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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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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