Deck 31: Coordinating Care for Patients With Vascular Disorders

Question 1

A patient is diagnosed with a 7 cm abdominal aortic aneurysm.What should the nurse include in this patient's plan of care?

A) Keep the bed flat
B) Elevate the lower extremities
C) Raise the head of the bed 30 degrees
D) Assist to sit out of bed in a chair twice a day

Answer 1

Keep the bed flat

Question 2

The nurse suspects that a patient has atherosclerosis.What finding did the nurse use to make this clinical determination?

A) Dizziness
B) Headaches
C) Nosebleeds
D) Pain when walking

Answer 2

Pain when walking

Question 3

An older patient seeks emergency care for a sudden onset of severe abdominal pain.Which health problem should the nurse suspect be occurring in this patient?

A) Rupture of the appendix
B) Small bowel obstruction
C) Passing of a kidney stone
D) Rupture of an abdominal aneurysm

Answer 3

Rupture of an abdominal aneurysm

Question 4

A patient with hypertension has a low serum potassium level.Which mechanism should the nurse consider as being the cause for the elevated blood pressure?

A) Aldosterone
B) Increased sodium intake
C) Sympathetic nervous system
D) Renin-angiotensin-aldosterone system (RAAS)

Question 5

The nurse is planning care for a patient with peripheral arterial disease.Which nursing diagnosis would be appropriate for this patient?

A) Anxiety
B) Chronic pain
C) Risk for injury
D) Risk for decreased cardiac output

Question 6

A patient with peripheral arterial disease is instructed on the medication pentoxifylline (Trental).Which patient statement indicates that teaching has been effective?

A) "This pill will cure my arterial disease."
B) "This medication will begin to work in a week or two."
C) "I should take this medication every day with a baby aspirin."
D) "I might not feel the effect of this medication for up to two months."

Question 7

The nurse is evaluating teaching provided to a patient with hypertension.Which observation indicates that additional instruction would be required?

A) Asks that no one smoke in the house
B) Takes a 15-minute walk three times a day
C) Enjoys four ounces of red wine with dinner
D) Adds salt when cooking eggs in a frying pan

Question 8

The nurse auscultates a bruit over a patient's carotid artery.Which noninvasive diagnostic test should the nurse expect to be prescribed for this patient?

A) Carotid angiography
B) Carotid duplex ultrasound
C) Magnetic resonance angiography
D) Computed tomography angiography

Question 9

A patient learns of having a 1 cm abdominal aortic aneurysm.What should the nurse emphasize when discussing the health problem with this patient?

A) Stop smoking
B) Increase physical activity
C) Engage in stress management
D) Reduce the intake of saturated fat

Question 10

A patient experiencing pain and burning in the legs at rest.Which stage of peripheral arterial disease should the nurse suspect this patient is experiencing?

A) Stage I
B) Stage II
C) Stage III
D) Stage IV

Question 11

The nurse is preparing teaching material to help a patient with atherosclerosis manage lifestyle changes.What should the nurse emphasize in this teaching?

A) Limit cigarette smoking
B) Follow a low-fat,low-cholesterol diet
C) Consider adopting an active lifestyle
D) Take medications when symptoms occur

Question 12

A patient is diagnosed with an abdominal aneurysm measuring 5 cm.Which teaching material should the nurse prepare for this patient?

A) Dietary changes
B) Preoperative and postoperative care
C) Actions to reduce high blood pressure
D) Activities to prevent aneurysm rupture

Question 13

A patient is diagnosed with carotid artery disease.For which potential health problem should the nurse prepare teaching for this patient?

A) Stroke
B) Diabetes
C) Hypertension
D) Dyslipidemia

Question 14

A patient with atherosclerosis asks why smoking cessation is important.What should the nurse respond to this patient?

A) "Tobacco causes atherosclerosis."
B) "Tobacco reduces the effects of cholesterol in the body."
C) "Tobacco causes the blood pressure to drop and changes the cells within the arteries."
D) "Tobacco smoke speeds the growth of atherosclerosis in coronary arteries,aorta,and the legs."

Question 15

A patient's blood pressure is 158/90 mm Hg;however,previous measurements have been within normal limits.Which intervention would be appropriate for this patient?

A) Investigate for additional health problems
B) Prepare teaching on antihypertensive medications
C) Schedule an additional measurement in a few weeks
D) Instruct on the effects of hypertension on major body organs

Question 16

A patient is being evaluated for medication therapy to treat atherosclerosis.For which health problem would a statin be contraindicated?

A) Diverticulitis
B) Celiac disease
C) Liver cirrhosis
D) Type 2 diabetes mellitus

Question 17

A client with type 2 diabetes mellitus is newly diagnosed with carotid artery disease.What should the nurse emphasize when discussing blood glucose control with this patient?

A) "Maintain blood glucose levels within normal limits."
B) "The issue with the carotid arteries is a priority at this time."
C) "Blood glucose control will be difficult because of the additional medications for the carotid arteries."
D) "Once you have the carotid artery surgery you won't need to keep blood glucose levels within normal limits."

Question 18

A patient is suspected of having an abdominal aortic aneurysm.For which gold standard diagnostic test should the nurse prepare teaching for this client?

A) Cardiac MRI
B) Abdominal ultrasound
C) CT scan with IV contrast
D) Transthoracic echocardiography (TTE)

Question 19

A patient recovering from a carotid endarterectomy (CEA)has a blood pressure of 90/48 mm Hg.What should the nurse do first?

A) Raise the head of the bed
B) Lower the head of the bed
C) Assess cranial nerve function
D) Maintain head in neutral position

Question 20

During a physical assessment the nurse suspects that a client is experiencing a femoral thrombosis.What finding did the nurse use to make this clinical determination?

A) Calf pain
B) Dilated superficial veins
C) Thigh swelling to the knee
D) Entire leg swollen and painful

Question 21

The nurse is identifying actions to reduce a patient's risk for developing another deep vein thrombosis (DVT).What should the nurse include?

A) Restrict fluids
B) Wear tight leggings
C) Perform exercises every day
D) Increase the amount of time standing in place

Question 22

The nurse is visiting the home of a patient with peripheral arterial disease.For which observation should the nurse immediately intervene?

A) Sits with both feet on the floor
B) Walks around the house barefoot
C) Uses a mirror to examine the bottom of the feet
D) Eats grilled chicken on whole wheat bread for lunch