NSG 331 Vascular Disorders (Chapter 37)
Questions With Complete Solutions
Which,,risk,,factor,,should,,the,,nurse,,focus,,on,,when,,teaching,,a,,patient,,who,,ha
s,,a,,5-cm,,abdominal,,aortic,,aneurysm?
a.,,Male,,gender
b.,,Turner,,syndrome
c.,,Abdominal,,trauma,,history
d.,,Uncontrolled,,hypertension,,-,,Correct,,Answer,,-ANS:,,D
All,,the,,factors,,contribute,,to,,the,,patient's,,risk,,,but,,only,,hypertension,,can,,pot
entially,,be
modified,,to,,decrease,,the,,patient's,,risk,,for,,further,,expansion,,of,,the,,aneurysm.
Which,,finding,,on,,a,,patient's,,nursing,,admission,,assessment,,is,,congruent,,with,
,the,,initial,,medical,,diagnosis,,of,,a,,6-cm,,thoracic,,aortic,,aneurysm?
a.,,Low,,back,,pain
b.,,Trouble,,swallowing
c.,,Abdominal,,tenderness
d.,,Changes,,in,,bowel,,habits,,-,,Correct,,Answer,,-ANS:,,B
Difficulty,,swallowing,,may,,occur,,with,,a,,thoracic,,aneurysm,,because,,of,,pressure
,,on,,the
esophagus.,,The,,other,,symptoms,,will,,be,,important,,to,,assess,,for,,in,,patients,,w
ith,,abdominal
aortic,,aneurysms.
Several,,hours,,after,,a,,patient,,had,,an,,open,,surgical,,repair,,of,,an,,abdominal,,ao
rtic,,aneurysm,,,the,,UAP,,reports,,to,,the,,nurse,,that,,urinary,,output,,for,,the,,pas
t,,2,,hours,,has,,been,,45,,mL.,,What,,should,,the,,nurse,,anticipate,,will,,be,,prescri
bed?
a.,,Hemoglobin,,count
b.,,Increased,,IV,,fluids
c.,,Additional,,antibiotics
d.,,Serum,,creatinine,,level,,-,,Correct,,Answer,,-ANS:,,B
The,,decreased,,urine,,output,,suggests,,decreased,,renal,,perfusion,,and,,monitorin
g,,of,,renal
function,,is,,needed.,,There,,is,,no,,indication,,that,,infection,,is,,a,,concern,,,so,,anti
biotic,,therapy,,and
a,,WBC,,count,,are,,not,,needed.,,The,,IV,,rate,,may,,be,,increased,,because,,hypovol
emia,,may,,be
, contributing,,to,,the,,patient's,,decreased,,urinary,,output.
Which,,group,,of,,drugs,,will,,the,,nurse,,plan,,to,,include,,when,,teaching,,a,,patient
,,who,,has,,a,,new,,diagnosis,,of,,peripheral,,artery,,disease,,(PAD)?
a.,,Statins
b.,,Antibiotics
c.,,Thrombolytics
d.,,Anticoagulants,,-,,Correct,,Answer,,-ANS:,,A
Research,,indicates,,that,,statin,,use,,by,,patients,,with,,PAD,,improves,,multiple,,o
utcomes.,,There,,is
no,,research,,that,,supports,,the,,use,,of,,the,,other,,drug,,categories,,in,,PAD.
An,,older,,patient,,with,,chronic,,atrial,,fibrillation,,develops,,sudden,,severe,,pain,,,
pulselessness,,,pallor,,,and,,coolness,,in,,the,,right,,leg.,,After,,the,,nurse,,notifies,,th
e,,health,,care,,provider,,,what,,should,,the,,nurse,,do,,next?
a.,,Apply,,a,,compression,,stocking,,to,,the,,leg.
b.,,Elevate,,the,,leg,,above,,the,,level,,of,,the,,heart.
c.,,Assist,,the,,patient,,in,,gently,,exercising,,the,,leg.
d.,,Keep,,the,,patient,,in,,bed,,in,,the,,supine,,position.,,-,,Correct,,Answer,,-ANS:,,D
The,,patient's,,history,,and,,clinical,,manifestations,,are,,consistent,,with,,acute,,art
erial,,occlusion.
Resting,,the,,leg,,will,,decrease,,the,,O2,,demand,,of,,the,,tissues,,and,,minimize,,isc
hemic,,damage
until,,circulation,,can,,be,,restored.,,Elevating,,the,,leg,,or,,applying,,an,,elastic,,wra
p,,will,,further
compromise,,blood,,flow,,to,,the,,leg.,,Exercise,,will,,increase,,oxygen,,demand,,for,,t
he,,tissues,,of,,the
leg.
A,,patient,,at,,the,,clinic,,says,,,"I,,always,,walk,,after,,dinner,,,but,,lately,,my,,leg,,c
ramps,,and,,hurts,,after,,just,,a,,few,,minutes.,,The,,pain,,goes,,away,,after,,I,,stop,,
walking,,,though.",,What,,focused,,assessment,,should,,the,,nurse,,make?
a.,,Look,,for,,the,,presence,,of,,tortuous,,veins,,bilaterally,,on,,the,,legs.
b.,,Ask,,about,,any,,skin,,color,,changes,,that,,occur,,in,,response,,to,,cold.
c.,,Assess,,for,,unilateral,,swelling,,,redness,,,and,,tenderness,,of,,either,,leg.
d.,,Palpate,,for,,the,,presence,,of,,dorsalis,,pedis,,and,,posterior,,tibial,,pulses.,,-
,,Correct,,Answer,,-ANS:,,D
The,,nurse,,should,,assess,,for,,other,,clinical,,manifestations,,of,,peripheral,,arteria
l,,disease,,in,,a
patient,,who,,describes,,intermittent,,claudication.,,Changes,,in,,skin,,color,,that,,oc
cur,,in,,response
Questions With Complete Solutions
Which,,risk,,factor,,should,,the,,nurse,,focus,,on,,when,,teaching,,a,,patient,,who,,ha
s,,a,,5-cm,,abdominal,,aortic,,aneurysm?
a.,,Male,,gender
b.,,Turner,,syndrome
c.,,Abdominal,,trauma,,history
d.,,Uncontrolled,,hypertension,,-,,Correct,,Answer,,-ANS:,,D
All,,the,,factors,,contribute,,to,,the,,patient's,,risk,,,but,,only,,hypertension,,can,,pot
entially,,be
modified,,to,,decrease,,the,,patient's,,risk,,for,,further,,expansion,,of,,the,,aneurysm.
Which,,finding,,on,,a,,patient's,,nursing,,admission,,assessment,,is,,congruent,,with,
,the,,initial,,medical,,diagnosis,,of,,a,,6-cm,,thoracic,,aortic,,aneurysm?
a.,,Low,,back,,pain
b.,,Trouble,,swallowing
c.,,Abdominal,,tenderness
d.,,Changes,,in,,bowel,,habits,,-,,Correct,,Answer,,-ANS:,,B
Difficulty,,swallowing,,may,,occur,,with,,a,,thoracic,,aneurysm,,because,,of,,pressure
,,on,,the
esophagus.,,The,,other,,symptoms,,will,,be,,important,,to,,assess,,for,,in,,patients,,w
ith,,abdominal
aortic,,aneurysms.
Several,,hours,,after,,a,,patient,,had,,an,,open,,surgical,,repair,,of,,an,,abdominal,,ao
rtic,,aneurysm,,,the,,UAP,,reports,,to,,the,,nurse,,that,,urinary,,output,,for,,the,,pas
t,,2,,hours,,has,,been,,45,,mL.,,What,,should,,the,,nurse,,anticipate,,will,,be,,prescri
bed?
a.,,Hemoglobin,,count
b.,,Increased,,IV,,fluids
c.,,Additional,,antibiotics
d.,,Serum,,creatinine,,level,,-,,Correct,,Answer,,-ANS:,,B
The,,decreased,,urine,,output,,suggests,,decreased,,renal,,perfusion,,and,,monitorin
g,,of,,renal
function,,is,,needed.,,There,,is,,no,,indication,,that,,infection,,is,,a,,concern,,,so,,anti
biotic,,therapy,,and
a,,WBC,,count,,are,,not,,needed.,,The,,IV,,rate,,may,,be,,increased,,because,,hypovol
emia,,may,,be
, contributing,,to,,the,,patient's,,decreased,,urinary,,output.
Which,,group,,of,,drugs,,will,,the,,nurse,,plan,,to,,include,,when,,teaching,,a,,patient
,,who,,has,,a,,new,,diagnosis,,of,,peripheral,,artery,,disease,,(PAD)?
a.,,Statins
b.,,Antibiotics
c.,,Thrombolytics
d.,,Anticoagulants,,-,,Correct,,Answer,,-ANS:,,A
Research,,indicates,,that,,statin,,use,,by,,patients,,with,,PAD,,improves,,multiple,,o
utcomes.,,There,,is
no,,research,,that,,supports,,the,,use,,of,,the,,other,,drug,,categories,,in,,PAD.
An,,older,,patient,,with,,chronic,,atrial,,fibrillation,,develops,,sudden,,severe,,pain,,,
pulselessness,,,pallor,,,and,,coolness,,in,,the,,right,,leg.,,After,,the,,nurse,,notifies,,th
e,,health,,care,,provider,,,what,,should,,the,,nurse,,do,,next?
a.,,Apply,,a,,compression,,stocking,,to,,the,,leg.
b.,,Elevate,,the,,leg,,above,,the,,level,,of,,the,,heart.
c.,,Assist,,the,,patient,,in,,gently,,exercising,,the,,leg.
d.,,Keep,,the,,patient,,in,,bed,,in,,the,,supine,,position.,,-,,Correct,,Answer,,-ANS:,,D
The,,patient's,,history,,and,,clinical,,manifestations,,are,,consistent,,with,,acute,,art
erial,,occlusion.
Resting,,the,,leg,,will,,decrease,,the,,O2,,demand,,of,,the,,tissues,,and,,minimize,,isc
hemic,,damage
until,,circulation,,can,,be,,restored.,,Elevating,,the,,leg,,or,,applying,,an,,elastic,,wra
p,,will,,further
compromise,,blood,,flow,,to,,the,,leg.,,Exercise,,will,,increase,,oxygen,,demand,,for,,t
he,,tissues,,of,,the
leg.
A,,patient,,at,,the,,clinic,,says,,,"I,,always,,walk,,after,,dinner,,,but,,lately,,my,,leg,,c
ramps,,and,,hurts,,after,,just,,a,,few,,minutes.,,The,,pain,,goes,,away,,after,,I,,stop,,
walking,,,though.",,What,,focused,,assessment,,should,,the,,nurse,,make?
a.,,Look,,for,,the,,presence,,of,,tortuous,,veins,,bilaterally,,on,,the,,legs.
b.,,Ask,,about,,any,,skin,,color,,changes,,that,,occur,,in,,response,,to,,cold.
c.,,Assess,,for,,unilateral,,swelling,,,redness,,,and,,tenderness,,of,,either,,leg.
d.,,Palpate,,for,,the,,presence,,of,,dorsalis,,pedis,,and,,posterior,,tibial,,pulses.,,-
,,Correct,,Answer,,-ANS:,,D
The,,nurse,,should,,assess,,for,,other,,clinical,,manifestations,,of,,peripheral,,arteria
l,,disease,,in,,a
patient,,who,,describes,,intermittent,,claudication.,,Changes,,in,,skin,,color,,that,,oc
cur,,in,,response
