Question 1

A client with peripheral vascular disease (PVD)asks the nurse what types of exercise would improve the client's condition and overall health. Which type of exercise will the nurse include in the response to the client?
A)Passive ROM
B)Weight lifting
C)Yoga
D)Team sports

Accepted Answer

A)Yoga is considered a complementary therapy used to reduce stress and improve circulation. Active ROM exercises should be encouraged rather than passive ROM exercises. Weight lifting may increase blood pressure and cause harm to fragile blood vessels. Clients with PVD should have gradual increases in duration and intensity of exercise, so team sports would not be appropriate.
B)Yoga is considered a complementary therapy used to reduce stress and improve circulation. Active ROM exercises should be encouraged rather than passive ROM exercises. Weight lifting may increase blood pressure and cause harm to fragile blood vessels. Clients with PVD should have gradual increases in duration and intensity of exercise, so team sports would not be appropriate.
C)Yoga is considered a complementary therapy used to reduce stress and improve circulation. Active ROM exercises should be encouraged rather than passive ROM exercises. Weight lifting may increase blood pressure and cause harm to fragile blood vessels. Clients with PVD should have gradual increases in duration and intensity of exercise, so team sports would not be appropriate.
D)Yoga is considered a complementary therapy used to reduce stress and improve circulation. Active ROM exercises should be encouraged rather than passive ROM exercises. Weight lifting may increase blood pressure and cause harm to fragile blood vessels. Clients with PVD should have gradual increases in duration and intensity of exercise, so team sports would not be appropriate.

Question 2

A client diagnosed with peripheral vascular disease (PVD)is obese, has a 30-year history of cigarette smoking, and works as a contractor. When discussing risk factors for PVD, which statement by the nurse is appropriate?
A)"Nicotine causes vasospasms, which reduce blood flow to the legs."
B)"Obesity is a factor in cardiovascular disease but not peripheral vascular disease."
C)"Nicotine primarily affects coronary arteries and the lungs."
D)"Your current occupation is a major risk factor."

Accepted Answer

A)The vasoconstrictive properties of nicotine will worsen the client's PVD by further decreasing peripheral blood flow. One of the most important parts of treatment is the cessation of cigarette smoking. The client's occupation is not a risk factor related to PVD. Obesity is a risk factor for both cardiovascular disease and PVD; however, the nurse should focus on smoking cessation as a first priority with this client.
B)The vasoconstrictive properties of nicotine will worsen the client's PVD by further decreasing peripheral blood flow. One of the most important parts of treatment is the cessation of cigarette smoking. The client's occupation is not a risk factor related to PVD. Obesity is a risk factor for both cardiovascular disease and PVD; however, the nurse should focus on smoking cessation as a first priority with this client.
C)The vasoconstrictive properties of nicotine will worsen the client's PVD by further decreasing peripheral blood flow. One of the most important parts of treatment is the cessation of cigarette smoking. The client's occupation is not a risk factor related to PVD. Obesity is a risk factor for both cardiovascular disease and PVD; however, the nurse should focus on smoking cessation as a first priority with this client.
D)The vasoconstrictive properties of nicotine will worsen the client's PVD by further decreasing peripheral blood flow. One of the most important parts of treatment is the cessation of cigarette smoking. The client's occupation is not a risk factor related to PVD. Obesity is a risk factor for both cardiovascular disease and PVD; however, the nurse should focus on smoking cessation as a first priority with this client.

Question 3

A client with peripheral vascular disease (PVD)is experiencing pain. Which nursing intervention addresses the client's pain?
A)Elevate legs in bed
B)Keep the extremities warm
C)Encourage to ambulate several times each day
D)Apply cool compresses to the extremities

Accepted Answer

A)The nurse should help keep the client's extremities warm, as heat promotes vasodilation and reduces pain. Elevating the legs in bed and encouraging the client to ambulate are more appropriate for promoting tissue perfusion and will not immediately address the client's pain. Cool compresses will constrict vessels and cause more pain.
B)The nurse should help keep the client's extremities warm, as heat promotes vasodilation and reduces pain. Elevating the legs in bed and encouraging the client to ambulate are more appropriate for promoting tissue perfusion and will not immediately address the client's pain. Cool compresses will constrict vessels and cause more pain.
C)The nurse should help keep the client's extremities warm, as heat promotes vasodilation and reduces pain. Elevating the legs in bed and encouraging the client to ambulate are more appropriate for promoting tissue perfusion and will not immediately address the client's pain. Cool compresses will constrict vessels and cause more pain.
D)The nurse should help keep the client's extremities warm, as heat promotes vasodilation and reduces pain. Elevating the legs in bed and encouraging the client to ambulate are more appropriate for promoting tissue perfusion and will not immediately address the client's pain. Cool compresses will constrict vessels and cause more pain.

Question 4

A client admitted with a cardiac dysrhythmia reports being easily fatigued and has difficulty performing normal daily activities. Which nursing diagnosis should the nurse select to address this client's issue?
A)Excess Fluid Volume
B)Activity Intolerance
C)Depression
D)Situational Low Self-Esteem

Accepted Answer

A)The client is experiencing fatigue and frustration with the inability to perform normal daily activities. The nursing diagnosis to address this client's issue would be Activity Intolerance. There is no evidence that the client is experiencing excess fluid volume. The client may or may not be experiencing depression. The client may develop situational low self-esteem if the diagnosis of Activity Intolerance is not addressed.
B)The client is experiencing fatigue and frustration with the inability to perform normal daily activities. The nursing diagnosis to address this client's issue would be Activity Intolerance. There is no evidence that the client is experiencing excess fluid volume. The client may or may not be experiencing depression. The client may develop situational low self-esteem if the diagnosis of Activity Intolerance is not addressed.
C)The client is experiencing fatigue and frustration with the inability to perform normal daily activities. The nursing diagnosis to address this client's issue would be Activity Intolerance. There is no evidence that the client is experiencing excess fluid volume. The client may or may not be experiencing depression. The client may develop situational low self-esteem if the diagnosis of Activity Intolerance is not addressed.
D)The client is experiencing fatigue and frustration with the inability to perform normal daily activities. The nursing diagnosis to address this client's issue would be Activity Intolerance. There is no evidence that the client is experiencing excess fluid volume. The client may or may not be experiencing depression. The client may develop situational low self-esteem if the diagnosis of Activity Intolerance is not addressed.

Question 5

The nurse is planning care for a client admitted with a cardiac dysrhythmia. Which action would be the most appropriate for this client?
A)Restrict fluids
B)Encourage bedrest
C)Monitor serum electrolyte levels
D)Instruct in a low-fat diet

Accepted Answer

A)The nurse should monitor serum electrolyte levels because electrolyte imbalances affect cardiac depolarization and repolarization and may cause dysrhythmias. There is no evidence to suggest the client needs to have fluids restricted. More information is needed before determining whether the client needs to be on bedrest. There is no evidence to suggest the client needs instruction on a low-fat diet.
B)The nurse should monitor serum electrolyte levels because electrolyte imbalances affect cardiac depolarization and repolarization and may cause dysrhythmias. There is no evidence to suggest the client needs to have fluids restricted. More information is needed before determining whether the client needs to be on bedrest. There is no evidence to suggest the client needs instruction on a low-fat diet.
C)The nurse should monitor serum electrolyte levels because electrolyte imbalances affect cardiac depolarization and repolarization and may cause dysrhythmias. There is no evidence to suggest the client needs to have fluids restricted. More information is needed before determining whether the client needs to be on bedrest. There is no evidence to suggest the client needs instruction on a low-fat diet.
D)The nurse should monitor serum electrolyte levels because electrolyte imbalances affect cardiac depolarization and repolarization and may cause dysrhythmias. There is no evidence to suggest the client needs to have fluids restricted. More information is needed before determining whether the client needs to be on bedrest. There is no evidence to suggest the client needs instruction on a low-fat diet.

Question 6

The nurse is planning care for a client with peripheral vascular disease (PVD)who is at risk for Impaired Skin Integrity. Which intervention is appropriate for the nurse to include in the plan of care?
A)Restrict fluids
B)Keep the skin clean and dry, and moisturize areas of dryness
C)Encourage bedrest with legs elevated on pillows
D)Consult a dietitian for low-protein diet

Accepted Answer

A)The client with PVD who is at risk for impaired skin integrity should have meticulous skin care to keep the skin clean, dry, and well-moisturized to prevent skin breakdown. A fluid restriction would dry tissues and not promote good skin turgor. Bedrest with legs elevated on pillows could increase the client's pain and would not help with preventing skin breakdown. A low-protein diet is not beneficial for wound healing and may not be indicated for this client.
B)The client with PVD who is at risk for impaired skin integrity should have meticulous skin care to keep the skin clean, dry, and well-moisturized to prevent skin breakdown. A fluid restriction would dry tissues and not promote good skin turgor. Bedrest with legs elevated on pillows could increase the client's pain and would not help with preventing skin breakdown. A low-protein diet is not beneficial for wound healing and may not be indicated for this client.
C)The client with PVD who is at risk for impaired skin integrity should have meticulous skin care to keep the skin clean, dry, and well-moisturized to prevent skin breakdown. A fluid restriction would dry tissues and not promote good skin turgor. Bedrest with legs elevated on pillows could increase the client's pain and would not help with preventing skin breakdown. A low-protein diet is not beneficial for wound healing and may not be indicated for this client.
D)The client with PVD who is at risk for impaired skin integrity should have meticulous skin care to keep the skin clean, dry, and well-moisturized to prevent skin breakdown. A fluid restriction would dry tissues and not promote good skin turgor. Bedrest with legs elevated on pillows could increase the client's pain and would not help with preventing skin breakdown. A low-protein diet is not beneficial for wound healing and may not be indicated for this client.

Question 7

A client with peripheral vascular disease (PVD)has symptoms of intermittent claudication. Which should the nurse include when teaching the client about intermittent claudication?
A)It causes pain that occurs during periods of inactivity.
B)It causes pain that increases when the legs are elevated and decreases when the legs are dependent.
C)It causes cramping or aching pain in the lower extremities and the buttocks that occurs with a predictable level of activity.
D)It is often described as a burning sensation in the lower legs.

Accepted Answer

A)Intermittent claudication is a cramping or aching pain in the calves of the legs, the thighs, and the buttocks that occurs with a predictable level of activity. The pain is often accompanied by weakness and is relieved by rest. The other descriptions apply to rest pain, not intermittent claudication.
B)Intermittent claudication is a cramping or aching pain in the calves of the legs, the thighs, and the buttocks that occurs with a predictable level of activity. The pain is often accompanied by weakness and is relieved by rest. The other descriptions apply to rest pain, not intermittent claudication.
C)Intermittent claudication is a cramping or aching pain in the calves of the legs, the thighs, and the buttocks that occurs with a predictable level of activity. The pain is often accompanied by weakness and is relieved by rest. The other descriptions apply to rest pain, not intermittent claudication.
D)Intermittent claudication is a cramping or aching pain in the calves of the legs, the thighs, and the buttocks that occurs with a predictable level of activity. The pain is often accompanied by weakness and is relieved by rest. The other descriptions apply to rest pain, not intermittent claudication.

Question 8

What causes brown pigmentation of the lower extremities in clients with venous stasis?
A)The necrosis of subcutaneous fat due to tissue hypoxia
B)Breakdown of red blood cells in the congested tissues
C)Reduced inflammatory and immune response from congested circulation
D)Skin atrophy caused by lack of circulation

Accepted Answer

A)Breakdown of red blood cells in the congested tissues causes brown skin pigmentation. While the other choices may occur with peripheral vascular disease, they are not responsible for the cause of brown pigmentation to the skin.
B)Breakdown of red blood cells in the congested tissues causes brown skin pigmentation. While the other choices may occur with peripheral vascular disease, they are not responsible for the cause of brown pigmentation to the skin.
C)Breakdown of red blood cells in the congested tissues causes brown skin pigmentation. While the other choices may occur with peripheral vascular disease, they are not responsible for the cause of brown pigmentation to the skin.
D)Breakdown of red blood cells in the congested tissues causes brown skin pigmentation. While the other choices may occur with peripheral vascular disease, they are not responsible for the cause of brown pigmentation to the skin.

Question 9

A nurse working in the emergency department is participating in the resuscitation of a client experiencing sudden cardiac death. After five cycles of CPR, the nurse evaluates the client's cardiac rhythm as asystole. What is the next action by the nurse?
A)Administer epinephrine
B)Immediately defibrillate the client
C)Assess the cardiac monitor electrodes
D)Assess the client's pulse

Accepted Answer

A)According to the American Heart Association (AHA)CPR guidelines, after five rounds of CPR, the nurse should assess the client's pulse. All other choices are incorrect actions by the nurse.
B)According to the American Heart Association (AHA)CPR guidelines, after five rounds of CPR, the nurse should assess the client's pulse. All other choices are incorrect actions by the nurse.
C)According to the American Heart Association (AHA)CPR guidelines, after five rounds of CPR, the nurse should assess the client's pulse. All other choices are incorrect actions by the nurse.
D)According to the American Heart Association (AHA)CPR guidelines, after five rounds of CPR, the nurse should assess the client's pulse. All other choices are incorrect actions by the nurse.

Question 10

A client is admitted to the hospital for a surgical intervention due to peripheral vascular disease (PVD). The nurse should be prepared to answer questions about which procedure?
A)Stent placement
B)Endarterectomy
C)Percutaneous transluminal angioplasty
D)Atherectomy

Accepted Answer

A)Surgical intervention for PVD includes endarterectomy and bypass grafts. All other choices are nonsurgical interventions for PVD.
B)Surgical intervention for PVD includes endarterectomy and bypass grafts. All other choices are nonsurgical interventions for PVD.
C)Surgical intervention for PVD includes endarterectomy and bypass grafts. All other choices are nonsurgical interventions for PVD.
D)Surgical intervention for PVD includes endarterectomy and bypass grafts. All other choices are nonsurgical interventions for PVD.

Question 11

A client admitted with chronic venous insufficiency has an infected wound of the left lower extremity. Which clinical manifestations does the nurse anticipate during the client's assessment? Select all that apply.
A)Pulses absent in the extremity with the wound
B)Wound that is pink with skin warm
C)Ulceration that is pale in color
D)Skin surrounding ulcer that is cool to the touch
E)Surrounding skin brown in color

Accepted Answer

A)Manifestations of a venous status ulcer are a pink wound with warm skin and areas of hyperpigmentation. An ulcer that is pale in color with cool skin temperature and absent pulses is an arterial ulcer.
B)Manifestations of a venous status ulcer are a pink wound with warm skin and areas of hyperpigmentation. An ulcer that is pale in color with cool skin temperature and absent pulses is an arterial ulcer.
C)Manifestations of a venous status ulcer are a pink wound with warm skin and areas of hyperpigmentation. An ulcer that is pale in color with cool skin temperature and absent pulses is an arterial ulcer.
D)Manifestations of a venous status ulcer are a pink wound with warm skin and areas of hyperpigmentation. An ulcer that is pale in color with cool skin temperature and absent pulses is an arterial ulcer.
E)Manifestations of a venous status ulcer are a pink wound with warm skin and areas of hyperpigmentation. An ulcer that is pale in color with cool skin temperature and absent pulses is an arterial ulcer.

Question 12

The nurse is evaluating teaching provided to a client with peripheral vascular disease (PVD). Which client observation indicates teaching has been effective?
A)Sitting in a chair with a pillow behind knees
B)Washing the lower extremities with mild soap, drying the legs, and applying a light moisturizer
C)Sitting in a chair with left leg crossed over the right
D)Smoking a pipe instead of cigarettes

Accepted Answer

A)The client who is observed washing the legs with mild soap, drying the legs, and applying a moisturizer is putting into practice the instruction regarding PVD. Sitting in a chair with a pillow behind the knees or with legs crossed would indicate further instruction was needed. The client smoking a pipe instead of cigarettes needs additional instruction regarding the hazards of tobacco.
B)The client who is observed washing the legs with mild soap, drying the legs, and applying a moisturizer is putting into practice the instruction regarding PVD. Sitting in a chair with a pillow behind the knees or with legs crossed would indicate further instruction was needed. The client smoking a pipe instead of cigarettes needs additional instruction regarding the hazards of tobacco.
C)The client who is observed washing the legs with mild soap, drying the legs, and applying a moisturizer is putting into practice the instruction regarding PVD. Sitting in a chair with a pillow behind the knees or with legs crossed would indicate further instruction was needed. The client smoking a pipe instead of cigarettes needs additional instruction regarding the hazards of tobacco.
D)The client who is observed washing the legs with mild soap, drying the legs, and applying a moisturizer is putting into practice the instruction regarding PVD. Sitting in a chair with a pillow behind the knees or with legs crossed would indicate further instruction was needed. The client smoking a pipe instead of cigarettes needs additional instruction regarding the hazards of tobacco.

Question 13

Which dysrhythmia is most commonly associated with sudden cardiac death (SCD)?
A)Atrial flutter
B)Ventricular fibrillation
C)Paroxysmal supraventricular tachycardia
D)Junctional escape rhythm

Accepted Answer

A)Ventricular fibrillation most commonly leads to sudden cardiac death. The other dysrhythmias are not normally associated with SCD.
B)Ventricular fibrillation most commonly leads to sudden cardiac death. The other dysrhythmias are not normally associated with SCD.
C)Ventricular fibrillation most commonly leads to sudden cardiac death. The other dysrhythmias are not normally associated with SCD.
D)Ventricular fibrillation most commonly leads to sudden cardiac death. The other dysrhythmias are not normally associated with SCD.

Question 14

Which property of cardiac cells is mechanical in nature?
A)Automaticity
B)Excitability
C)Conductivity
D)Contractility

Accepted Answer

A)Cardiac cells have five unique properties. Four of these properties are electrical: automaticity, excitability, conductivity, and refractoriness. The fifth property is cardiac muscle's mechanical response to electrical stimulation: contractility.
B)Cardiac cells have five unique properties. Four of these properties are electrical: automaticity, excitability, conductivity, and refractoriness. The fifth property is cardiac muscle's mechanical response to electrical stimulation: contractility.
C)Cardiac cells have five unique properties. Four of these properties are electrical: automaticity, excitability, conductivity, and refractoriness. The fifth property is cardiac muscle's mechanical response to electrical stimulation: contractility.
D)Cardiac cells have five unique properties. Four of these properties are electrical: automaticity, excitability, conductivity, and refractoriness. The fifth property is cardiac muscle's mechanical response to electrical stimulation: contractility.

Question 15

A client is receiving procainamide hydrochloride (Pronestyl)for treatment of a dysrhythmia. Which is an appropriate client outcome related to adhering to the provided medication instruction?
A)The client will monitor the pulse and not take the medication if the pulse is less than 60.
B)The client will take the medication as directed, even when feeling well.
C)The client will take the medication on an empty stomach.
D)The client will take the medication with food.

Accepted Answer

A)It is very important for clients to understand that medication must be taken as directed, even if the client is feeling well. The beta-adrenergic blocking drugs cause bradycardia, not group 1A cardiac antiarrhythmic drugs like procainamide hydrochloride (Pronestyl). Procainamide hydrochloride (Pronestyl)can be taken on an empty stomach or with food.
B)It is very important for clients to understand that medication must be taken as directed, even if the client is feeling well. The beta-adrenergic blocking drugs cause bradycardia, not group 1A cardiac antiarrhythmic drugs like procainamide hydrochloride (Pronestyl). Procainamide hydrochloride (Pronestyl)can be taken on an empty stomach or with food.
C)It is very important for clients to understand that medication must be taken as directed, even if the client is feeling well. The beta-adrenergic blocking drugs cause bradycardia, not group 1A cardiac antiarrhythmic drugs like procainamide hydrochloride (Pronestyl). Procainamide hydrochloride (Pronestyl)can be taken on an empty stomach or with food.
D)It is very important for clients to understand that medication must be taken as directed, even if the client is feeling well. The beta-adrenergic blocking drugs cause bradycardia, not group 1A cardiac antiarrhythmic drugs like procainamide hydrochloride (Pronestyl). Procainamide hydrochloride (Pronestyl)can be taken on an empty stomach or with food.

Question 16

A client is scheduled for temporary pacemaker insertion. What instruction will this client need prior to discharge?
A)Dizziness is to be expected.
B)There are no special precautions.
C)Wear a tight-fitting shirt to help hold the pacemaker in place.
D)Use battery-powered equipment.

Accepted Answer

A)When available, battery-powered equipment should be used instead of electrical equipment. Dizziness is not to be expected and should be reported to the healthcare provider. The client should wear loose-fitting clothing.
B)When available, battery-powered equipment should be used instead of electrical equipment. Dizziness is not to be expected and should be reported to the healthcare provider. The client should wear loose-fitting clothing.
C)When available, battery-powered equipment should be used instead of electrical equipment. Dizziness is not to be expected and should be reported to the healthcare provider. The client should wear loose-fitting clothing.
D)When available, battery-powered equipment should be used instead of electrical equipment. Dizziness is not to be expected and should be reported to the healthcare provider. The client should wear loose-fitting clothing.

Question 17

A client with sepsis has a temperature of 40°C. Which dysrhythmia is most likely to occur in this client?
A)Bradydysrhythmia
B)Tachydysrhythmia
C)Wolff-Parkinson-White dysrhythmia
D)Long QT dysrhythmia

Accepted Answer

A)Stressors such as fever, sepsis, and hyperthyroidism may precipitate paroxysmal supraventricular tachycardia, which is a tachydysrhythmia. Fever does not cause bradydysrhythmia. Wolff-Parkinson-White and long QT are both syndromes which are caused by genetic cardiac problems.
B)Stressors such as fever, sepsis, and hyperthyroidism may precipitate paroxysmal supraventricular tachycardia, which is a tachydysrhythmia. Fever does not cause bradydysrhythmia . Wolff-Parkinson-White and long QT are both syndromes which are caused by genetic cardiac problems.
C)Stressors such as fever, sepsis, and hyperthyroidism may precipitate paroxysmal supraventricular tachycardia, which is a tachydysrhythmia. Fever does not cause bradydysrhythmia . Wolff-Parkinson-White and long QT are both syndromes which are caused by genetic cardiac problems.
D)Stressors such as fever, sepsis, and hyperthyroidism may precipitate paroxysmal supraventricular tachycardia, which is a tachydysrhythmia. Fever does not cause bradydysrhythmia . Wolff-Parkinson-White and long QT are both syndromes which are caused by genetic cardiac problems.

Question 18

The nurse is caring for a 6-year-old child when the child goes into cardiac arrest. When performing compressions for CPR, what should the nurse do?
A)Place thumbs side by side and perform compressions below the nipple line
B)Use two fingers in the upright position to perform compressions
C)Use two fingers plus the heel of the other hand to perform compressions
D)Use both hands on the lower half of the breastbone to perform compressions

Accepted Answer

A)When performing CPR on neonates, thumbs should be placed side by side, or overlapping in very small neonates, and compressions should be performed below the nipple line. For infants, two fingers placed in the upright position should be used for compressions. For children, the provider should use two fingers plus the heel of the other hand to perform compressions. For adults, use both hands on the lower half of the breastbone to perform compressions.
B)When performing CPR on neonates, thumbs should be placed side by side, or overlapping in very small neonates, and compressions should be performed below the nipple line. For infants, two fingers placed in the upright position should be used for compressions. For children, the provider should use two fingers plus the heel of the other hand to perform compressions. For adults, use both hands on the lower half of the breastbone to perform compressions.
C)When performing CPR on neonates, thumbs should be placed side by side, or overlapping in very small neonates, and compressions should be performed below the nipple line. For infants, two fingers placed in the upright position should be used for compressions. For children, the provider should use two fingers plus the heel of the other hand to perform compressions. For adults, use both hands on the lower half of the breastbone to perform compressions.
D)When performing CPR on neonates, thumbs should be placed side by side, or overlapping in very small neonates, and compressions should be performed below the nipple line. For infants, two fingers placed in the upright position should be used for compressions. For children, the provider should use two fingers plus the heel of the other hand to perform compressions. For adults, use both hands on the lower half of the breastbone to perform compressions.

Question 19

A nurse caring for a client in the in the intensive care unit (ICU)notes that the client is experiencing a ventricular tachycardia dysrhythmia. Which rhythm is a type of ventricular tachycardia?
A)Sinus tachycardia
B)Atrial flutter
C)Junctional escape
D)Torsades de Pointes

Accepted Answer

A)Torsades de Pointes is a type of ventricular tachycardia. Sinus tachycardia, atrial flutter, and junctional escape are all supraventricular rhythms, not ventricular rhythms.
B)Torsades de Pointes is a type of ventricular tachycardia. Sinus tachycardia, atrial flutter, and junctional escape are all supraventricular rhythms, not ventricular rhythms.
C)Torsades de Pointes is a type of ventricular tachycardia. Sinus tachycardia, atrial flutter, and junctional escape are all supraventricular rhythms, not ventricular rhythms.
D)Torsades de Pointes is a type of ventricular tachycardia. Sinus tachycardia, atrial flutter, and junctional escape are all supraventricular rhythms, not ventricular rhythms.

Question 20

The nurse is planning care for an older adult client with chronic venous insufficiency. Which will the nurse include in the client's teaching plan?
A)Keep the legs dependent as much as possible and elevate only when asleep.
B)Wear elastic hose as prescribed.
C)Standing will prevent the progression of the disease.
D)Cross legs only at the knees.

Accepted Answer

A)Care and treatment of a client with peripheral vascular disease includes instruction. The nurse should instruct the client to wear elastic hose as prescribed. The legs should be elevated during rest and when asleep. The nurse should instruct the client to avoid sitting or standing for long periods of time. Crossing the legs should be avoided.
B)Care and treatment of a client with peripheral vascular disease includes instruction. The nurse should instruct the client to wear elastic hose as prescribed. The legs should be elevated during rest and when asleep. The nurse should instruct the client to avoid sitting or standing for long periods of time. Crossing the legs should be avoided.
C)Care and treatment of a client with peripheral vascular disease includes instruction. The nurse should instruct the client to wear elastic hose as prescribed. The legs should be elevated during rest and when asleep. The nurse should instruct the client to avoid sitting or standing for long periods of time. Crossing the legs should be avoided.
D)Care and treatment of a client with peripheral vascular disease includes instruction. The nurse should instruct the client to wear elastic hose as prescribed. The legs should be elevated during rest and when asleep. The nurse should instruct the client to avoid sitting or standing for long periods of time. Crossing the legs should be avoided.

Quiz 16: Perfusion

A client with peripheral vascular disease (PVD) asks the nurse what types of exercise would improve the client's condition and overall health. Which type of exercise will the nurse include in the response to the client?

A client diagnosed with peripheral vascular disease (PVD) is obese, has a 30-year history of cigarette smoking, and works as a contractor. When discussing risk factors for PVD, which statement by the nurse is appropriate?

A client with peripheral vascular disease (PVD) is experiencing pain. Which nursing intervention addresses the client's pain?

A client admitted with a cardiac dysrhythmia reports being easily fatigued and has difficulty performing normal daily activities. Which nursing diagnosis should the nurse select to address this client's issue?

The nurse is planning care for a client admitted with a cardiac dysrhythmia. Which action would be the most appropriate for this client?

The nurse is planning care for a client with peripheral vascular disease (PVD) who is at risk for Impaired Skin Integrity. Which intervention is appropriate for the nurse to include in the plan of care?

A client with peripheral vascular disease (PVD) has symptoms of intermittent claudication. Which should the nurse include when teaching the client about intermittent claudication?

What causes brown pigmentation of the lower extremities in clients with venous stasis?

A nurse working in the emergency department is participating in the resuscitation of a client experiencing sudden cardiac death. After five cycles of CPR, the nurse evaluates the client's cardiac rhythm as asystole. What is the next action by the nurse?

A client is admitted to the hospital for a surgical intervention due to peripheral vascular disease (PVD) . The nurse should be prepared to answer questions about which procedure?

A client admitted with chronic venous insufficiency has an infected wound of the left lower extremity. Which clinical manifestations does the nurse anticipate during the client's assessment? Select all that apply.

The nurse is evaluating teaching provided to a client with peripheral vascular disease (PVD) . Which client observation indicates teaching has been effective?

Which dysrhythmia is most commonly associated with sudden cardiac death (SCD) ?

Which property of cardiac cells is mechanical in nature?

A client is receiving procainamide hydrochloride (Pronestyl) for treatment of a dysrhythmia. Which is an appropriate client outcome related to adhering to the provided medication instruction?

A client is scheduled for temporary pacemaker insertion. What instruction will this client need prior to discharge?

A client with sepsis has a temperature of 40°C. Which dysrhythmia is most likely to occur in this client?

The nurse is caring for a 6-year-old child when the child goes into cardiac arrest. When performing compressions for CPR, what should the nurse do?

A nurse caring for a client in the in the intensive care unit (ICU) notes that the client is experiencing a ventricular tachycardia dysrhythmia. Which rhythm is a type of ventricular tachycardia?

The nurse is planning care for an older adult client with chronic venous insufficiency. Which will the nurse include in the client's teaching plan?