VASCULAR DISORDER NCLEX

VASCULAR DISORDER NCLEX

QUESTIONS FULLY SOLVED & VERIFIED

FOR ACCURACY

What instructions should the nurse give a client experiencing signs and symptoms related to decreased arterial insufficiency?Select all that apply.

• Avoid smoking and exposure to the cold.
• Take acetaminophen if experiencing pain at night.
• Take aspirin or clopidogrel as prescribed.
• Use additional bed clothes at night.

5. Wear tight socks to keep feet warm. - answer Ans:

• Avoid smoking and exposure to the cold.
• Take aspirin or clopidogrel as prescribed.
• Use additional bed clothes at night.

The nurse is caring for a client who has just had an ankle-brachial index (ABI) test. The left arm blood pressure was 160/80 mm Hg, and a palpable systolic blood pressure of the left lower extremity

was 130/60 mm Hg. These findings suggest that the client has:

• mild peripheral artery disease.
• moderate peripheral artery disease.
• no apparent occlusion in the left lower extremity.

4. severe peripheral artery disease. - answer Ans:

• mild peripheral artery disease

A client is admitted for a revascularization procedure for artheriosclerosis in the left iliac artery. To promote circulation in

the extremities, the nurse should:

• position the client on a firm mattress.
• keep the involved extremity warm with blankets.
• position the left leg at or below the body's horizontal plane
• encourage the client to raise and lower the leg four times every

hour. - answer Ans:

• position the leg at or below the body's horizontal plane.

A sedentary, obese, middle-aged client is recovering from surgery to remove an embolus in the right iliac artery. The nurse should develop a discharge plan with the client that will focus on participating in which activities? Select all that apply.

• aerobic activity
• strength training
• weight control

4. wearing supportive athletic shoes - answer Ans:

• aerobic activity
• weight control

The nurse is assessing a 48 year old client with a history of smoking during a routine clinic visit. The client, who exercises regularly, reports having pain the calf during exercises that disappears at rest. Which finding requires further evaluation?

• heart rate 57 bpm
• SpO2 of 94% on room air
• blood pressure 134/82 mm Hg

4. ankle-brachial index of 0.65 - answer Ans:

• SpO2 of 94% on room air

A client with peripheral artery disease has undergone a right femoral-popliteal bypass graft. The blood pressure has decreased from 124/80 mm Hg to 88/62 mm Hg. What should the nurse assess first?

• IV fluid infusion rate
• pedal pulses
• nasal cannula flow rate

4. capillary refill - answer Ans:

• pedal pulses

An obese client taking warfarin has dry skin due to decreased arterial blood flow. What should the nurse instruct the client to do?Select all that apply.

• Apply lanolin or petroleum jelly to intact skin.
• Follow a reduced-calorie, reduced-fat diet.
• Inspect the involved areas daily for new ulcerations.
• Limit activities of daily living (ADLs).

5. Use an electric razor to shave. - answer Ans:

• Apply lanolin or petroleum jelly to intact skin.

• Follow a reduced-calorie, reduced-fat diet.
• Inspect the involved areas daily for new ulcerations.
• Use an electric razor to shave.

The nurse is caring for a client with peripheral artery disease who has recently been prescribed clopidogrel. The nurse understands

that more teaching is necessary when the client states:

• "I should not be surprised if I bruise easier or if my gums bleed

a little when brushing my teeth."

• "It does not really matter if I take this medicine with or without

food, whatever works best for my stomach."

• "I should stop taking my medicine if it makes me feel weak and

dizzy."

• "The doctor prescribed this medicine to make my platelets less

likely to stick together and help prevent clots from forming." -

answer Ans:

• "I should stop taking my medicine if it makes me feel weak and

dizzy."

A client is receiving cilostazol for peripheral artery disease causing intermittent claudication. The nurse determines this

medication is effective when the client reports:

• "I am having fewer aches and pains."
• "I do not have headaches anymore."
• "I am able to walk further without leg pain."

4. "My toes are turning grayish black in color." - answer Ans: