Deck 19: Disorders of the Venous System

Question 1

Which is a cause for the occurrence of varicose veins?
1)Valvular incompetence in the legs
2)Sluggish circulation
3)Poor tissue oxygenation
4)Impaired removal of fluid and waste products

Answer 1

1

Question 2

Which drug administered to clients with deep venous thromboembolism (DVT)requires an international normalized ratio monitoring?
1)Low molecular weight heparin
2)Factor Xa inhibitor
3)Warfarin
4)None of the above

Answer 2

3

Question 3

Which specific sign or symptom indicates that a client is suffering from varicose veins?
1)Itching and aching lower leg muscles
2)Ropiness over a vein in the leg
3)Tenderness in the vein
4)Irregular margins in the medial ankle region

Answer 3

1

Question 4

Which test is most commonly used to diagnose varicose vein?
1)D-dimer test
2)Duplex ultrasound
3)Wells criteria
4)Magnetic resonance imaging

Question 5

The tunica media is
1)an endothelial cell lining.
2)the smooth muscle layer of the wall of a vein.
3)made up of connective tissue.
4)also called the tunica adventitia.

Question 6

A client works as a sales associate in a garment outlet and has to stand for the duration of each work shift.Clinical examination reveals a presence of a dusky discoloration around the ankle,instep,and lower leg.What condition do these findings indicate?
1)Deep venous thromboembolism
2)Pulmonary embolism
3)Chronic venous insufficiency
4)Varicose vein

Question 7

A client with left lower extremity swelling and tenderness along a vein has to be assessed to rule out deep vein thrombosis (DVT).Which criteria would rule out DVT?
1)A negative D-dimer assay and Wells criteria score of 3
2)A positive D-dimer assay and Wells criteria score of less than 1
3)A negative D-dimer assay and Wells criteria score of less than 2
4)A positive D-dimer assay and Wells criteria score of 0

Question 8

A registered nurse is teaching a group of nursing students about Homan's sign.Which statement made by the student nurse indicates effective learning?
1)"Place the client in the supine position with a straight knee and dorsiflex the client's foot."
2)"Place the client in a prone position and flex the knee to a right angle."
3)"Place the client such that the back is rested and knees are flexed,and then dorsiflex the ankle.
4)"Place the client in a sitting position and extend the legs one at a time,and then both together.

Question 9

What condition can develop from a deep venous thrombosis (DVT)if it is not caught and treated early enough?
1)Necrosis
2)Skin breakdown
3)Tissue damage
4)Pulmonary embolism

Question 10

A client presents with a painful,swollen mass at the ankle of the right leg.Physical examination revealed that the edema is dark red in color,with drainage just above the medial malleolus of the leg.Which condition has the client developed?
1)Deep venous thromboembolism
2)Pulmonary embolism
3)Venous ulcer
4)Varicose vein

Question 11

What is the outermost layer of the walls of a vein?
1)Tunica adventitia
2)Parietal layer
3)Tunica intima
4)Visceral layer
5)Tunica media

Question 12

Which diagnostic test is used to identify the pattern of collateral blood flow?
1)Venography
2)Ultrasonography
3)Photoplethysmography
4)None of the above

Question 13

A nurse is reviewing the prescription records of four clients being treated for deep vein thromboembolism (DVT). Client 1
Client 2
Client 3
Client 4
Low molecular weight heparin
Warfarin
Bivalirudin
Rivaroxaban
Which client needs a prothrombin time lab test to monitor the therapeutic effects of the drug?
1)Client 1
2)Client 2
3)Client 3
4)Client 4

Question 14

What is the purpose of a Greenfield filter?
1)To prevent the formation of a blood clot
2)To help burst a blood clot
3)To prevent a blood clot from traveling
4)To detect a blood clot

Question 15

A nurse is caring for a client with chronic venous insufficiency.Which instruction is appropriate to include in the client's care plan?
1)Try to reduce your walking throughout the day.
2)Wear constriction garments.
3)Apply a cold compression.
4)Elevate your legs periodically during the day.

Question 16

A 60-year-old client is seen at the clinic with skin inflammation.There is dusky discoloration around the ankle and in the lower leg of the client.What might be the cause of this condition?
1)Reduced blood pressure in the veins
2)Insufficient oxygenation to the tissues
3)Buildup of hemosiderin
4)Blockage of sweat gland

Question 17

A nurse is assessing four clients for deep vein thromboembolism (DVT). Client 1
Client 2
Client 3
Client 4
D- dimer level
Elevated
Normal
Low
Elevated
Well's criteria score
2
1
0
1
Which client is at a risk of developing DVT?
1)Client 1
2)Client 2
3)Client 3
4)Client 4

Question 18

A client reports to the hospital with a swollen mass on the left leg.Physical examination reveals that the swollen mass is red,tender,and is textured like a rope.A review of the client's records show that the client has recently undergone an orthopedic surgery on his right leg.Which condition has the client developed?
1)Deep venous thromboembolism
2)Pulmonary embolism
3)Chronic venous insufficiency
4)Varicose vein

Question 19

The nurse uses Homan's sign to assess a client for the presence of deep venous thromboembolism (DVT).Pain in what area is an indication of positive Homan's sign?
1)Hip
2)Calf
3)Knee
4)Thighs

Question 20

A client comes to the clinic with dark red edema on the lower leg,with irregular margins of skin breakdown especially in the medial ankle region.The primary health-care provider diagnoses necrosis and tissue damage surrounding the affected area.What treatment would the nurse expect to be prescribed for this client?
1)Sclerotherapy
2)Antiplatelet drugs
3)Topical medications
4)Pneumatic compression device

Question 21

Which of the risk factors form part of Virchow's triad? Select all that apply.
1)Venous stasis
2)Smoking
3)Vascular damage
4)Obesity
5)Hypercoagulability