MCA-2 Adaptive Quiz #3 Peripheral
Artery Disease
A male Hispanic affected person is recognized with peripheral artery disorder (PAD). The nurse
notes a history of smoking and a records of despair. The nurse identifies that the affected
person has what PAD risk component?
Gender
Smoking
Ethnicity
Comorbidity - ANS-Smoking
Rationale
Smoking is the most massive danger aspect for this patient. PAD is a marker of superior
systemic atherosclerosis. Being male or Hispanic aren't danger factors for PAD. Depression
also is not a chance element.
P. 803
A affected person is recognized with important limb ischemia, which resulted from extreme
persistent peripheral vascular disorder. The nurse places the patient's mattress within the
opposite Trendelenberg position to gain what desired impact?
Lower blood stress
Decrease hazard for infection
Decrease platelet agglutination
Increase tissue perfusion by means of gravity - ANS-Increase tissue perfusion via gravity
Rationale
Reverse Trendelenberg positions the bed at a straight slant with the top of the mattress better
than the foot. This position permits gravity to boom blood drift to structured extremities. Blood
pressure is not reduced appreciably by using this position. Meticulous hygiene is hired to save
you contamination. An antiplatelet medicinal drug, including aspirin, may be prescribed to save
you blood clot formation.
P. 806
A affected person reports a current onset of pain in the calf whilst climbing stairs. The pain is
relieved when the affected person sits and rests for about 2 mins. The patient is then able to
resume activities. The nurse suspects what situation?
, Intermittent claudication
Muscle cramping
Venous insufficiency
Sore muscles from overexertion - ANS-Intermittent claudication
Rationale
Intermittent claudication feels like a cramp and is as a result of reduced arterial blood glide to an
extremity for the duration of activity. It can be because of arterial spasm, atherosclerosis, or
occlusion of an artery to the limb. Symptoms are typically relieved by a couple of minutes of
relaxation, and definitive remedy relies upon on the purpose. Muscle cramping, venous
insufficiency, and sore muscle groups from overexertion are all wrong in mild of the patient's
imparting court cases.
P. 803
A patient who underwent percutaneous transluminal angioplasty (PTA) to deal with decrease leg
peripheral artery disease is prescribed seventy five mg of aspirin day by day. What is the
favored effect of this medicine?
Prevent platelet agglutination
Stimulate collateral circulation
Decrease liver production of diet K
Control ache attributable to the procedure - ANS-Prevent platelet agglutination
Rationale
Aspirin is prescribed for its antiplatelet effect. It interferes with platelet agglutination (sticking
collectively to form a blood clot). Exercise is a way to improve collateral movement. Warfarin
(Coumadin) is an anticoagulant that blocks nutrition K production through the liver. A unmarried
each day dose of seventy five mg of aspirin is insufficient for ache comfort.
P. 805
A patient with intermittent claudication experiences pain inside the leg muscle groups at the
same time as workout that resolves inside 10 mins after stopping. The nurse recognizes that the
ischemic ache is a end result of the accumulation of what?
Blood viscosity
Triglycerides
Lactic acid
Homocysteine - ANS-Lactic acid
Rationale
Intermittent claudication is a symptom of decrease extremity peripheral artery disease. Exercise
increases lactic acid degrees within the body from anaerobic metabolism, which leads to
intermittent claudication. Nicotine consumption increases blood viscosity and causes peripheral
artery disease. Increased triglyceride degrees increase the hazard of peripheral artery ailment.
Artery Disease
A male Hispanic affected person is recognized with peripheral artery disorder (PAD). The nurse
notes a history of smoking and a records of despair. The nurse identifies that the affected
person has what PAD risk component?
Gender
Smoking
Ethnicity
Comorbidity - ANS-Smoking
Rationale
Smoking is the most massive danger aspect for this patient. PAD is a marker of superior
systemic atherosclerosis. Being male or Hispanic aren't danger factors for PAD. Depression
also is not a chance element.
P. 803
A affected person is recognized with important limb ischemia, which resulted from extreme
persistent peripheral vascular disorder. The nurse places the patient's mattress within the
opposite Trendelenberg position to gain what desired impact?
Lower blood stress
Decrease hazard for infection
Decrease platelet agglutination
Increase tissue perfusion by means of gravity - ANS-Increase tissue perfusion via gravity
Rationale
Reverse Trendelenberg positions the bed at a straight slant with the top of the mattress better
than the foot. This position permits gravity to boom blood drift to structured extremities. Blood
pressure is not reduced appreciably by using this position. Meticulous hygiene is hired to save
you contamination. An antiplatelet medicinal drug, including aspirin, may be prescribed to save
you blood clot formation.
P. 806
A affected person reports a current onset of pain in the calf whilst climbing stairs. The pain is
relieved when the affected person sits and rests for about 2 mins. The patient is then able to
resume activities. The nurse suspects what situation?
, Intermittent claudication
Muscle cramping
Venous insufficiency
Sore muscles from overexertion - ANS-Intermittent claudication
Rationale
Intermittent claudication feels like a cramp and is as a result of reduced arterial blood glide to an
extremity for the duration of activity. It can be because of arterial spasm, atherosclerosis, or
occlusion of an artery to the limb. Symptoms are typically relieved by a couple of minutes of
relaxation, and definitive remedy relies upon on the purpose. Muscle cramping, venous
insufficiency, and sore muscle groups from overexertion are all wrong in mild of the patient's
imparting court cases.
P. 803
A patient who underwent percutaneous transluminal angioplasty (PTA) to deal with decrease leg
peripheral artery disease is prescribed seventy five mg of aspirin day by day. What is the
favored effect of this medicine?
Prevent platelet agglutination
Stimulate collateral circulation
Decrease liver production of diet K
Control ache attributable to the procedure - ANS-Prevent platelet agglutination
Rationale
Aspirin is prescribed for its antiplatelet effect. It interferes with platelet agglutination (sticking
collectively to form a blood clot). Exercise is a way to improve collateral movement. Warfarin
(Coumadin) is an anticoagulant that blocks nutrition K production through the liver. A unmarried
each day dose of seventy five mg of aspirin is insufficient for ache comfort.
P. 805
A patient with intermittent claudication experiences pain inside the leg muscle groups at the
same time as workout that resolves inside 10 mins after stopping. The nurse recognizes that the
ischemic ache is a end result of the accumulation of what?
Blood viscosity
Triglycerides
Lactic acid
Homocysteine - ANS-Lactic acid
Rationale
Intermittent claudication is a symptom of decrease extremity peripheral artery disease. Exercise
increases lactic acid degrees within the body from anaerobic metabolism, which leads to
intermittent claudication. Nicotine consumption increases blood viscosity and causes peripheral
artery disease. Increased triglyceride degrees increase the hazard of peripheral artery ailment.
