Deck 36: Vascular Disorders

Question 1

Vascular disease disorders often require the use of elastic stockings.When caring for a patient with elastic stockings,the nurse should:

A) Apply the stockings and roll down the cuff.
B) Remove the stockings for skin inspection 2 times a day
C) Remove the stockings when the patient is ambulating.
D) Inspect the skin for pressure or irritation daily.

Answer 1

Remove the stockings for skin inspection 2 times a day

Question 2

The nurse records that the patient has a 3+ edema to the right foot,which means that the nurse's thumb depressed the edematous area to a depth of:

A) More than 1 inch
B) ½ to 1 inch
C) ¼to ½ inch
D) Less than ¼ inch

Answer 2

½ to 1 inch

Question 3

When the patient inquires how something as simple as walking could help his venous vascular disorder,the nurse explains that walking will:

A) Improve the strength of the vascular walls.
B) Boost venous circulation through leg muscle activity.
C) Increase cardiac output.
D) Clear plaques from the veins.

Answer 3

Boost venous circulation through leg muscle activity.

Question 4

A nurse performs the Allen test to evaluate the adequacy of circulation in the radial artery by:

A) Asking the patient to relax the hand by the side.
B) Compressing only the ulnar artery to blanch the hand.
C) Releasing pressure on both arteries at the same time.
D) Observing whether the color is returning to hand, which indicates perfusion.

Question 5

The nurse assesses that the teaching plan for the use of warfarin was not effective when the patient says:

A) "I don't take aspirin anymore."
B) "I read that grapefruit interferes with warfarin."
C) "I'm drinking too much tea. My urine looks like tea."
D) "I wear my medical alert bracelet all the time."

Question 6

The nurse notes ulcerations on the surfaces of the patient's toes and assesses this as an indication of:

A) Skin breakdown from pressure
B) Nutritional deficit
C) Venous stasis
D) Arterial stasis

Question 7

Following an angiogram,the nurse will make a point of care to assess and document:

A) Fluid intake
B) Peripheral pulses in the effected leg
C) Inquiring about an allergy to iodine
D) Decreased blood pressure

Question 8

The nurse cautions the patient with PVD that his continued smoking causes detrimental vasoconstriction for up to ____ after only one cigarette.

A) 10 minutes
B) 20 minutes
C) 30 minutes
D) 1 hour

Question 9

A normal age-related change in older adults that makes them susceptible to cardiovascular disease is:

A) Increase in cardiac output
B) Increase in stroke volume
C) Stiff peripheral vessels
D) Oxygen capacity improvement

Question 10

The nurse would include in the instruction related to a stress test on a treadmill that the test is a noninvasive procedure that:

A) Is monitored continuously by blood pressure and an electrocardiogram (ECG).
B) Will last about 1 hour.
C) Is meant to stimulate claudication and dyspnea.
D) Will require a period of bedrest afterward.

Question 11

The nurse explains that the major advantage of low-molecular-weight heparin (LMWH)is that LMWH can be given:

A) Orally
B) In a fixed doses
C) Only after partial thromboplastin time (PTT) laboratory work
D) For an immediate effect

Question 12

Because of the relationship between as deep-vein thrombosis (DVT)and other vascular problems,the nurse asks a patient with a DVT about the presence of:

A) An aneurysm
B) Rheumatoid arthritis
C) A peptic ulcer
D) Recurring chest pain

Question 13

While performing an intake examination on a patient with PVD,the nurse identifies a factor that aggravates vascular disease,which is that the patient:

A) Rides a bicycle to work.
B) Drinks red wine every day.
C) Is employed as an air traffic controller.
D) Eats chocolate candy every day.

Question 14

A patient with arterial insufficiency should be instructed to:

A) Frequently allow the legs to dangle dependently.
B) Rub the legs vigorously.
C) Stand often to keep blood flow in the legs.
D) Walk barefoot.

Question 15

The nurse explains that a capillary refill time of less than 3 seconds is a quick assessment for:

A) Hypertension
B) Tissue perfusion
C) Excess fluid volume
D) Increased blood viscosity

Question 16

The nurse records the assessment of stasis dermatitis on an intake assessment for a patient with peripheral vascular disease (PVD).This assessment indicates the presence of:

A) Brownish skin discoloration on lower legs
B) Ulceration on medial surface of lower legs
C) Edema in lower legs
D) Purple rash on medial surface of lower legs

Question 17

The nurse cautions a patient that one of the characteristics of a venous stasis ulcer is:

A) Painlessness
B) Poikilothermy
C) Pale color
D) Location near the groin

Question 18

The patient performing Buerger-Allen Exercises will not:

A) Lie on the stomach.
B) Raise legs for 2 minutes until they blanch.
C) Lower the legs until the color returns.
D) Keep legs flat for 5 minutes and then repeat the exercise.

Question 19

The nurse performs the Homans maneuver by flexing the knee and sharply dorsiflexing the foot.A positive Homans sign would be:

A) Cramping of the toes
B) Resisting dorsiflexion
C) Pain in the calf area
D) Blanching of the sole

Question 20

A 69-year-old patient reports a burning,aching pain in the legs when walking to the mailbox.These symptoms are relieved with rest.The nurse would suspect:

A) Venous insufficiency
B) Claudication
C) Phlebitis
D) Rest pain

Question 21

The nurse recognizes that the effect of warfarin (Coumadin)will be lessened when the patient is also taking:

A) Iron supplement for anemia
B) Simvastatin (Zocor) for the control of cholesterol
C) Furosemide (Lasix) for fluid retention
D) Yaz (drospirenone/estradiol) as an oral contraceptive

Question 22

A patient has returned from a vein ligation and stripping.Nursing care would include instructions to:

A) Dangle the legs to prevent edema.
B) Cross the legs to apply pressure.
C) Wear compression stockings to promote circulation.
D) Remove the drain after 24 hours.

Question 23

The nurse explains that the lining of a vessel that allows for smooth blood flow and also reduced resistance in the vessel is the ____________________ of the vessel.

Question 24

The obese postsurgical patient complains of sudden discomfort in her leg.The nurse assesses the leg and finds it cold and pale with no pedal or popliteal pulse.These are signs of:

A) Venous thrombosis
B) Arterial occlusion
C) Vascular spasm
D) Paresthesia

Question 25

After surgery to repair an abdominal aortic aneurysm,the nurse would assess the patient for:

A) Periorbital edema
B) Tremor or facial twitching
C) Rising blood pressure
D) Bowel sounds

Question 26

The nurse explains that older persons adapt more slowly to changes in the peripheral vascular system because of:

A) Slowing heart rate
B) Decreasing cardiac output
C) Increasing stroke volume
D) Stiffening of blood vessels
E) Thickening of aorta

Question 27

The nurse who suspects a circulatory disorder in one leg should compare it with the other for the assessment of:

A) Color
B) Warmth
C) Muscle strength
D) Pulse quality
E) Hair loss on extremity

Question 28

An important postoperative sign to report immediately when caring for a patient with an endarterectomy with a synthetic graft is:

A) Headache
B) Fever
C) Edema
D) Pain

Question 29

The patient with Raynaud disease has a nursing diagnosis of "Ineffective tissue perfusion,related to vasoconstriction" is being given discharge instructions.The nurse would caution the patient to:

A) Avoid defrosting the freezer.
B) Wear gloves and warm socks when outdoors.
C) Chafe hands frequently to warm them.
D) Wash dishes in warm water.

Question 30

Patient teaching for the patient with varicose veins should include:

A) Weight reduction
B) Decreasing exercise
C) Wearing a panty girdle
D) Standing rather than sitting

Question 31

The nurse explains that when the patient history reveals a recent episode of vomiting and diarrhea,the nurse anticipates that this fluid loss will cause ____________________ and increased blood viscosity.