Deck 25: Caring for Clients With Disorders of Coronary and Peripheral Blood Vessels

Question 1

In arteriosclerosis, commonly referred to as hardening of the arteries, the rigid arterial vessels fail to stretch. This has the potential for what?

A) Decreasing the flow of unoxygenated blood through the body
B) Slowing the flow of blood throughout the body
C) Increasing the flow of blood throughout the body
D) Sending a reduced volume of oxygenated blood to the major organs of the body

Answer 1

Sending a reduced volume of oxygenated blood to the major organs of the body

Question 2

You are caring for a client who is suspected of having coronary artery disease. The client is scheduled to have a nuclear stress test using thallium. When would the thallium be injected to determine narrowing of the coronary arteries?

A) During and a few hours after exercise electrocardiography.
B) Before and during exercise electrocardiography.
C) Before and a few hours after exercise electrocardiography.
D) Before, during, and a few hours after exercise electrocardiography.

Answer 2

During and a few hours after exercise electrocardiography.

Question 3

You suspect that your client has coronary artery disease (CAD). What diagnostic tests would you expect to be ordered for this client? Select all that apply.

A) Composite lipid profile studies
B) Stress angiography
C) Exercise electrocardiograhy
D) Veinography
E) Cardiac catheterization

Answer 3

Composite lipid profile studies
Exercise electrocardiograhy
Cardiac catheterization

Question 4

You are caring for a client at risk for thrombosis. What is an appropriate nursing action when evaluating this client?

A) Examine the client's mental and emotional status.
B) Examine the extremities and assess skin color, capillary refill time, and tissue integrity.
C) Examine for pain around the shoulder and neck region.
D) Examine the extremities for skin lesions.

Question 5

You are presenting a workshop at the senior citizens center about how the changes of aging predisposes clients to vascular occlusive disorders. What would you name as the most common cause of peripheral arterial problems in the older adult?

A) Arteriosclerosis
B) Coronary thrombosis
C) Atherosclerosis
D) Raynaud's disease

Question 6

You are caring for a client with CAD. What is an appropriate nursing action when evaluating a client with coronary artery disease (CAD)?

A) Assess the client's mental and emotional status.
B) Assess the skin of the client.
C) Assess the characteristics of chest pain.
D) Assess for any kind of drug abuse.

Question 7

The nursing instructor is talking about myocardial infarctions (MI) to her junior nursing class. What would the instructor tell the students is the most common cause of an MI?

A) Coronary thrombosis
B) Venous stasis
C) Arteriosclerosis
D) Stroke

Question 8

The nurse is working with a client who has just been diagnosed with an aneurysm. What advice should the nurse provide to this client?

A) Minimize bowel movements and coughing.
B) Avoid situations that contribute to ischemic episodes.
C) Avoid straining during bowel movements and coughing.
D) Wear wool socks and mittens during cold weather.

Question 9

As the clinic nurse caring for a client with varicose veins, what is an appropriate nursing action for this client?

A) Demonstrate how to self-administer IV infusions.
B) Demonstrate how to apply and remove elastic support stockings.
C) Assess for the sites of bleeding.
D) Assess for skin integrity.

Question 10

What is a characteristic of atherosclerosis?

A) Fatty deposits in the lumen of arteries
B) Cholesterol plugs in the lumen of veins
C) Blood clots in the arteries
D) Emboli in the veins

Question 11

A client is admitted to your unit with a diagnosis of phlebothrombosis. When you assess this client, what would you expect to find?

A) Low-grade fever without pain
B) Positive Homans' sign
C) Positive Trousseau's sign
D) Redness, heat, and swelling of the extremity

Question 12

You are caring for a client with varicose veins. What diagnostic test evaluates varicose veins?

A) Magnetic resonance imaging
B) Radiography
C) Computed tomography scan
D) Brodie-Trendelenburg

Question 13

A client asks the clinic nurse what the difference is between arteriosclerosis and atherosclerosis. What is the nurse's best response?

A) Arteriosclerosis is a loss of elasticity, or hardening of the arteries, that happens as we age.
B) Atherosclerosis is a loss of elasticity, or hardening of the arteries, that happens as we age.
C) Arteriosclerosis is a formation of clots in the inner lining of the arteries.
D) Atherosclerosis is a formation of clots in the inner lining of the arteries.

Question 14

For a client with thrombosis, what does the nurse do if pulses cannot be palpated?

A) Use computed tomography scan
B) Use radiography
C) Use Doppler ultrasound device
D) Use magnetic resonance imaging

Question 15

A client with venous insufficiency asks the nurse what they can do to decrease their risk of complications. What advice should the nurse provide to clients with venous insufficiency?

A) Elevate the legs periodically for at least an hour.
B) Avoid foods with iodine.
C) Elevate the legs periodically for at least 15 to 20 minutes.
D) Refrain from sexual activity for a week.

Question 16

The nurse is caring for a client with Raynaud's disease. What are important instructions for a client who is diagnosed with this disease to prevent an attack?

A) Report changes in the usual pattern of chest pain.
B) Avoid situations that contribute to ischemic episodes.
C) Avoid fatty foods and exercise.
D) Take over-the-counter decongestants.

Question 17

You are giving an educational event for a local community group. You have been asked to speak on risk factors for diseases of the peripheral arteries. What risk factors would you list? Select all that apply.

A) Atherosclerosis
B) Gender
C) Diet
D) Inactivity
E) Diseases such as osteosarcoma

Question 18

You are preparing a client for a Brodie-Trendelenburg test. What is an appropriate nursing action while conducting this test for clients with varicose veins?

A) Encourage the client to ask questions.
B) Offer assurance about the safety of the tourniquet used.
C) Discuss the client's anxiety with the physician.
D) Apply the tourniquet to the upper thigh and determine the valve potency of the superficial veins.

Question 19

A client has had oral anticoagulation ordered. What should you monitor for when your client is taking oral anticoagulation?

A) Partial thromboplastin time (PTT), prothrombin time (PT), and international normalized ratio (INR)
B) Hourly IV infusion
C) Vascular sites for bleeding
D) Urine output

Question 20

A client comes to the Emergency Department (ED) complaining of precordial chest pain. In describing the pain, the client describes it as pressure with a sudden onset. What disease process would you suspect in this client?

A) Coronary artery disease
B) Raynaud's Disease
C) Cardiogenic Shock
D) Venous Occlusive Disease

Question 21

When caring for a client with a diagnosis of aortic aneurysm scheduled for surgery, what would be most important for the nurse to monitor?

A) Intake and output, nutrition level, respirations, and characteristics of pain
B) Cultural needs, characteristics of pain, and signs of hemorrhage or dissection
C) Level of consciousness, characteristics of pain, and signs of hemorrhage or dissection
D) BP, pulse, respirations, and signs of hemorrhage or dissection

Question 22

The nurse is caring for a client who is scheduled to have a vein ligation in the morning. How would you describe a vein ligation to the client?

A) Veins are tied off and removed.
B) Removal of the great saphenous vein.
C) Veins are tied off and left in the leg.
D) Removal of the small saphenous vein.

Question 23

The nurse is caring for a client who is status post operative from a vein stripping. What would the nurse monitor for?

A) Swelling in the inoperative leg
B) Blood on the dressing on the inoperative leg
C) Warm, pink toes in the inoperative leg
D) Swelling in the operative leg

Question 24

You are assessing a client recently admitted to your unit for hypotension. While assessing this client, you find a pulsatile mass near the umbilicus. What would you suspect?

A) Coronary artery disease
B) Aortic aneurysm
C) Raynaud's disease
D) Peripheral Artery Disease

Question 25

When doing discharge teaching with a client who has had a vein stripping, what would be important to teach the client?

A) Appropriate foot and nail care.
B) Nutritional changes that need to be made.
C) Not to soak in the bath tub.
D) Decrease activity levels.