Question 1

The nurse is caring for a client with newly diagnosed hypertension.What statement by the client indicates adequate understanding of his or her diet restrictions?

Accepted Answer

A)   "I will give my canned soups to the food pantry."
B)   "I'm going to miss my evening glass of wine."
C)   "I will mostly use salt substitutes for flavoring."
D)   "I can have regular coffee only in the morning."E) B) and D)
F) A) and B)

Question 2

The nurse is assisting the hospitalized client with his food selections for breakfast.The client is on a low-cholesterol diet.What recommendations are most appropriate for this client?

Accepted Answer

A)   Cheese omelet, skim milk, whole wheat toast, coffee
B)   Skim milk, oatmeal, banana, orange juice, coffee
C)   Whole wheat French toast, a side of bacon, coffee
D)   Blueberry muffin, orange juice, decaffeinated coffeeE) A) and D)
F) A) and C)

Question 3

The nurse is caring for a client who develops compartment syndrome after an embolectomy for peripheral arterial disease.What is the nurse's best action?

Accepted Answer

A)   Perform passive range-of-motion exercise to improve distal blood flow.
B)   Prepare the client for return to the operative suite for surgical correction.
C)   Medicate the client for pain and place the client in a knee-chest position.
D)   Loosen the dressing and elevate the extremity to the level of the heart.E) A) and C)
F) A) and B)

Question 4

A nurse is recovering a client who has undergone surgical repair of an abdominal aortic aneurysm (AAA) .The client develops coolness of the extremities and reports a bloated feeling in the abdomen.What is the nurse's best action?

Accepted Answer

A)   Measure the abdominal girth and check pulses.
B)   Raise the head of the bed to 90 degrees.
C)   Assess cardiac output and blood pressure.
D)   Auscultate and then palpate the abdomen.E) B) and D)
F) A) and C)

Question 5

A nurse is about to administer the first dose of captopril (Capoten) to a client with hypertension.Which is the priority nursing intervention?

Accepted Answer

A)   Take the client's apical pulse for 1 full minute before drug administration.
B)   Place the client in Trendelenburg position to facilitate blood flow to the heart.
C)   Educate the client to sit on the side of the bed for a few minutes before rising.
D)   Instruct the client to drink 3 L of fluid daily when taking this medication.E) None of the above
F) B) and C)

Question 6

The nurse is providing disease management education to a client with Raynaud's disease.What intervention does the nurse suggest to prevent complications of this disease?

Accepted Answer

A)   "Take vasoconstrictive agents when you have symptoms."
B)   "Wear warm clothing when exposed to cool temperatures."
C)   "Avoid placing alcohol-based lotion on affected extremities."
D)   "Check the strength of pulses in your arms and legs daily."E) All of the above
F) A) and B)

Question 7

The new graduate nurse is assessing a client with an unrepaired abdominal aortic aneurysm.What assessment technique requires further education by the supervising nurse?

Accepted Answer

A)   Measurement of abdominal girth
B)   Observation of abdominal wall movement
C)   Auscultation of any area of the abdomen
D)   Palpation of the abdominal midline areaE) None of the above
F) A) and B)

Question 8

A client with a diagnosed abdominal aortic aneurysm (AAA) develops lower back pain radiating to the groin.What is the nurse's interpretation of this information?

Accepted Answer

A)   The aneurysm clotted and is obstructing blood flow.
B)   The aneurysm is expanding and is preparing to rupture.
C)   The client feels the inflammation of the aneurysm.
D)   This is a normal sensation associated with an AAA.E) A) and C)
F) All of the above B

Question 9

A client with atherosclerosis is attempting to stop cigarette smoking with the use of a nicotine patch.Which statement by the client indicates a good understanding of smoking cessation education?

Accepted Answer

A)   "Abruptly discontinuing this patch can cause high blood pressure."
B)   "Abruptly discontinuing this patch can cause nausea and vomiting."
C)   "Smoking while using this patch increases the risk of respiratory infection."
D)   "Smoking while using this patch increases the risk of a heart attack."E) All of the above
F) A) and B)

Question 10

The nurse is caring for a client with Buerger's disease.What client education does the nurse provide to minimize disease progression?

Accepted Answer

A)   "Keep environmental temperatures warm."
B)   "Avoid highly stressful activities."
C)   "Use a heating pad on your extremities."
D)   "Abstain from all forms of tobacco."E) None of the above
F) B) and D)

Question 11

A client has been diagnosed with Cushing's syndrome.What assessment does the nurse perform to detect vascular complications associated with this illness?

Accepted Answer

A)   Auscultation of heart and lung sounds
B)   Assessment of blood pressure
C)   Daily weight using the same scale
D)   Monitoring of urine output every 24 hoursE) A) and C)
F) A) and D) B

Question 12

An older adult client is prescribed furosemide (Lasix) for control of hypertension.What client education does the nurse provide?

Accepted Answer

A)   "Confusion can occur when taking this medication."
B)   "Drink at least 3 liters of water every day."
C)   "Arise slowly from a chair or from your bed."
D)   "Persistent coughing is a side effect of this drug."
E)   "You should eat foods high in potassium."F) C) and D)
G) All of the above

Question 13

The nurse is recovering a client with peripheral arterial disease who has just undergone percutaneous transluminal angioplasty.What complication does the nurse monitor for in the immediate postprocedure period?

Accepted Answer

A)   Bleeding
B)   Aspiration
C)   Hypertensive crisis
D)   Chest painE) A) and B)
F) A) and C)

Question 14

The nurse is reviewing a client's laboratory results.The nurse correlates elevations in which values as risk factors for atherosclerosis?

Accepted Answer

A)   Total cholesterol, 280 mg/dL
B)   High-density cholesterol, 50 mg/dL
C)   Triglycerides, 200 mg/dL
D)   Serum albumin, 4 g/dL
E)   Low-density cholesterol, 160 mg/dLF) B) and E)
G) B) and D)

Question 15

A client with hyperlipidemia who is being treated with dietary fat restrictions and an exercise program asks the nurse why his serum lipid levels are still elevated.What activity by the nurse is most appropriate?

Accepted Answer

A)   Developing a very low-fat diet that the client will adhere to
B)   Explaining familial tendencies in hyperlipidemia
C)   Referring the client to a registered dietitian for weight loss
D)   Educating the client on antihyperlipidemic medicationsE) C) and D)
F) A) and C)

Question 16

The nurse is preparing a client with an aortic aneurysm for surgery.The nurse notes that the client's systolic blood pressure has increased by 30 mm Hg compared with the reading 1 hour ago.What is the nurse's best action?

Accepted Answer

A)   Measure abdominal girth.
B)   Auscultate the abdomen.
C)   Increase the IV infusion rate.
D)   Reassess the blood pressure.E) A) and C)
F) A) and D) A

Question 17

The nurse is assessing for skin changes in an African-American client admitted with peripheral arterial disease.What does the nurse monitor for?

Accepted Answer

A)   Excess hair growth
B)   Pitting edema in the feet
C)   Cyanosis of the nail beds
D)   Loss of toenailsE) A) and B)
F) A) and C)

Question 18

The nurse is reviewing the menu selections of a client who has ordered a low-cholesterol diet.What meal items does the nurse question?

Accepted Answer

A)   Vegetarian wrap
B)   Cheesesteak sandwich
C)   Fruit salad with yogurt
D)   Grilled fish sandwichE) A) and B)
F) A) and C)

Question 19

The nurse is providing health education to a client with chronic venous stasis ulcers.What priority instruction does the nurse include?

Accepted Answer

A)   "Apply antiembolism stockings before getting out of bed in the morning."
B)   "Clean venous ulcers with Betadine before applying a dressing."
C)   "Take 1 low-dose aspirin (81 mg)  daily to prevent inflammation."
D)   "Remove and reapply a new DuoDerm dressing to your ulcers each day."E) A) and B)
F) A) and C)

Question 20

The nurse is caring for a client who is experiencing excessive bleeding after receiving unfractionated heparin.What orders does the nurse anticipate from the health care provider?

Accepted Answer

A)   Laboratory draw for activated partial thromboplastin time (aPTT) 
B)   Administer vitamin K
C)   Laboratory draw for prothrombin time (PT) /international normalized ratio (INR) 
D)   Administer protamine sulfate
E)   Administer enoxaparin (Lovenox) F) A) and E)
G) C) and E)

Exam 38: Care of Patients With Vascular Problems

The nurse is caring for a client with newly diagnosed hypertension.What statement by the client indicates adequate understanding of his or her diet restrictions?

Correct AnswerverifiedShow Answer

The nurse is assisting the hospitalized client with his food selections for breakfast.The client is on a low-cholesterol diet.What recommendations are most appropriate for this client?

Correct AnswerverifiedShow Answer

The nurse is caring for a client who develops compartment syndrome after an embolectomy for peripheral arterial disease.What is the nurse's best action?

Correct AnswerverifiedShow Answer

A nurse is recovering a client who has undergone surgical repair of an abdominal aortic aneurysm (AAA) .The client develops coolness of the extremities and reports a bloated feeling in the abdomen.What is the nurse's best action?

Correct AnswerverifiedShow Answer

A nurse is about to administer the first dose of captopril (Capoten) to a client with hypertension.Which is the priority nursing intervention?

Correct AnswerverifiedShow Answer

The nurse is providing disease management education to a client with Raynaud's disease.What intervention does the nurse suggest to prevent complications of this disease?

Correct AnswerverifiedShow Answer

The new graduate nurse is assessing a client with an unrepaired abdominal aortic aneurysm.What assessment technique requires further education by the supervising nurse?

Correct AnswerverifiedShow Answer

A client with a diagnosed abdominal aortic aneurysm (AAA) develops lower back pain radiating to the groin.What is the nurse's interpretation of this information?

Correct AnswerverifiedB

A client with atherosclerosis is attempting to stop cigarette smoking with the use of a nicotine patch.Which statement by the client indicates a good understanding of smoking cessation education?

Correct AnswerverifiedShow Answer

The nurse is caring for a client with Buerger's disease.What client education does the nurse provide to minimize disease progression?

Correct AnswerverifiedShow Answer

A client has been diagnosed with Cushing's syndrome.What assessment does the nurse perform to detect vascular complications associated with this illness?

Correct AnswerverifiedB

An older adult client is prescribed furosemide (Lasix) for control of hypertension.What client education does the nurse provide?

Correct AnswerverifiedShow Answer

The nurse is recovering a client with peripheral arterial disease who has just undergone percutaneous transluminal angioplasty.What complication does the nurse monitor for in the immediate postprocedure period?

Correct AnswerverifiedShow Answer

The nurse is reviewing a client's laboratory results.The nurse correlates elevations in which values as risk factors for atherosclerosis?

Correct AnswerverifiedShow Answer

A client with hyperlipidemia who is being treated with dietary fat restrictions and an exercise program asks the nurse why his serum lipid levels are still elevated.What activity by the nurse is most appropriate?

Correct AnswerverifiedShow Answer

The nurse is preparing a client with an aortic aneurysm for surgery.The nurse notes that the client's systolic blood pressure has increased by 30 mm Hg compared with the reading 1 hour ago.What is the nurse's best action?

Correct AnswerverifiedA

The nurse is assessing for skin changes in an African-American client admitted with peripheral arterial disease.What does the nurse monitor for?

Correct AnswerverifiedShow Answer

The nurse is reviewing the menu selections of a client who has ordered a low-cholesterol diet.What meal items does the nurse question?

Correct AnswerverifiedShow Answer

The nurse is providing health education to a client with chronic venous stasis ulcers.What priority instruction does the nurse include?

Correct AnswerverifiedShow Answer

The nurse is caring for a client who is experiencing excessive bleeding after receiving unfractionated heparin.What orders does the nurse anticipate from the health care provider?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
B

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
B

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
A

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified