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Management Of Clients With Vascular Disorders

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Question 1
Free
Multiple Choice

The nurse teaches the client with intermittent claudication that the pain results from

Choose correct answer/s
A

lactic and pyruvic acid buildup.

B

muscle cramps.

C

rapid vasodilation in the legs.

D

venous stasis.

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Question 2
Free
Multiple Choice

The nurse is caring for a client who is taking warfarin sodium (Coumadin) for a history of DVT. Before administering the medication, the nurse should assess the client's

Choose correct answer/s
A

Homan's sign.

B

PT, INR.

C

PTT.

D

vital signs.

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Question 3
Free
Multiple Choice

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

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A

a resection.

B

grafting.

C

medications to raise BP.

D

semi-annual ultrasound.

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Question 4
Free
Multiple Choice

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

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A

using cornstarch on the feet.

B

using toenail clippers.

C

wearing canvas shoes.

D

wearing cotton socks.

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Question 5
Free
Multiple Choice

In the exercise teaching plan for a client with chronic arterial occlusive disease, the nurse would caution the client to

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A

avoid exercising the feet in the dependent position.

B

elevate feet periodically for 30 minutes.

C

not walk if an open ulcer forms.

D

walk a little farther each day even if pain occurs.

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Question 6
Multiple Choice

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

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A
antibiotics.
B
anticoagulants.
C
platelets.
D
skin preparation.
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Question 7
Multiple Choice

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

Choose correct answer/s
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."
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Question 8
Multiple Choice

.Before a client's amputation, the nurse would counsel that the client may experience "phantom sensation" after surgery, which is

Choose correct answer/s
A
the sensation that the leg is still there.
B
experiencing painful feelings in the amputated leg.
C
neuropathy that may delay prosthesis fitting.
D
part of establishing a new center of gravity.
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Question 9
Multiple Choice

For the first 24 hours after a client's leg amputation, the nurse would place the stump

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A
Below the level of the heart.
B
elevated on a pillow.
C
flat on the bed.
D
in external rotation.
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Question 10
Multiple Choice

To prevent skin breakdown of a client's stump, the nurse teaches the client to

Choose correct answer/s
A
adjust the prosthesis if it causes discomfort.
B
apply alcohol to the stump to toughen the skin.
C
wash the stump daily with mild soap, and then rinse and dry it.
D
wear cotton stump socks.
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Question 11
Multiple Choice

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

Choose correct answer/s
A
decrease blood viscosity.
B
dissolve the thrombi.
C
inhibit the synthesis of clotting factors.
D
prevent absorption of vitamin K.
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Question 12
Multiple Choice

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

Choose correct answer/s
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.
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Question 13
Multiple Choice

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

Choose correct answer/s
A
Buerger's disease.
B
deep vein thrombosis.
C
Raynaud's phenomenon.
D
varicose veins.
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Question 14
Multiple Choice

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

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A
Impaired Adjustment.
B
Risk for Disuse Syndrome.
C
Risk for Fluid Volume Excess.
D
Risk for Infection.
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Question 15
Multiple Choice

A client is scheduled for computed tomography (CT) of the abdomen because of a suspected abdominal aortic aneurysm. The nurse would assess this client for

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A
abdominal pain radiating down one or both legs.
B
abdominal rebound tenderness.
C
painful abdominal distention.
D
pulsating abdominal mass.
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Question 16
Multiple Choice

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

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A
rubor with elevation of feet.
B
pallor when feet are dependent.
C
diminished pedal pulses.
D
warm, edematous skin.
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Question 17
Multiple Choice

A female client with Raynaud's disease asks the nurse why she is taking the same calcium channel blocker that her brother-in-law takes for a heart condition. The nurse's response would include information that the calcium channel blocker will relieve some clinical manifestations of Raynaud's disease by

Choose correct answer/s
A
decreasing vasospasm.
B
increasing cardiac output to increase circulation.
C
increasing vasodilation.
D
reducing the pain in the extremities.
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Question 18
Multiple Choice

A client is wearing sequential compression devices (SCDs) on the bilateral lower legs. Nursing care for these devices includes

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A
not allowing the client to ambulate.
B
pre-wrapping the legs with Ace bandages.
C
removing them twice a day to inspect skin.
D
turning them off every 2 hours for 10 minutes.
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Question 19
Multiple Choice

The nurse explains to a client started on daily doses of Plavix after femoral bypass surgery that the purpose of this regimen is to

Choose correct answer/s
A
decrease platelet aggregation.
B
decrease postoperative pain.
C
increase vasodilation in the legs.
D
prevent postoperative fever.
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Question 20
Multiple Choice

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

Choose correct answer/s
A
feet elevated on pillows.
B
legs flexed with the knee gatch up.
C
legs separated with pillows.
D
operative leg totally flat.
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