Exam 20: Peripheral Vascular System

The nurse is caring for a male client who is complaining of dizziness when standing. The client has been compliant with his antihypertensive medication. Which statements made by the client are commonly associated with the use of antihypertensive medication?

The nurse is assessing a client admitted to the hospital for congestive heart failure (CHF) and notes 1+ pitting edema of the left arm, as well as bilateral 1+ pitting edema in the client's ankles. The client's history indicates that the client has had a myocardial infarction and a left mastectomy. Which is the most probable cause of the edema in the client's left arm?

The nurse is assessing the blood pressure of a client. The nurse obtains the blood pressure in both of the client's arms. The nurse determines that there is a difference of 15 mmHg in the systolic readings between the arms and repeats the assessment with the same results. Based on this data, which does the nurse suspect?

A client's blood pressure is 138/86 mmHg. Which will the nurse use when documenting this finding in the client's medical record?

The nurse is assessing a client's blood pressure. The client asks the nurse why it is important to feel for his pulse prior to taking his blood pressure. Which response by the nurse is the most appropriate?

The nurse is thoroughly assessing the client for any peripheral vascular problems. The client requested the nurse to state exactly what the nurse was looking for during the assessment. Which statements by the nurse are appropriate to include in the assessment process?

While performing a focused interview with a healthy adult client, the nurse notes frequent position changes, wringing of hands, lack of eye contact, incomplete sentences, and rapid speech. The vital signs are BP 160/88 mmHg, apical pulse 102 beats per minute, respiratory rate 26 per minute. Which responses by the nurse are appropriate in this situation?

An adult female client wishes to begin taking oral contraceptives. The medical history indicates that the client had a deep vein thrombosis three years ago. After reviewing the objectives set forth in Healthy People 2020, which response by the nurse is the most appropriate?

The nurse is performing an assessment of the client's peripheral vascular system. Which actions by the nurse are appropriate when assessing this client?

A client presents with an enlargement of several cervical lymph nodes and asks the nurse about the function of these structures. Which response by the nurse is the most appropriate?

The nurse is educating a client about blood pressure values. Which statement by the client indicates appropriate understanding of the teaching session?

The nurse is completing an assessment on a client following a cardiac catheterization procedure. During the initial assessment, the nurse easily palpates the client's right dorsalis pedis and posterior tibial pulses. The pulses on the client's left leg are strong and easily palpable. During the next assessment, the nurse is unable to palpate or find these pulses on the right side with a Doppler. Which is the priority action by the nurse based on this data?

The nurse is performing an assessment on a healthy preschool-age client and palpates two enlarged lymph nodes on the child's neck. The lymph nodes are soft, mobile, nontender, and each is less than 1 cm in diameter. Which action by the nurse is the most appropriate?

The nurse is performing a focused interview with a client who was recently diagnosed with varicose veins. Which statements by the client will the nurse document as risk factors for varicose vein development?

The nurse is caring for a client who may have an arterial obstruction in her right ulnar artery. Which test may be used to help determine the patency of this artery?

The nurse is documenting an ulcer on the lateral aspect of the client's right great toe. The nurse notes that the ulcer is pale with well-defined edges and there is no evidence of bleeding. Which other assessment data would be useful to determine the origin of this client's ulcer?

An adult female client develops a pulmonary embolism and is admitted to the intensive care unit (ICU). While completing the client's health history interview, which data is consistent with the admitting diagnosis of pulmonary embolism?

The nurse educator is teaching a group of nursing students how to perform an assessment of the client's peripheral vascular system. Which student statements indicate an appropriate understanding of the peripheral vascular assessment?

The client developed a pulmonary embolism. In which most distal area of the lower extremity did the embolism likely originate?

The nurse is conducting a wellness presentation for a group of factory employees and notes a large number of African Americans present. Based on information included in Healthy People 2020, which topic is a priority for this population?