Medications
A patient with a peripheral vascular disorder is prescribed warfarin. The patient asks if he can continue taking his other herbs. Which herb bring concern to the nurse?
A. Rosemary
B. Basil
C. Ginkgo biloba
D. Ginger
C. Ginkgo biloba
(pg. 351)
What diagnostic test would you perform to determine if a client has venous insufficiency and stasis? Select all that apply.
A. Venography
B. Doppler Ultrasonography
C. CT Scan
D. MRI
E. Pap Smear
A. Venography
B. Doppler Ultrasonography
(pg. 361)
A client has a Unna boot applied for treatment of a venous stasis leg ulcer. The nurse notes the clients toes are mottled and cold, and the client verbalizes some numbness and tingling of the foot. Which interpretation should the nurse make of these findings?
A. The boot has not yet dried
B. The boot is controlling leg edema
C. The boot is impairing venous return
D. The boot has been applied too tightly
D. The boot has been applied too tightly
(Saunders ID 0940)
Which of the following are risk factors for peripheral vascular disorders? Select all that apply.
A. Increased Age
B. Male
C. Female
D. Family History of Atherosclerosis
E. Emotional Stress
A. Increased Age
B. Male
D. Family History of Atherosclerosis
E. Emotional Stress
(pg. 343)
What diet should you teach a hypertensive patient to follow?
A. Low fat, High calorie, Low cholesterol
B. Low fat, Low calorie, High cholesterol
C. Low fat, Low calorie, Low cholesterol
D. High fat, High calorie, High cholesterol
C. Low fat, Low calorie, Low cholesterol
(cardio PowerPoint slides)
Which medication is used for hypertension?
A. Hydrochlorothiazide
B. Econazole
C. Cephalexin
D. Paxil
A. Hydrochlorothiazide
Which of the following is considered hypertension? Select all that apply.
A. 156/98
B. 138/88
C. 162/90
D. 90/54
A. 156/98
C. 162/90
(pg. 346)
The nurse is assessing a patient and suspects a patient is experiencing thrombophlebitis in the lower leg. What symptoms would the nurse assess? Select all that apply.
A. Numbness along a vein
B. Severe cramping
C. Edema of the extremity
D. Calf is warm to the touch
E. Pain in the effected extremity
C. Edema of the extremity
D. Calf is warm to the touch
E. Pain in the effected extremity
(Pg. 365 #6)
What is Buergers Disease?
A. Blood in the aortic wall
B. Small and Medium sized arteries would become inflamed and thrombotic
C. Weakened artery walls
D. Dilated Veins
B. Small and Medium sized arteries would become inflamed and thrombotic
(pg. 355)
Which symptoms should a patient taking digoxin report to their health care provider? Select all that apply.
A. Visual disturbance
B. Dysrhythmias
C. Nausea/Vomiting
D. Auditory Hallucinations
E. Hypotension
A. Visual disturbance
B. Dysrhythmias
C. Nausea/Vomiting
(EAQ pg. 331)
A client is diagnosed with pulmonary embolism and is to be treated with thrombolytic therapy. The nurse should report which priority data collection finding to the registered nurse before initiating this therapy?
A. Adventitious breath sounds
B. Temperature of 99.4 F orally
C. Blood Pressure of 198/110
D. Respiratory Rate of 28 breaths per minute
C. Blood Pressure of 198/110
(Saunders ID 0954)
What diagnostic test is gold standard to assess the condition of the deep leg veins and to diagnose DVT.
A. Doppler Ultrasound
B. Venography
C. Angiography
D. D-dimer
B. Venography (pg. 346)
A client diagnosed with thrombophlebitis 1 day ago suddenly complains of chest pain and shortness of breath, and the client is visibly anxious. Which is a life-threatening complication that could be occuring?
A. Pneumonia
B. Pulmonary Edema
C. Pulmonary Embolism
D. Myocardial Infarction
C. Pulmonary Embolism
(Saunders ID:0524)
A client seeks medical attention for intermittent episodes in which the fingers of both hands become pale, numb and cold. The client states that they then become reddened and swollen with a throbbing, achy pain and Raynaud's disease is diagnosed. Which factor would precipitate these episodes?
A. Exposure to heat
B. Being in a relaxed environment
C. Prolonged episodes of inactivity
D. Ingestion of coffee or chocolate
D. Ingestion of coffee or chocolate
(Saunders ID 3009)
What nursing interventions would you encourage to a patient with insufficient knowledge related to anticoagulant therapy? Select all that apply.
A. Reposition Patient every 2 Hours
B. Tell Patient not to cross legs
C. Monitor for signs of bleeding
D. Avoid sharp flexion in area of graft
E. Incentive spirometer
A. Reposition Patient every 2 Hours
B. Tell Patient not to cross legs
C. Monitor for signs of bleeding
D. Avoid sharp flexion in area of graft
(pg. 353)
A client is receiving a continuous intravenous infusion of heparin in the treatment of deep vein thrombosis. The nurse is told that the clients activated partial thromboplastin time (aPTT) level is 65 seconds and that the clients baseline before the initiation of therapy was 30 seconds. The nurse identifies these results as characteristic of which description?
A. Low
B. Elevated
C. Abnormal
D. Within the therapeutic range
D. Within the therapeutic range
(Saunders ID 1758)
The nurse is assessing a patient who had an embolectomy in the right lower extremity. Which assessment finding is cause for greatest concern?
A. Sudden absence of pulse in the effected extremity
B. Capillary refill in extremity is greater than 2 seconds
C. Effected extremity erythematous and edematous
D. Patient reports a tingling sensation in extremity
A. Sudden absence of pulse in the effected extremity
(Adult Health Study Guide : Pg.54 (#39)
True or False. Decreased blood flow results in diminished sensation in the lower extremities. Any heat source can cause severe burns before the client actually realizes the damage is being done.
TRUE
(Hesi Book, pg. 73)
A patient is diagnosed with Raynaud's Disease. Which explanation most accurately describes this condition? Select all that apply.
A. Raynaud's Disease is triggered by cold temperatures or stress
B. Raynaud's Disease occurs due to a vasospasm of the peripheral veins.
C. Raynaud's Disease affects the toes, fingers, and sometimes the ears and nose.
D. Raynaud's disease is prevented by glucose control
A. Raynaud's Disease is triggered by cold temperatures or stress
C. Raynaud's Disease affects the toes, fingers, and sometimes the ears and nose.
(registerednursern.com : Peripheral Vascular Disease NCLEX Questions)
The nurse is providing patient teaching for a patient with Raynauds disease. Which information should be included? Select all that apply.
A. Avoid cold
B. Warm hands and feet with heating pad
C. Practice stress reduction techniques
D. Comply with smoking cessation
E. Limit caffeine intake
A. Avoid cold
C. Practice stress reduction techniques
D. Comply with smoking cessation
E. Limit caffeine intake
(pg. 366 #25)
Nifedipine has been prescribed for a client with Raynauds disease, and the nurse reinforces medication instructions with the client about the medication. Which statement by the client indicates a need for further teaching?
A. "I will contact my doctor if I get short of breath."
B. "I will call my doctor if I get headaches that worsen."
C. "Nausea and drowsiness are expected, and if they occur, I don't really need to worry about it."
D. "I need to get up slowly when I change positions because the medicine causes hypotension."
C. "Nausea and drowsiness are expected, and if they occur, I don't really need to worry about it."
(Saunders ID 2168)
A client is diagnosed with disseminated intravascular coagulopathy (DIC). The nurse should become concerned with which laboratory values? Select all that apply.
A. Increased D-dimer
B. Decreased Hemoglobin
C. Increased Platelet Count
D. Decreased Fibrinogen Level
E. Decreased Prothrombin Level
A. Increased D-dimer
B. Decreased Hemoglobin
D. Decreased Fibrinogen Level
(Saunders ID 1760)
What are the signs and symptoms of varicose veins? Select all that apply.
A. Cramping of muscles
B. Edema
C. A feeling of heaviness or pressure
D. Bruit
E. Thrill
A. Cramping of muscles
B. Edema
C. A feeling of heaviness or pressure
(pg. 360)
Your patient has severe peripheral venous disease. During the head-to-toe nursing assessment, you would expect to find what skin characteristics of the lower extremities? Select all that apply.
A. Thick, tough
B. Thin, scaly
C. Hairless
D. Brown pigmented
The nurse is giving discharge instructions to the client with varicose veins. The nurse realizes there is a need for further teaching when the client makes which statement?
A. "I need to watch my diet to lose weight."
B. "I should put my elastic support hose on when I get up."
C. "I want to start taking the herbal supplement, bilberry."
D. "I need to sit as much as possible with my legs elevated."
D. "I need to sit as much as possible with my legs elevated."
(Saunders ID 1309)