Deck 35: Vascular Disorders

Question 1

What is a characteristic of a venous stasis ulcer?

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

Answer 1

Painlessness

Question 2

A patient has returned from a vein ligation and stripping.What are the appropriate instructions for a nurse to provide?

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.

Answer 2

Wear compression stockings to promote circulation.

Question 3

What patient teaching should be included for a patient with varicose veins?

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

Answer 3

Weight reduction

Question 4

An 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.What should the nurse suspect?

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

Question 5

What should a nurse ask a patient related to past history of deep-vein thrombosis (DVT)and other vascular problems?

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

Question 6

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

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

Question 7

______ is intermittent constriction of arterioles that affects the hands primarily, although it can affect the toes and tip of the nose.

Question 8

Hyperbaric O₂ therapy may be prescribed in an attempt to promote healing of the ulcer by reducing capillary pressure and ______ the blood.

Question 9

The nurse is caring for a patient diagnosed with arterial embolism.What patient teaching information will the nurse anticipate providing to the patient? (Select all that apply.)

A) Protect affected limbs from pressure.
B) Apply ice packs to affected extremity as needed.
C) Gradually increase activity as tolerated.
D) Avoid exercise.
E) Report any pain or numbness to health care provider.

Question 10

A nurse records the assessment of stasis dermatitis on an intake assessment for a patient with peripheral vascular disease (PVD).What is the best way to describe this finding?

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

Question 11

Which postoperative sign should a nurse report immediately when caring for a patient with an endarterectomy with a synthetic graft?

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

Question 12

What assessment should a nurse perform on a patient after the repair of an abdominal aortic aneurysm?

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

Question 13

A nurse notes ulcerations on the surfaces of a patient's toes.What should this assessment most likely indicate?

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

Question 14

A patient with Raynaud disease has poor tissue perfusion and is being given discharge instructions.What should the nurse include when providing this information?

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