Chapter 35 Medical Surgical Nursing Preparation For Practice 2nd Edition

Chapter 35  Medical Surgical Nursing Preparation For Practice 2nd Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCMA
A 65-year-old male patient arrives in the clinic complaining of numbness and tingling of the lower extremities and pain in the legs upon exercise. Which questions would the nurse ask to determine the patient’s possible risk factors for peripheral arterial disease (PAD)?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “Do you smoke?”
2. “Are you married?”
3. “Are you diabetic?”
4. “Where were you born?”
5. “Do you exercise?”
Correct Answer: 1,3,5
Rationale 1: Smoking is a risk factor for peripheral arterial disease (PAD).
Rationale 2: Marital status is not a risk factor for PAD.
Rationale 3: Diabetes is a risk factor for peripheral arterial disease (PAD).
Rationale 4: Birthplace is not a risk factor for PAD.
Rationale 5: Exercise may help to delay the symptoms of PAD.
Global Rationale:

Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 35-3

Question 2
Type: MCSA
A patient who has just been diagnosed with peripheral arterial disease (PAD) asks what “intermittent claudication” means. How should the nurse describe this condition?
1. Leg pain that occurs at rest
2. Leg pain that occurs with exercise
3. A tingling feeling in the hands
4. Pain that can occur anywhere in the body with exercise
Correct Answer: 2
Rationale 1: Intermittent claudication is typically relieved by rest.
Rationale 2: Intermittent claudication is exercise-induced leg pain that can occur in different locations throughout the leg/hip area.
Rationale 3: Intermittent claudication does not occur in the hands.
Rationale 4: The pain is unique to the lower extremities.
Global Rationale:

Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 35-3

Question 3
Type: MCSA
A diabetic 68-year-old female patient arrives at the clinic with a history of smoking, hypertension, family history of cardiac disease, COPD, and infrequent exercise. The nurse identifies which of these as the most significant risk factors for peripheral arterial disease (PAD)?
1. COPD and family history of cardiac disease
2. Age and gender
3. Sedentary lifestyle and diabetes
4. Hypertension and smoking
Correct Answer: 4
Rationale 1: COPD and a family history of cardiac disease are not the patient’s most significant risk factors for PAD.
Rationale 2: Age over 70 and male gender are slightly more significant risk factors for PAD.
Rationale 3: A sedentary lifestyle is not one of the most significant risk factors for PAD. Diabetes is significant.
Rationale 4: Hypertension and smoking, along with diabetes, are the top risk factors for developing PAD.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 35-3

Question 4
Type: MCSA
A patient with peripheral arterial disease has a nursing diagnosis of Ineffective Tissue Perfusion. Which nursing intervention is most appropriate for this nursing diagnosis?
1. Assist the patient in taking hot baths.
2. Do not elevate the patient’s legs.
3. Encourage the patient to limit activity.
4. Limit visitors.
Correct Answer: 2
Rationale 1: A patient with PAD should avoid extremes in temperature, such as hot baths and cold weather.
Rationale 2: Keeping a patient’s legs in the dependent position rather than elevated will help increase the arterial circulation.
Rationale 3: Activity should be encouraged, not discouraged.
Rationale 4: There is no need to limit visitors.
Global Rationale:

Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 35-3