346- exam 2: peripheral

Which intervention would the nurse implement while administering heparin sodium to a patient? Aspirating while administering the medication Rubbing the site after administering the medication Rotating the medication administration site frequently Using the IM route for medication administration

Rotating the medication administration site frequently

A patient reports pain and itchiness in a lower extremity. Upon further assessment, a nurse observes that the extremity is reddened and warm. Which complication would the nurse suspect? Aortic aneurysm Raynaud's phenomenon Peripheral artery disease Superficial vein thrombosis

Superficial vein thrombosis

A patient has been advised to undergo genetic testing to determine the correct dosing of warfarin prescribed for deep vein thrombosis. For which genetic variant would the patient be tested? BRCA1 CYP2C9 HLA-B*5701 BRAF V600E

CYP2C9

Which assessment finding is considered the classic manifestation in lower extremity peripheral artery disease (PAD)? Rest pain Skin ulcerations Intermittent claudication Paresthesia in the feet and toes

Intermittent claudication

The nurse is teaching a student nurse about pulmonary embolism. Which response by the student indicates to the nurse teaching was effective? "A clot in the iliac vein may lead to a potentially lethal pulmonary emboli." "A clot in the portal vein may lead to a potentially lethal pulmonary emboli." "A clot in the jugular vein may lead to a potentially lethal pulmonary emboli." "A clot in the lumbar vein may lead to a potentially lethal pulmonary emboli."

"A clot in the iliac vein may lead to a potentially lethal pulmonary emboli."

Which statements by the student indicate understanding of Raynaud's phenomenon? It can precede the onset of a systemic disease. Cyanosis occurs as hemoglobin releases oxygen. It occurs more often in diffuse scleroderma than in limited scleroderma. It can lead to diminished blood flow to fingers and toes with exposure to cold. Numbness and tingling sensations differentiate the white phase from the other two phases.

It can precede the onset of a systemic disease. Cyanosis occurs as hemoglobin releases oxygen It can lead to diminished blood flow to fingers and toes with exposure to cold.

The nurse gives a patient who has diabetes mellitus and peripheral artery disease (PAD) information about foot care. Which statements made by the patient indicate a need for additional teaching? "I should wear all-cotton socks." "I should refrain from soaking my feet." "I should have my capillary refill checked annually by my health care provider." "I should inspect my feet daily for any mottling." "I should wear nylon socks."

"I should wear nylon socks." "I should have my capillary refill checked annually by my health care provider."

The nurse provides discharge teaching to a patient with venous leg ulcers. Which statement made by the patient indicates the need for further education? "I will take a walk daily." "I will try to lose at least 20 pounds." "I will put on my stockings after I get out of bed each day." "I will not wear knee-high socks that are tight around my calf."

"I will put on my stockings after I get out of bed each day."

Which assessment findings are typical of venous ulcers? Bluish tinge of the extremities Capillary refill greater than three seconds Location above the medial malleolus Well-defined edges along the ulcer Pain worse with leg in a dependent position

Location above the medial malleolus Pain worse with leg in a dependent position

The nurse is assessing a patient with lower-extremity peripheral artery disease (PAD). Which clinical manifestation would the nurse expect to find? Presence of peripheral pulses Heaviness in the calf or thigh Loss of hair on legs, feet, and toes Presence of edema in the lower leg

Loss of hair on legs, feet, and toes

Which actions will decrease the likelihood of a patient developing varicose veins? Maintaining ideal body weight Avoiding long periods of sitting Taking 325 mg of aspirin daily Applying hydrating lotions to the skin of legs daily Avoiding standing for long periods

Maintaining ideal body weight Avoiding long periods of sitting Avoiding standing for long periods

A patient reports leg pain that awakens the patient at night. The patient reports that the same pain develops in the legs when they are elevated and disappears when the legs are dangled. Which condition would the nurse suspect? Peripheral arterial disease Lymphatic obstruction Chronic venous insufficiency Musculoskeletal abnormalities

Peripheral arterial disease

Which intervention would the nurse include in the plan of care for a patient diagnosed with peripheral arterial disease? Soak patient's feet daily. Place pillow under calves. Apply compression stockings. Apply wet-to-dry dressings on any foot ulcer.

Place pillow under calves.

The nurse is performing a physical assessment on a patient with chronic venous insufficiency (CVI). Which manifestation involving the lower extremities would the nurse expect? Shiny skin Absent pulses Brownish color Lack of sensation

brownish color

The nurse reviews the assessment findings of a patient with atherosclerosis and notes an ankle-brachial index (ABI) of 0.8, decreased Doppler pressures, aspirin intolerance, and arterial stenosis. Which treatment would likely be prescribed for this patient? Nifedipine Clopidogrel Furosemide Doxycycline

clopidogrel

The nurse reviews the medical records of four patients. Which information indicates a patient's high risk for venous thromboembolism? Hyperuricemia Hormone therapy Anticoagulant therapy High C-reactive protein levels

hormone therapy

A patient has a two-month history of taking warfarin as treatment for deep vein thrombosis (DVT). The patient is scheduled for an unrelated surgery. Which international normalized ratio (INR) result indicates that the patient will likely require vitamin K before surgery? 1.0 1.2 2.0 3.4

3.4

Which findings during the cardiovascular assessment of a patient require further evaluation? A thready pulse is present. Hands and feet are cold to the touch. Edema is absent in the extremities. Capillary refill takes four seconds. Veins in the neck are not distended.

A thready pulse is present. Hands and feet are cold to the touch. Capillary refill takes four seconds.

A nurse is caring for a patient with a diagnosis of deep vein thrombosis (DVT). The patient receives a prescription for 30 mg enoxaparin. Which injection site should the nurse use to administer this medication safely? Buttock, upper outer quadrant Abdomen, anterior-lateral aspect Back of the arm, 2 inches away from a mole Anterolateral thigh with no scar tissue nearby

Abdomen, anterior-lateral aspect

A male patient presents with mild symptoms of peripheral artery disease (PAD). Which interventions will the nurse expect to see in the patient's treatment plan? Administering an antiplatelet agent Advising the patient to exercise daily Administering an angiotensin-converting enzyme (ACE) inhibitor Advising the patient to maintain a waist circumference of less than 45 inches Advising the patient to maintain a body mass index (BMI) of less than 25 kg/m 2

Administering an antiplatelet agent Advising the patient to exercise daily Administering an angiotensin-converting enzyme (ACE) inhibitor Advising the patient to maintain a body mass index (BMI) of less than 25 kg/m 2

A patient is at risk for developing a deep vein thrombosis after a knee replacement surgery. Which intervention reduces the risk of this complication? Applying heat to the operative site Administering prophylactic anticoagulant drugs Providing intermittent positive pressure ventilation Restricting the range of motion of the unaffected lower extremity

Administering prophylactic anticoagulant drugs

Which assessment finding would the nurse expect when caring for a patient with superficial vein thrombosis? Presence of edema with pain Induration of the overlying muscle Appearance of the vein as a palpable cord Tenderness to pressure over the involved vein

Appearance of the vein as a palpable cord

A patient with a 15-year history of diabetes has been complaining of intermittent pain in the legs. Which other symptoms would the nurse assess if the patient has the complication of peripheral arterial disease? Cold feet Loss of hair Dependent rubor Urinary retention Bowel incontinence

Cold feet Loss of hair Dependent rubor

The nurse identifies that a patient is in the initial stage of Raynaud's disorder. Which assessment finding is consistent with the early stage of this condition? Throbbing, tingling, and swelling of the limbs Chronic ischemic pain and ulcers on both feet Color changes of fingers from white to blue to red Hypertension, hyperglycemia, and inflamed arteries

Color changes of fingers from white to blue to red

While caring for a patient after bariatric surgery, the nurse identifies that the patient is at risk for venous thromboembolism (VTE). Which treatment strategies are included in the patient's care plan to prevent this complication? Antifibrinolytic drugs Compression stockings Vitamin K supplements Low-dose heparin Active and passive range-of-motion exercises

Compression stockings Low-dose heparin Active and passive range-of-motion exercises

A patient with a history of deep vein thrombosis is recovering in the postanesthesia care unit (PACU) after surgery. Which symptoms would the nurse assess if this patient develops a pulmonary embolism (PE)? Dyspnea Tachypnea Tachycardia Coarse crackles Noisy respirations

Dyspnea Tachypnea Tachycardia

A patient who presents with claudication is diagnosed with peripheral arterial disease (PAD). Which interventions will the nurse expect to find included in the patient's treatment plan? Sympathectomy Exercise therapy Nutritional therapy Antiplatelet therapy Calcium channel blockers

Exercise therapy Nutritional therapy Antiplatelet therapy

A patient has undergone peripheral artery bypass surgery. The patient is diabetic, has a history of chronic ischemic rest pain, and has been taking opioids for more than a year. Which postoperative interventions would the nurse include in the plan of care? Monitor perfusion to the extremities. Suggest that the patient stop taking opioids immediately. Encourage the patient to practice meticulous foot care. Teach the patient or caregiver about wound management. Encourage the patient to drink juices with refined sugar. Report any potential complications, such as bleeding or thrombosis.

Monitor perfusion to the extremities. Encourage the patient to practice meticulous foot care. Teach the patient or caregiver about wound management. Report any potential complications, such as bleeding or thrombosis.

Which description is characteristic of pain experienced by a patient who has Raynaud's phenomenon? Ripping type chest pain Pain in fingers with color changes in the skin Leg pain with exercise that resolves with rest Leg pain that resolves when the leg is lowered

Pain in fingers with color changes in the skin

The nurse provides postoperative care for a patient following bariatric surgery. Which strategies reduce the risk for venous thromboembolism (VTE)? Providing compression stockings Administering low-dose heparin Administering aspirin medication Encouraging range-of-motion exercises Instructing in coughing and deep-breathing techniques

Providing compression stockings Administering low-dose heparin Encouraging range-of-motion exercises

Which diagnosis does the nurse expect for a patient who presents with numbness, tingling, and blue discoloration in the toes and fingers? Psoriatic arthritis Reactive arthritis Raynaud's phenomenon Subacute cutaneous lupus

Raynaud's phenomenon

Which intervention would the nurse include in the care of a patient who has chronic venous insufficiency (CVI)? Application of topical antibiotics to venous ulcers Administering oral or subcutaneous anticoagulants Maintaining the patient's legs in a dependent position Teaching the patient the correct use of compression stockings

Teaching the patient the correct use of compression stockings

A patient has loss of hair on the legs and the feet, cold extremities, and brittle nails. The patient's ankle-brachial index (ABI) is 0.41. Which interpretation would the nurse make from the assessment findings? The patient has venous disease. The patient has Raynaud's phenomenon. The patient has peripheral artery disease (PAD). The patient is experiencing side effects of heparin.

The patient has peripheral artery disease (PAD).

Which rationale would explain why a patient is not responding well to clopidogrel therapy? The patient eats low-sodium food. The patient has peripheral artery disease. The patient takes omeprazole medication. The patient experiences aspirin intolerance.

The patient takes omeprazole medication.

The nurse is examining a female patient who experiences leg edema and pain. Which history findings indicate that the patient is at a high risk for venous thromboembolism (VTE)? The patient uses tobacco. The patient lives in a high-altitude area. The patient has a family history of VTE. The patient has been taking aspirin daily for one year. The patient takes an estrogen-based oral contraceptive.

The patient uses tobacco. The patient lives in a high-altitude area. The patient has a family history of VTE. The patient takes an estrogen-based oral contraceptive.

The patient reports a palpable, firm, and cordlike vein. The patient states that the area around the vein is itchy, painful to the touch, reddened, and warm. Which complication is likely if treatment is not initiated? Pulmonary hemorrhage Pulmonary hypertension Post-thrombotic syndrome Venous thromboembolism

Venous thromboembolism

A patient with intermittent claudication experiences pain in the leg muscles while exercising that resolves within 10 minutes after stopping. Which substance building up in the leg is causing the ischemic pain? Lactic acid Triglycerides Homocysteine Blood viscosity

lactic acid

A patient's assessment findings include a waist circumference of 42 inches, current tobacco use, hypertension, and a sedentary lifestyle. Which finding is the most significant risk factor for peripheral artery disease (PAD)? Tobacco use Excess weight Sedentary lifestyle High BP

tobacco use