Chapter 31 Assessment and Management of Patients With Vascular Disorders and Problems of Peripheral Circulation

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Chapter 31  Assessment and Management of Patients With Vascular Disorders and Problems of Peripheral Circulation

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Multiple Choice

1. The nurse is taking a health history on a new patient. The patient reports experiencing pain in the left lower leg and foot when walking. This pain is relieved with rest. The nurse notes that the left lower leg is slightly edematous and is hairless. What does the nurse suspects that the patient may be experiencing?

A) Coronary artery disease B) Intermittent claudication C) Arterial embolus
D) Raynaud’s disease

Ans: B
Chapter: 31
Client Needs: D-4
Cognitive Level: Analysis Difficulty: Moderate
Integrated Process: Nursing Process Objective: 3
Page and Header: 852, Assessment

Feedback: A muscular, cramp-type pain in the extremities consistently reproduced with the

same degree of exercise or activity and relieved by rest is experienced by patients with peripheral arterial insufficiency. Referred to as intermittent claudication, this pain is caused by the inability of the arterial system to provide adequate blood flow to the tissues in the face of increased demands for nutrients and oxygen during exercise. The nurse would not suspect the patient has CAD, arterial embolus, or Raynaud’s disease.

2. While assessing a patient the nurse notes that the patient’s ankle-brachial index (ABI) of the right leg is 0.40. The nurse is aware that this may indicate what?
A) Venous narrowing
B) Arterial narrowing

C) Adequate peripheral circulation D) Inadequate coronary output

Ans: B
Chapter: 31
Client Needs: D-4
Cognitive Level: Analysis
Difficulty: Difficult
Integrated Process: Nursing Process Objective: 2
Page and Header: 854, Diagnostic Evaluation

Feedback: ABI is used to assess the degree of stenosis of peripheral arteries. An ABI of less than 1.0 indicates possible claudication of the peripheral arteries. It does not indicate venous narrowing, adequate peripheral circulation, or inadequate coronary output.

3. The nursing instructor is talking with the nursing students about peripheral arterial occlusive disease (PACD). The instructor points out that when assessing a patient for PACD the nurse would expect to find what?
A) Equal pulses in the extremities

B) Unequal pulses between extremities C) Equal skin color between extremities D) Warm feet between extremities

Ans: B
Chapter: 31
Client Needs: D-4
Cognitive Level: Application Difficulty: Moderate
Integrated Process: Teaching/Learning

Objective: 4
Page and Header: 863, Peripheral Arterial Occlusive Disease

Feedback: PACD assessment may manifest as unequal pulses between extremities, with the affected leg cooler and paler than the unaffected leg. The nurse would not expect to find equal pulses or skin color in the extremities or warm feet between extremities.

4. You are admitting a 32-year-old woman to your unit. The woman is to undergo major surgery and will be on bed rest for at least 48 hours. While doing the admission assessment the patient tells you she takes oral contraceptives. You know that this puts the patient at an increased risk of developing what?

A) Deep vein thrombosis B) Intermittent claudication C) Raynaud’s disease
D) Thoracic aneurysm

Ans: A
Chapter: 31
Client Needs: D-3
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 5
Page and Header: 876, Venous Thromboembolism

Feedback: Oral contraceptive use increases blood coagulability; with bed rest, the patient may be at increased risk of developing deep vein thrombosis. It does not put her at increased risk for intermittent claudication, Raynaud’s disease, or thoracic aneurysm.

5. A nursing student is writing a teaching plan for a patient with venous insufficiency. The student covers measures to prevent complications from venous insufficiency. What is one measure the student should include in the plan?
A) Avoiding tight-fitting socks

B) Reducing activity
C) Sleeping with legs dependent D) Avoiding pressure stockings

Ans: A
Chapter: 31 Client Needs: D-3

Cognitive Level: Application Difficulty: Moderate
Integrated Process: Teaching/Learning Objective: 6

Page and Header: 881, Chronic Venous Insufficiency/Postthrombotic Syndrome

Feedback: Measures to take to prevent complications include avoiding tight fitting socks and panty girdles, maintaining activities such as walking, sleeping with legs elevated, and using pressure stockings. Not included in the teaching plan for venous insufficiency would be reducing activity, sleeping with legs dependent, and avoiding pressure stockings.

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