Chapter 35: Vascular Disorders
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. Which postoperative sign should a nurse report immediately when caring for a patient
with an endarterectomy with a synthetic graft?
a. Headache
b. Fever
c. Edema
d. Pain
ANS: B
A fever in a patient with a synthetic graft is a serious postoperative event: the
infection may lead to an amputation:
DIF: Cognitive Level: Comprehension REF: p: 663 OBJ: 4
TOP: Surgical Repair with Synthetic Graft
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
2. A patient with Raynaud disease has poor tissue perfusion and is being given discharge
instructions: What should the nurse include when providing this information?
a. Avoid sun exposure:
b. Wear gloves and warm socks when outdoors:
c. Chafe hands frequently to warm them:
d. Wash dishes in warm water:
ANS: B
Chafing hands to warm them does not provide vasodilation and may cause tissue
damage: Avoiding exposure to cold is paramount to prevent pain and tissue damage:
Raynaud disease involves the constriction of the arterioles of the hands, toes, and
, nose: Pain is a cardinal symptom and can be relieved with methods to promote
vasodilation:
DIF: Cognitive Level: Application REF: p: 666 OBJ: 4
TOP: Raynaud Disease KEY: Nursing Process Step: Nursing Diagnosis
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
3. What assessment should a nurse perform on a patient after the repair of an abdominal
aortic aneurysm?
a. Periorbital edema
b. Tremor or facial twitching
c. Rising blood pressure
d. Bowel sounds
ANS: D
Repair of aortic abdominal aneurysms causes a temporary cessation of peristalsis:
Although this condition is expected, the beginning of bowel sounds indicates
important progress in the recovery: Rising blood pressure is an expected recovery
indication from surgery:
DIF: Cognitive Level: Application REF: p: 668 OBJ: 4
TOP: Aneurysm of the Abdominal Aorta KEY: Nursing Process Step:
Assessment MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
4. What patient teaching should be included for a patient with varicose veins?
a. Weight reduction
b. Decreasing exercise
c. Wearing a panty girdle
d. Standing rather than sitting
ANS: A
Varicose veins are caused by a dilation of incompetent valves: Obesity, pregnancy,
restrictive clothing, and prolonged standing aggravate the condition:
DIF: Cognitive Level: Application REF: p: 669 OBJ: 4
TOP: Varicose Veins KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. Which postoperative sign should a nurse report immediately when caring for a patient
with an endarterectomy with a synthetic graft?
a. Headache
b. Fever
c. Edema
d. Pain
ANS: B
A fever in a patient with a synthetic graft is a serious postoperative event: the
infection may lead to an amputation:
DIF: Cognitive Level: Comprehension REF: p: 663 OBJ: 4
TOP: Surgical Repair with Synthetic Graft
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
2. A patient with Raynaud disease has poor tissue perfusion and is being given discharge
instructions: What should the nurse include when providing this information?
a. Avoid sun exposure:
b. Wear gloves and warm socks when outdoors:
c. Chafe hands frequently to warm them:
d. Wash dishes in warm water:
ANS: B
Chafing hands to warm them does not provide vasodilation and may cause tissue
damage: Avoiding exposure to cold is paramount to prevent pain and tissue damage:
Raynaud disease involves the constriction of the arterioles of the hands, toes, and
, nose: Pain is a cardinal symptom and can be relieved with methods to promote
vasodilation:
DIF: Cognitive Level: Application REF: p: 666 OBJ: 4
TOP: Raynaud Disease KEY: Nursing Process Step: Nursing Diagnosis
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
3. What assessment should a nurse perform on a patient after the repair of an abdominal
aortic aneurysm?
a. Periorbital edema
b. Tremor or facial twitching
c. Rising blood pressure
d. Bowel sounds
ANS: D
Repair of aortic abdominal aneurysms causes a temporary cessation of peristalsis:
Although this condition is expected, the beginning of bowel sounds indicates
important progress in the recovery: Rising blood pressure is an expected recovery
indication from surgery:
DIF: Cognitive Level: Application REF: p: 668 OBJ: 4
TOP: Aneurysm of the Abdominal Aorta KEY: Nursing Process Step:
Assessment MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
4. What patient teaching should be included for a patient with varicose veins?
a. Weight reduction
b. Decreasing exercise
c. Wearing a panty girdle
d. Standing rather than sitting
ANS: A
Varicose veins are caused by a dilation of incompetent valves: Obesity, pregnancy,
restrictive clothing, and prolonged standing aggravate the condition:
DIF: Cognitive Level: Application REF: p: 669 OBJ: 4
TOP: Varicose Veins KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
