Perfusion Exemplar 16.J Peripheral Vascular Disease
A client diagnosed with peripheral vascular disease (PVD) is obese, has a 30-year history of cigarette smoking, and works as a contractor. When discussing risk factors for PVD, which statement by the nurse is appropriate? A) "Nicotine causes vasospasms, which reduce blood flow to the legs." B) "Obesity is a factor in cardiovascular disease but not peripheral vascular disease." C) "Nicotine primarily affects coronary arteries and the lungs." D) "Your current occupation is a major risk factor."
A
Which client has the highest risk of developing peripheral vascular disease (PVD)? A) 83-year-old African American male B) 78-year-old African American female C) 64-year-old Hispanic male D) 75-year-old White female
A
Which form of peripheral vascular disease is characterized by thickening, loss of elasticity, and calcification of arterial walls? A) Arteriosclerosis B) Atherosclerosis C) Chronic venous insufficiency D) Deep venous thrombosis
A
A client is admitted to the hospital for a surgical intervention due to peripheral vascular disease (PVD). The nurse should be prepared to answer questions about which procedure? A) Stent placement B) Endarterectomy C) Percutaneous transluminal angioplasty D) Atherectomy
B
A client with peripheral vascular disease (PVD) is experiencing pain. Which nursing intervention addresses the client's pain? A) Elevate legs in bed B) Keep the extremities warm C) Encourage to ambulate several times each day D) Apply cool compresses to the extremities
B
The nurse is evaluating teaching provided to a client with peripheral vascular disease (PVD). Which client observation indicates teaching has been effective? A) Sitting in a chair with a pillow behind knees B) Washing the lower extremities with mild soap, drying the legs, and applying a light moisturizer C) Sitting in a chair with left leg crossed over the right D) Smoking a pipe instead of cigarettes
B
The nurse is planning care for a client with peripheral vascular disease (PVD) who is at risk for Impaired Skin Integrity. Which intervention is appropriate for the nurse to include in the plan of care? A) Restrict fluids B) Keep the skin clean and dry, and moisturize areas of dryness C) Encourage bedrest with legs elevated on pillows D) Consult a dietitian for low-protein diet
B
The nurse is planning care for an older adult client with chronic venous insufficiency. Which will the nurse include in the client's teaching plan? A) Keep the legs dependent as much as possible and elevate only when asleep. B) Wear elastic hose as prescribed. C) Standing will prevent the progression of the disease. D) Cross legs only at the knees.
B
What causes brown pigmentation of the lower extremities in clients with venous stasis? A) The necrosis of subcutaneous fat due to tissue hypoxia B) Breakdown of red blood cells in the congested tissues C) Reduced inflammatory and immune response from congested circulation D) Skin atrophy caused by lack of circulation
B
A client admitted with chronic venous insufficiency has an infected wound of the left lower extremity. Which clinical manifestations does the nurse anticipate during the client's assessment? Select all that apply. A) Pulses absent in the extremity with the wound B) Wound that is pink with skin warm C) Ulceration that is pale in color D) Skin surrounding ulcer that is cool to the touch E) Surrounding skin brown in color
BE
A client with peripheral vascular disease (PVD) asks the nurse what types of exercise would improve the client's condition and overall health. Which type of exercise will the nurse include in the response to the client? A) Passive ROM B) Weight lifting C) Yoga D) Team sport
C
A client with peripheral vascular disease (PVD) has symptoms of intermittent claudication. Which should the nurse include when teaching the client about intermittent claudication? A) It causes pain that occurs during periods of inactivity. B) It causes pain that increases when the legs are elevated and decreases when the legs are dependent. C) It causes cramping or aching pain in the lower extremities and the buttocks that occurs with a predictable level of activity. D) It is often described as a burning sensation in the lower legs.
C
A home care nurse is explaining the application of an Unna boot to a client with a stasis ulcer. Which statement about this dressing is accurate? A) "A nurse will change this dressing every 2 days." B) "It is important that you maintain strict bedrest." C) "The dressing will be applied to the entire length of your leg." D) "The dressing I am applying is semi-rigid."
D