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Keep the legs elevated when sitting or laying down.
,A client is talking with the nurse about Unsightly varicose veins and their discomfort what
information should the nurse provide to the client?
1. Increase oxygen to the tissues
2. Prevent direct trauma to the ulcer
3. Prevent infection
4 reduce pain
Oh well nourished client is admitted with stasis ulcer the nurse assesses the ulcer in Finz
excavation of the skin surface as a result of slogging of inflammatory necrosis tissue the
healthcare provider has prescribed the ulcer to be flush with fibrinolytic agent which goals
are appropriate for the client select all that apply?
1. Elevate the head of the bed 30 to 45°
A client with deep vein thrombosis suddenly develops dyspnea, tachypnea, and chest
discomfort. What should the nurse do first?
1. Elevate the head of the bed 30 to 45 degrees.
2. Encourage the client to cough and deep breathe.
3. Auscultate the lungs to detect abnormal breath sounds. 4. Contact the physician.
Just the oxygen saturation
A client with a recent diagnosis of DVT has sudden onset of shortness of breath and chest
pain that increases with a deep breath what should the nurse do first
Gradual or acute loss of sensory and motor function
The nurse is caring for a client with penis Trumbull sis of the left lower extremity to prevent
further tissue damage it is important for the nurse to observe for which of the findings
Elevate the foot of the bed
A client with Venus thrombus reports having pain in the legs what should the nurse do first
Crossing the Legs
A client has undergone an amputation of three toes enough for moral popliteal bypass the
nurse should teach the client that after surgery which leg position is contraindicated while
sitting in the chair
I should re-wrap the stump as often as needed
The client has had to be BKI secondary to arterial occlusive disease the nurse is instructing
the client about residual limb care which statement by the client indicates that the client
understands how to implement the plan of care
, Assess vital signs then call the healthcare provider
The nurse is assessing a client after a above the knee amputation and notes that blood has
saturated through the distal part of the dressing what should the nurse do immediately
Tell me more about how you are feeling
While the nurse is it is providing preoperative teaching for a client with peripheral vascular
disease who is to have a below the knee amputation the client states I hate the idea of being
an invalid after they cut off my leg what would be the nurse is most therapeutic response
Molted skin and coldness
The nurse is assessing the lower extremities of the client with peripheral artery disease which
findings are expected
CoolNess of the left foot and ankle
When the nurse is assessing an individual with peripheral artery disease which clinical
manifestation would indicate complete arterial obstruction in the lower left leg
Elevate the clients leg on a footstool
A client with heart failure has bilateral +4 edema of the right ankle that extends up to the mid
calf the client is sitting in a chair and no evident distress with the legs in a dependent position
what should the nurse do first
Gangrene
The nurse is assessing a client who has history of peripheral artery disease the nurse observed
that the left great toe is black the nurse determined that the black color is caused by which
factor
Enroll in a supervised exercise training program
The client with peripheral artery disease purport both leg hurts when walking what should the
nurse instruct the client to do
1. Avoid smoking and exposure to the cold
2. Take aspirin or cloridogrel
3. Use extra clothes at night to provide warmth
What instructions should the nurse give a client experiencing signs and symptoms related to
decreased arterial insufficiency select all that apply
Pedal pulses
, A client with peripheral artery disease has undergone a rat from Mario public Tampa Bay
pass graph the blood pressure has decrease from one 2480 to 88/62 what should the nurse
assess first
I should stop taking my medication if it makes me feel weak and dizzy
The nurse is caring for a client with prayer for artery disease who has recently been
prescribed Clopidogrel,which statement by the client indicates that the nurse should continue
giving information to the client about the medication
I am able to walk further without leg pain
A client is receiving cilostazol for peripheral artery disease causing intermittent claudication
which statement by the client indicates to the nurse that the medication is effective
1. Aerobic activity
2. Weight loss activity
A sedentary obese middle age client is recovering from surgery to remove an ambulance and
a right iliac artery the nurse should develop a discharge plan with the client that will focus on
participating in which activities
Instruct the client to walk daily for at least 30 minutes
Instructions should the nurse include when providing discharge instructions to a client
diagnosed with peripheral arterial disease
1. Wash legs and feet daily and warm water
2. Reply moisturizing cream to feet
3. Do not wear any type of nice stocking
4. Where clean white socks
The nurse is teaching a client diagnosed with arterial occlusive disease which intervention
should the nurse include in the teaching
Client has numbness and tingling
Which assessment data would warrant immediate intervention in the client diagnosed with
arterial occlusive disease
Intermittent claudication
The client comes to the clinic complaining of muscle cramping and pain in both legs when
walking for short periods of time which medical term would the nurse document in the
medical record
Call a stat code