Week 7a Flashcards
The nurse is taking a health history on a new patient. The patient reports experiencing pain on the left lower leg and foot when walking. This pain is relieved with rest. The nurse notes that the left lower leg is slightly oedematous and is hairless. What does the nurse suspect that the patient may be experiencing?
a. diabetes b. arterial embolus
c. coronary artery disease. d. intermittent claudication
e. raynaud’s disease
d. intermittent claudication
The nurse is caring for a client with a leg ulcer caused by arterial insufficiency. The nurse knows that a recommended treatment for arterial insufficiency of the leg is what?
a. compression stockings. b. TED stockings
c. embolectomy. d. vascular reconstruction
e. anti thrombolytic medications
d. vascular reconstruction
The steps to obtaining an ABI are:
1. Apply the appropriate size BP cuff to the patient’s ankle above the malleolus.
2. Measure brachial pressures in both arms.
3. Have the patient rest in a supine position for about 5 minutes.
4. Palpate the posterior tibial and dorsal is pedis arteries.
Put the steps of measuring an ABI in the correct order.
Answer is: 3, 1, 4, 2.
A nurse is assessing a new patient who is diagnosed with peripheral arterial disease. The nurse cannot feel the pulse in the patient’s left foot. What could the nurse use to assess the blood flow in the patient’s left foot?
a. An ultrasound machine b. A stethoscope
c. A fetascope d. Doppler
e. Palpation
d. Doppler
Graduated compression stockings are used to treat and prevent venous insufficiency, leg ulcers, and varicose veins. What amount of compression would be prescribed for patients with venous stasis ulceration?
a. 20-30 mm Hg b. 35-45 mm Hg c. 25-35 mm Hg
d. Over 80 mm Hg e. 40-50 mm Hg
e. 40-50 mm Hg
The nurse is caring for a patient who is admitted to your unit with a diagnosis of venous ulceration unresponsive to treatment. What is the nurse most likely to find during an assessment of this patient?
a. Gangrene b. Pale wound bed.
c. Heavy exudate d. Deep wound bed.
e. No exudate.
c. Heavy exudate.
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. thoracic aneurysm
b. Intermittent claudication
c. Pressure areas
d. Raynaud’s disease
e. Deep vein thrombosis
e. Deep vein thrombosis
<p>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. Adequate peripheral circulation b. Inadequate coronary output c. Arterial narrowing d. Dependent oedema e. Venous narrowing</p>
<p>c. Arterial narrowing</p>
