lOMoARcPSD|3013804
Chapter 33 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 33: Concepts of Care for Patients With Vascular Problems
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A nurse is assessing the peripheral vascular system of an older adult. What action by the
nurse would cause the supervising nurse to intervene?
a.
Assessing blood pressure in both upper extremities
b.
Auscultating the carotid arteries for any bruits
c.
Classifying capillary filling of 4 seconds as normal
d.
Palpating both carotid arteries at the same time
ANS: D
The nurse would not compress both carotid arteries at the same time to avoid brain ischemia.
Blood pressure would be taken and compared in both arms. Prolonged capillary filling is
considered to be greater than 5 seconds in an older adult, so classifying refill of 4 seconds as
normal would not require intervention. Bruits would be auscultated.
DIF: Remembering
TOP: Integrated Process: Communication and Documentation
KEY: Vascular system, Nursing assessment
MSC: Client Needs Category: Physiological Integrity: Reduction of Risk Potential
2. The nurse is evaluating a 3-day diet history with a client who has an elevated lipid panel.
What meal selection indicates that the client is managing this condition well with diet?
a.
A 4-ounce steak, French fries, iceberg lettuce
b. G R A D E S L A B.COM
Baked chicken breast, broc co li , t o m at oe s
c.
Fried catfish, cornbread, peas
d.
Spaghetti with meat sauce, garlic bread
ANS: B
The diet recommended for this client would be low in saturated fats and red meat, high in
vegetables and whole grains (fiber), low in salt, and low in trans fat. The best choice is the
chicken with broccoli and tomatoes. The French fries have too much fat and the iceberg
lettuce has little fiber. The catfish is fried. The spaghetti dinner has too much red meat and
no vegetables.
DIF: Analyzing TOP: Integrated Process: Nursing Process: Evaluation
KEY: Nutrition, Self-care
MSC: Client Needs Category: Health Promotion and Maintenance
3. A nurse is working with a client who takes clopidogrel. The client’s recent laboratory results
include a blood urea nitrogen (BUN) of 33 mg/dL and creatinine of 2.8 mg/dL. What action
by the nurse is best?
a.
Ask if the client eats grapefruit.
b.
Assess the client for dehydration.
c.
Facilitate admission to the hospital.
d.
Obtain a random urinalysis.
ANS: A
Chapter 33 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 33: Concepts of Care for Patients With Vascular Problems
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A nurse is assessing the peripheral vascular system of an older adult. What action by the
nurse would cause the supervising nurse to intervene?
a.
Assessing blood pressure in both upper extremities
b.
Auscultating the carotid arteries for any bruits
c.
Classifying capillary filling of 4 seconds as normal
d.
Palpating both carotid arteries at the same time
ANS: D
The nurse would not compress both carotid arteries at the same time to avoid brain ischemia.
Blood pressure would be taken and compared in both arms. Prolonged capillary filling is
considered to be greater than 5 seconds in an older adult, so classifying refill of 4 seconds as
normal would not require intervention. Bruits would be auscultated.
DIF: Remembering
TOP: Integrated Process: Communication and Documentation
KEY: Vascular system, Nursing assessment
MSC: Client Needs Category: Physiological Integrity: Reduction of Risk Potential
2. The nurse is evaluating a 3-day diet history with a client who has an elevated lipid panel.
What meal selection indicates that the client is managing this condition well with diet?
a.
A 4-ounce steak, French fries, iceberg lettuce
b. G R A D E S L A B.COM
Baked chicken breast, broc co li , t o m at oe s
c.
Fried catfish, cornbread, peas
d.
Spaghetti with meat sauce, garlic bread
ANS: B
The diet recommended for this client would be low in saturated fats and red meat, high in
vegetables and whole grains (fiber), low in salt, and low in trans fat. The best choice is the
chicken with broccoli and tomatoes. The French fries have too much fat and the iceberg
lettuce has little fiber. The catfish is fried. The spaghetti dinner has too much red meat and
no vegetables.
DIF: Analyzing TOP: Integrated Process: Nursing Process: Evaluation
KEY: Nutrition, Self-care
MSC: Client Needs Category: Health Promotion and Maintenance
3. A nurse is working with a client who takes clopidogrel. The client’s recent laboratory results
include a blood urea nitrogen (BUN) of 33 mg/dL and creatinine of 2.8 mg/dL. What action
by the nurse is best?
a.
Ask if the client eats grapefruit.
b.
Assess the client for dehydration.
c.
Facilitate admission to the hospital.
d.
Obtain a random urinalysis.
ANS: A
