Ch 26 Vascular Disorders, Peripheral Circulation Flashcards
The nurse is taking a health history of a new patient. The patient reports experiencing pain in his 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. When planning this patient’s subsequent care, the nurse should most likely address what health problem?
A. Coronary artery disease (CAD)
B. Intermittent claudication
C. Arterial embolus
D. Raynaud’s disease
B. Intermittent claudication
While assessing a patient the nurse ores that the patient’s ankle-brachial index (ABI) of the right leg is 0.40. How should the nurse best response to this assessment finding?
A. Assess the patient’s use of over-the-counter dietary supplements
B. Implement interventions relevant to arterial narrowing
C. Encourage the patient to increase intake of foods high in vitamin K
D. Adjust the patient’s activity level to accommodate decreased coronary output
B. Implement interventions relevant to arterial narrowing
The nurse is providing care for a patient who has just been diagnosed with peripheral arterial occlusive disease (PAD). What assessment finding is most consistent with this diagnosis?
A. Numbness and tingling in the distal extremities
B. Unequal peripheral pulses between extremities
C. Visible clubbing of the fingers and toes
D. Reddened extremities with muscle atrophy
B. Unequal peripheral pulses between extremities
The nurse is admitting a 32-year old woman to the pre surgical unit. The nurse learns during the admission assessment that the patient takes oral contraceptives. Consequently, the nurse’s postoperative plan of care should include what intervention?
A. Early ambulation and leg exercises
B. Cessation of the oral contraceptives until 3 weeks postoperative
C. Doppler ultrasound of peripheral circulation twice daily
D. Dependent positioning of the patient’s extremities when at rest
A. Early ambulation and leg exercises
A nurse is creating an education plan for a patient with venous insufficiency. What measure should the nurse include in the plan?
A. Avoiding tight-fitting socks
B. Limit activity whenever possible
C. Sleep with legs in a dependent position
D. Avoid the use of pressure stockings
A. Avoiding tight-fitting socks
The nurse is caring for a patient with a large venous leg ulcer. What intervention should the nurse implement to promote healing and prevent infection?
A. Provide a high-calorie, high-protein diet
B. Apply a clean occlusive dressing once daily and whenever soiled
C. Irrigate the wound with hydrogen peroxide once daily
D. Apply an antibiotic ointment on the surrounding skin with each dressing change
A. Provide a high-calorie, high-protein diet
The nurse is caring for a patient who returned from the tropics a few weeks ago and who sought care with signs and symptoms of lymphedema. The nurse’s plan of care should prioritize what nursing diagnosis?
A. Risk for infection related to lymphedema
B. Disturbed body image related to lymphedema
C. Ineffective health maintenance related to lymphedema
D. Risk for deficient fluid volume related to lymphedema
A. Risk for infection related to lymphedema
