295 TEST 2, PVD, PAD,

Which dietary choices would the nurse teach for the client with peripheral arterial disease. SELECT ALL THAT APPLY. a. limit salt intake b. choose foods high in calcium c. Eat whole-grain breads. d. Use liquid vegetable oils e. Reduce fresh fruits and vegetables. f. Avoid processed meats.

a. limit salt intake c. Eat whole-grain breads. d. Use liquid vegetable oils f. Avoid processed meats.

Which clinical findings would hte nurse expect to identify when caring for a patient with a left leg venous thrombosis? SELECT ALL THAT APPLY? a. pain in the left calf. b. intermittent claudication c. redness in affected area d. swelling of the left lower extremity e. ecchymotic areas at the left ankle f. Localized warmth in the lower left leg.

a. pain in the left calf. b. redness in affected area d. swelling of the left lower extremity f. Localized warmth in the lower left leg.

When caring for a client with peripheral arterial insufficiency, how would the nurse position the client's feet and legs? a. place them slightly lower than the head and chest b. use pillows to support the heels above gatch on the bed c. raise the knees using the knee gatch on the bed d. elevate feet by raising the foot of the bed on blocks.

a. place them slightly lower than the head and chest

When caring for a client with PAD, which assessment findings will the nurse expect? a. Absence of hair on toes. b. pink and moist ankles c. pitting edema of the lower legs d. reports pain associated with exercising e. increased pigmentation of the medial malleolus area

a. Absence of hair on toes. d. reports pain associated with exercising

Which findings in a client who has had major abdominal surgery indicate a possible venous thrombosis of the leg? a. Edema of the ankle b. skin breakdown over the skin c. pruritus on the side of the calf. d. tender area in the posterior lower leg. e. warmth along the course of the involved vessel.

a. Edema of the ankle d. tender area in the posterior lower leg. e. warmth along the course of the involved vessel.

Which collaborative and nursing actions would help prevent venous thrombosis in a client during the peri-operative period? SELECT ALL THAT APPLY. a. administer subcutaneous heparin (anticoagulant) injection b. give intravenous thrombolytic medications c. assist the client to done antiembolic stockings d. apply pneumatic compression devices to the legs e. Remind the client about the importance of bed rest

a. administer subcutaneous heparin (anticoagulant) injection c. assist the client to done antiembolic stockings d. apply pneumatic compression devices to the legs

Which instructions will the home health nurse include when teaching a client with peripheral vascular disease? SELECT ALL THAT APPLY a. avoid crossing your legs b. inspect your feet daily c. Change positions slowly d. Do not use compression stockings e. avoid green leafy vegetables in your diet.

a. avoid crossing your legs b. inspect your feet daily d. Do not use compression stockings

Which findings would the nurse expect when assessing a client with peripheral vascular disease? a. pallor of feet b. warm extremities c. Ulcers on toes d. Thick, hardened skin e. Delayed capillary refill

a. pallor of feet c. Ulcers on toes d. Thick, hardened skin e. Delayed capillary refill

When a client has venous insufficiency, which finding by the nurse will be of MOST concern. a. bilateral brown lower leg discoloration b. calf pain when the feet are dorsiflexed c. Severe edema from ankles to calves d. Thickened and dry skin on lower legs

b. calf pain when the feet are dorsiflexed

Which finding will the nurse expect when caring for a client with hypovolemic shock? a. slow heart rate b. cool skin temperature c. bounding radial pulse. d. increased urine output

b. cool skin temperature

A client with chronic venous insufficiency has ankle edema. Which action would the nurse take? a. restrict fluids b. elevate the legs c. apply an Unna boot d. discuss sclerotherapy

b. elevate the legs

A 68-year-ld client has multiple risk factors for peripheral arterial disease, including client age, siblings with diabetes, a sedentary lifestyle, and a family history of heart disease. Which risk factor is the HIGHEST priority? a. older age b. low activity level c. blood glucose control d. family history of heart disease

b. low activity level

Which action would the home health care nurse taken when caring for a client with pink and moist leg venous stasis ulcer? a. Teach the client to keep the left leg in a dependent position to improve blood flow. b. Monitor for increased bruising or bleeding caused by anticoagulation medications. c. Clean the wound with normal saline and apply prescribed hydrocolloid dressings weekly. d. Educate client about the need for vascular surgery to improve blood flow to the wound.

c. Clean the wound with normal saline and apply prescribed hydrocolloid dressings weekly.

What lab test/diagnostic testing would the nurse expected to be ordered in a patient with suspected peripheral vascular disease? SELECT ALL THAT APPLY a. TSH b. CVP c. D-dimer > 0.4 d. ankle-brachial index e. Venous duplex ultrasound f. Doppler

c. D-dimer > 0.4 e. Venous duplex ultrasound f. Doppler

After the nurse teaches a client with varicose veins about prevention of venous thromboembolism (VTE), which client statement indicates the client requires further teaching? a. I must increase my fluid intake b. elastic stockings should be worn every day c. I will try to keep my legs lower than my heart d. Frequent daily walks will prevent clot formation

c. I will try to keep my legs lower than my heart

What lab test/diagnostic testing would the nurse expected to be ordered in a patient with suspected peripheral arterial disease? SELECT ALL THAT APPLY a. TSH b. CVP c. MRA d. ankle-brachial index e. venous duplex ultrasound

c. MRA d. ankle-brachial index e. venous duplex ultrasound

Which clinical manifestations would the nurse expect to identify when performing an admission history and physical for a client with chronic peripheral arterial disease? a. edema of the feet and ankles b. reddened and painful areas on the calves c. pain when exercising and thickening of the toenails. d. ulcers around the ankles and reports of a dull ache in the legs.

c. pain when exercising and thickening of the toenails.

A client tells the nurse, "my leg begins to hurt after walking for several blocks. The pain goes away when I stop walking, but it comes back again when I resume walking." Which condition would the nurse consider as the MOST likely cause of the client's pain? a. spinal stenosis b. Buerger disease c. Rheumatoid arthritis d. intermittent claudication

d. intermittent claudication