HA2 Nursing Application: Peripheral Vascular System

Which interventions to help Mr. Akana decrease his modifiable risk factors should the nurse include in a client-centered teaching plan? Select all that apply.

-Eat a more plant-based diet. -Lose weight. -Increase physical activity.

The nurse is performing an assessment on a client with peripheral vascular disease​ (PVD). Which finding should the nurse​ expect?

delayed capillary refill in the lower extremities.​

The nurse enters the room and finds Donna sitting in a chair wearing her prescribed compression device. What instruction should the nurse give to Donna?

elevate her feet

Which action by the nurse will promote venous circulation in Donna's legs?​

massaging the feet

Which instructions should the nurse include when educating a pregnant woman to promote circulation in her lower extremities? Select all that apply.

walking, flexing and rotating the feet, elevating the feet, and not crossing the legs when sitting.

The nurse assesses a client with edema and varicose veins in both lower extremities. Which additional assessment findings would be present if the client is living with chronic venous insufficiency? Select all that apply.

warm skin, and hyperpigmentation of the skin

What assessment finding is seen in this image?​ Indentation after finger-press

pitting edema

What information about the effects of smoking should the nurse include when providing client education to motivate the individual to stop smoking?

-Nicotine contributes to narrowing of blood vessels -Smoking increases triglycerides in the blood -The chemicals in tobacco damage cells that line the blood vessels

Donna (pronouns: she/her/hers) is a 27-year-old on bed rest while awaiting surgical repair of a broken femur sustained in a bicycle crash. Her right leg is in traction to stabilize the fracture and reduce pain. The following data was obtained during the admission assessment. Which findings indicate that she is at high risk for altered peripheral vascular function? Select all that apply.

-Oral contraceptives -history of lupus -immobility -recent trauma

Which individual's health history indicates a need for a focused assessment of the peripheral vascular system?

-The 48-year-old presents with the most risk factors for peripheral vascular disease (PVD): over 40 with diabetes, hyperlipidemia, and tobacco use. -The 35-year-old with two chronic illnesses that can impact the vasculature (hypertension and diabetes), even though they are well controlled, should receive a focused peripheral vascular assessment with each health provider visit. ​

When documenting Stephanie's force of pulses, the nurse describes a weak, thready dorsalis pedis pulse on the right as _____ and a normal dorsalis pedis pulse on the left as______​

1+ 2+

What risk factors for peripheral vascular disease (PVD) are present in Mr. Akana's (pronouns: he, him, his) health history? Select all that apply. Keola Akana is a 70-year-old male of Pacific Island descent who has lived in Hawaii his entire life. Mr. Akana has been living with heart failure for several years. He is the only child of healthy parents who died of "old age" in their 90s. His three adult children are healthy and visit often. Mr. Akana is the cook in the home he shares with his second wife and prepares meat and potatoes for most meals. Although an avid surfer for most of his life, Mr. Akana is less physically active since his wife's arthritis began limiting her mobility. As a result, his weight has increased to 210 lb on his 5' 10" frame. His primary care provider has advised him to lower both his weight and total cholesterol of 255 mg/dL.​

70-year-old male Pacific Island descent meat and potatoes for most meals less physically active weight has increased to 210 lb total cholesterol of 255 mg/dL

Stephanie (pronouns: she/her/hers) is a 42-year-old female, pregnant with twins conceived using fertility drugs. At 27 weeks gestation, she was placed on bed rest due to cramping and spotting. Now in her 29th week of pregnancy, Stephanie notices swelling in her left leg with a burning pain in the posterior calf that is worse when she rubs it. When she removes her socks to look at her feet, she sees an indented ring around her left ankle. ​ Based on this information, the nurse suspects which pathological process is occurring in Stephanie's leg?

Deep vein thrombosis

A​ client's adult child asks if peripheral vascular disease (PVD) can be prevented since it runs in their family. Which actions should the nurse include as a preventative​ measure? Select all that​ apply.

regular exercise, maintaining a healthy weight, and smoking cessation

During the initial health history a client makes the following statement. Select the words/phrases that provide cues to their peripheral vascular health.​ "I have had trouble with my circulation for the last five years. It started after my heart attack and was not bad at first. But lately, if I sit or stand for a long time my feet swell and begin to ache. And my husband hates going for walks with me because I have to stop so often to catch my breath."​

trouble with my circulation, my feet swell.