial Occlusion)
Acute arterial occlusion is defined as a sudden blockage of arterial blood flow to the extremities. What are the factors that contribute to the occlusion of a artery?
A. Blunt force trauma
B. A plaque that builds up in the arteries of lower extremity
C. Vigorous exercise
D. A-fibrillation (A-fib)
A. Blunt force trauma
B. A plaque that builds up in the arteries of lower extremity
D. A-fibrillation (A-fib)
A client is scheduled for a surgical procedure to restore arterial blood flow of right extremity due to acute arterial occlusion. Which essential nursing interventions must be done during preoperative phase?
A. Administering Heparin 1 hour before the procedure
B. Keeping the client NPO (nothing by mouth)
C. Asking the client if they have any allergies
D. Allowing the client to have snack meanwhile the procedure starts
B. Keeping the client NPO (nothing by mouth)
The nurse is providing discharge teaching to a client with Chronic Venous Insufficiency. Which instructions should the nurse include?
A. Avoid wearing compression stockings during the day
B. Sit with your legs crossed for extended periods of time
C. Remain inactive
D. Avoid prolonged sitting or standing
D. Avoid prolonged sitting or standing
The primary pharmacological intervention for acute arterial occlusion is anticoagulants to prevent further clot formation
True
The nurse is teaching the client about chronic venous insufficiency. The client has understood the teaching when they mention which of the following complications?
A. DVT
B. Limb loss
C. Chronic venous ulceration
D. Necrosis
E. Cellulitis
F. Acute pain
G. Chronic pain
A. DVT
C. Chronic venous ulceration
E. Cellulitis
G. Chronic pain