NUR-255 Test 4 Review|QUESTIONS AND ANSWERS
Peripheral artery disease (PAD) is primarily A) atherosclerosis
caused by_____________primarily.
A) atherosclerosis
B) DVT
C) medication
D) trauma
Atherosclerosis results from deposits of B) lipids/plaques
____________within the vessel walls.
A) MVS
B) lipids/plaques
C) AVS
D) statins
Atherosclerosis leads to a__________of the B) narrowing
artery, which reduces blood flow &
circulation.
A) widening
B) narrowing
C) stiffening
D) dissection
,Due to the risk of plaque ruptures, C) antiplatelets, aspirin, clopidogrel (Plavix), clots
patients are placed on _______________ such as
____________ and/OR____to prevent
complications such as _.
A) anticoagulants, heparin, warfarin,
thrombi
B)antiplatelets, tylenol, ibuprofen, clots
C) antiplatelets, aspirin, clopidogrel
(Plavix), clots
D) anticoagulants, aspirin, clopidogrel
(Plavix), clots
The nurse is just got change of shift report A) 1,3,4,7
on a patient with peripheral arterial
disease (PAD). Which findings would the Rationale
nurse expect to see during their PAD affects arterial circulation and results in delayed and impaired circulation to the
physical assessment? SATA extrm. As a result, extrm may exhibit pallor, ulcers to feet/toes, cool/pale skin, and
delayed capillary refill.
1. Pallor to feet
2. Warm extremities Warmth, thick skin, and edema occurs with venous insufficiency.
3.Ulcers to toes
4. Delayed capillary refill
5.Edema
6. Thick hardened skin
7. Shiny skin with little/no hair
A) 1,3,4,7
B)2,5,6
C) 1,2,6,7
D) 3,4,5,7
E)All of them
F) None of them
Which group of drugs will the nurse plan to A) Statins
include when teaching a patient who has a
new diagnosis of peripheral artery disease Rationale
(PAD)? Statin use by patients with PAD improves multiple outcomes; aggressive lipid
management is needed for all patients with PAD. Antibiotics are not needed as PAD
A) Statins is not associated with infection. Thrombolytics and/or anticoagulants may be used in
B)Antibiotics treatment of acute arterial occlusion, but are not part of general management
C) Thrombolytics of PAD.
D)Anticoagulants
A patient has chronic peripheral artery C) Prolonged capillary refill in all the toes
disease (PAD) of the legs and an ulcer on
the right second toe. Which Rationale
assessment finding would the nurse Capillary refill is prolonged in PAD because of the slower and decreased blood
expect? flow to the periphery. The other listed manifestations are consistent with chronic
venous disease.
A) Dilated superficial veins
B)Swollen, dry, scaly ankles
C) Prolonged capillary refill in all the toes
D) Serosanguineous drainage from
the ulcer
, The nurse is evaluating the discharge B) I will use a heating pad on my feet at night to increase the circulation.
teaching outcomes for a patient with
chronic peripheral artery disease (PAD). Rationale
Which patient statement indicates a need Because the patient has impaired circulation and sensation to the feet, the use of a
for further instruction? heating pad could lead to burns. The other patient statements are correct and
indicate that teaching has been successful.
A) I will buy loose clothes that do not bind
across my legs or waist.
B)I will use a heating pad on my feet
at night to increase the circulation.
C) I will walk to the point of pain, rest,
and walk again for at least 30 minutes 3
times a week.
D) I will change my position every hour
and avoid long periods of sitting with
my legs crossed.
Which patient statement supports a history B) My legs cramp when I walk more than a block.
of intermittent claudication?
Rationale
A) When I stand too long, my feet start Cramping that is precipitated by a consistent level of exercise is descriptive of
to swell. intermittent claudication. Finger pain associated with cold weather is typical of
B)My legs cramp when I walk more than Raynaud's phenomenon. Shortness of breath that occurs with exercise is not
a block. typical of intermittent claudication, which is reproducible. Swelling associated with
C) I get short of breath when I climb a lot prolonged standing is typical of venous disease
of stairs.
D) My fingers hurt when I go outside
in cold weather.
The nurse is admitting a patient newly D) Omeprazole drug therapy
diagnosed with peripheral artery disease
who takes clopidogrel (Plavix). Which Rationale
admission order would the nurse question? Because the antiplatelet effect of clopidogrel is reduced when it is used with
omeprazole, the nurse should clarify this order with the health care provider. The
A) Cilostazol drug therapy other interventions are appropriate for a patient with peripheral artery disease.
B)Use of treadmill for exercise
C) Exercise to the point of discomfort
D) Omeprazole drug therapy
When assessing a patient with possible B) 0.73
peripheral artery disease (PAD), the nurse
obtains a brachial blood pressure (BP) Rationale
of 154/82 mm Hg and an ankle The ABI is calculated by dividing the ankle systolic BP by the highest brachial
pressure of 112/74 mm Hg. systolic BP.
The nurse calculates the patient's ankle-
brachial index (ABI) as_______(round up to
the nearest hundredth).
A) 1.38
B)0.73
C) 0.9
D) 1.11
Peripheral artery disease (PAD) is primarily A) atherosclerosis
caused by_____________primarily.
A) atherosclerosis
B) DVT
C) medication
D) trauma
Atherosclerosis results from deposits of B) lipids/plaques
____________within the vessel walls.
A) MVS
B) lipids/plaques
C) AVS
D) statins
Atherosclerosis leads to a__________of the B) narrowing
artery, which reduces blood flow &
circulation.
A) widening
B) narrowing
C) stiffening
D) dissection
,Due to the risk of plaque ruptures, C) antiplatelets, aspirin, clopidogrel (Plavix), clots
patients are placed on _______________ such as
____________ and/OR____to prevent
complications such as _.
A) anticoagulants, heparin, warfarin,
thrombi
B)antiplatelets, tylenol, ibuprofen, clots
C) antiplatelets, aspirin, clopidogrel
(Plavix), clots
D) anticoagulants, aspirin, clopidogrel
(Plavix), clots
The nurse is just got change of shift report A) 1,3,4,7
on a patient with peripheral arterial
disease (PAD). Which findings would the Rationale
nurse expect to see during their PAD affects arterial circulation and results in delayed and impaired circulation to the
physical assessment? SATA extrm. As a result, extrm may exhibit pallor, ulcers to feet/toes, cool/pale skin, and
delayed capillary refill.
1. Pallor to feet
2. Warm extremities Warmth, thick skin, and edema occurs with venous insufficiency.
3.Ulcers to toes
4. Delayed capillary refill
5.Edema
6. Thick hardened skin
7. Shiny skin with little/no hair
A) 1,3,4,7
B)2,5,6
C) 1,2,6,7
D) 3,4,5,7
E)All of them
F) None of them
Which group of drugs will the nurse plan to A) Statins
include when teaching a patient who has a
new diagnosis of peripheral artery disease Rationale
(PAD)? Statin use by patients with PAD improves multiple outcomes; aggressive lipid
management is needed for all patients with PAD. Antibiotics are not needed as PAD
A) Statins is not associated with infection. Thrombolytics and/or anticoagulants may be used in
B)Antibiotics treatment of acute arterial occlusion, but are not part of general management
C) Thrombolytics of PAD.
D)Anticoagulants
A patient has chronic peripheral artery C) Prolonged capillary refill in all the toes
disease (PAD) of the legs and an ulcer on
the right second toe. Which Rationale
assessment finding would the nurse Capillary refill is prolonged in PAD because of the slower and decreased blood
expect? flow to the periphery. The other listed manifestations are consistent with chronic
venous disease.
A) Dilated superficial veins
B)Swollen, dry, scaly ankles
C) Prolonged capillary refill in all the toes
D) Serosanguineous drainage from
the ulcer
, The nurse is evaluating the discharge B) I will use a heating pad on my feet at night to increase the circulation.
teaching outcomes for a patient with
chronic peripheral artery disease (PAD). Rationale
Which patient statement indicates a need Because the patient has impaired circulation and sensation to the feet, the use of a
for further instruction? heating pad could lead to burns. The other patient statements are correct and
indicate that teaching has been successful.
A) I will buy loose clothes that do not bind
across my legs or waist.
B)I will use a heating pad on my feet
at night to increase the circulation.
C) I will walk to the point of pain, rest,
and walk again for at least 30 minutes 3
times a week.
D) I will change my position every hour
and avoid long periods of sitting with
my legs crossed.
Which patient statement supports a history B) My legs cramp when I walk more than a block.
of intermittent claudication?
Rationale
A) When I stand too long, my feet start Cramping that is precipitated by a consistent level of exercise is descriptive of
to swell. intermittent claudication. Finger pain associated with cold weather is typical of
B)My legs cramp when I walk more than Raynaud's phenomenon. Shortness of breath that occurs with exercise is not
a block. typical of intermittent claudication, which is reproducible. Swelling associated with
C) I get short of breath when I climb a lot prolonged standing is typical of venous disease
of stairs.
D) My fingers hurt when I go outside
in cold weather.
The nurse is admitting a patient newly D) Omeprazole drug therapy
diagnosed with peripheral artery disease
who takes clopidogrel (Plavix). Which Rationale
admission order would the nurse question? Because the antiplatelet effect of clopidogrel is reduced when it is used with
omeprazole, the nurse should clarify this order with the health care provider. The
A) Cilostazol drug therapy other interventions are appropriate for a patient with peripheral artery disease.
B)Use of treadmill for exercise
C) Exercise to the point of discomfort
D) Omeprazole drug therapy
When assessing a patient with possible B) 0.73
peripheral artery disease (PAD), the nurse
obtains a brachial blood pressure (BP) Rationale
of 154/82 mm Hg and an ankle The ABI is calculated by dividing the ankle systolic BP by the highest brachial
pressure of 112/74 mm Hg. systolic BP.
The nurse calculates the patient's ankle-
brachial index (ABI) as_______(round up to
the nearest hundredth).
A) 1.38
B)0.73
C) 0.9
D) 1.11
