Deck 51: Assessment of the Vascular System

Question 1

A client with venous disease is scheduled for impedance plethysmography. Before the study the nurse would explain that

A) an intravenous dye may be used.
B) the procedure is uncomfortable.
C) venous blood flow quality will be measured.
D) walking on a treadmill is required.

Answer 1

venous blood flow quality will be measured.

Question 2

During a physical exam, the nurse asks the client about medical problems that can impact vascular health, including (Select all that apply)

A) diabetes.
B) heart disease.
C) stroke or TIA.
D) gallbladder disease.
E) prior frostbite.

Answer 2

diabetes.
heart disease.
stroke or TIA.
prior frostbite.

Question 3

When a female client tells the nurse, "I always get pains in my legs when walking," the nurse would question her about

A) amount of activity required to cause pain.
B) history of hypertension.
C) number of pregnancies.
D) presence of swelling.

Answer 3

amount of activity required to cause pain.

Question 4

A client has a 30 mm Hg difference in blood pressures in the arms. For subsequent blood pressure readings, the nurse should use

A) a larger blood pressure cuff.
B) a smaller blood pressure cuff.
C) the arm with the higher reading.
D) the arm with the lower reading.

Question 5

Age-related changes the nurse incorporates into interpreting the physical assessment for vascular disorders include (Select all that apply)

A) blood pressure readings are often inaccurate in older people.
B) dorsalis pedis and posterior tibial pulses may be more difficult to palpate.
C) peripheral vascular disease is common among the elderly.
D) skin changes, such as dependent rubor, are often seen in people over 65.

Question 6

To determine if a client with complaints of pain after walking 5 blocks is experiencing intermittent claudication, the nurse would ask

A) "Do you experience leg swelling?"
B) "Does pain go away when you rest?"
C) "Is the pain cramp-like?"
D) "Is the pain in the calf muscle?"

Question 7

For a client admitted to the hospital with chronic venous disease, the nurse's assessment of the client's legs would most likely reveal

A) decreased pulses.
B) erythema.
C) overgrowth of hair.
D) reduced muscle mass.

Question 8

A client is taking garlic and hawthorn supplements. The nurse would ask further questions to elicit information on a possible history of

A) atherosclerosis.
B) hypertension.
C) smoking.
D) varicose veins.

Question 9

During lower extremity inspection of a client with early chronic venous disease, the nurse would expect to find

A) decreased peripheral pulses.
B) dependent cyanosis.
C) muscular hypertrophy.
D) pitting edema of the lower extremities.

Question 10

When assessing a client with arterial insufficiency, the nurse would expect

A) bounding arterial pulses.
B) cool, pale skin.
C) muscular atrophy.
D) warm, erythematous legs.

Question 11

A client has a suspected DVT. The nurse would prepare the client to undergo a

A) air plethysmography.
B) ankle-brachial index measurement.
C) computed tomography (CT) scan.
D) ultrasonic duplex scan.

Question 12

The nurse tests the capillary refill on a client's lower extremity and notes that it takes 4 seconds for the color to return to baseline. It would be most important for the nurse to then check for

A) constricting clothing.
B) other indicators of peripheral perfusion.
C) presence of venous ulcers.
D) prior surgery on this extremity.