Chapter 30: Assessment and Management of Patients With Vascular Disorders and Problems of Peripheral Circulation: Part 2

Recent pelvic surgery

A female client is readmitted to the facility with a warm, tender, reddened area on her right calf. Which contributing factor should the nurse recognize as most important?

Venous insufficiency

A home health nurse is seeing an elderly male client for the first time. During the physical assessment of the skin on the lower legs, the nurse notes edema, brown pigmentation in the gater area, pedal pulses, and a few irregularly shaped ulcers around the ankles. From these findings, the nurse knows that the client has a problem with peripheral circulation. Which of the following does the nurse suspect?

Stop smoking.

A nurse is providing education about the prevention of arterial constriction to a client with peripheral arterial disease. Which of the following includes priority information the nurse would give to the client?

Lower abdominal pain A pulsatile abdominal mass Low back pain

A nurse suspects the presence of an abdominal aortic aneurysm. What assessment data would the nurse correlate with a diagnosis of abdominal aortic aneurysm? (Select all that apply.)

Alteplase

A patient is admitted to a special critical care unit for the treatment of an arterial thrombus. The nurse is aware that the preferred drug of choice for clot removal, unless contraindicated, would be:

Epinephrine

A patient is having an angiography to detect the presence of an aneurysm. After the contrast is administered by the interventionist, the patient begins to complain of nausea and difficulty breathing. What medication is a priority to administer at this time?

Taking daily walks

On a routine visit to the physician, a client with chronic arterial occlusive disease reports that he's stopped smoking after 34 years. To relieve symptoms of intermittent claudication, a condition associated with chronic arterial occlusive disease, which additional measure should the nurse recommend?

Claudication

Pentoxifylline (Trental) is a medication used for which of the following conditions?

abdominal aorta, just below the renal arteries.

The most common site of aneurysm formation is in the:

"Walk to the point of pain, rest until the pain subsides, then resume ambulation."

The nurse is assisting a patient with peripheral arterial disease to ambulate in the hallway. What should the nurse include in the education of the patient during ambulation?

Severe back pain

The nurse is caring for a client with abdominal aortic aneurysm (AAA). Which assessment finding is most likely to indicate a dissection of the aneurysm?

Ulceration

The nurse is caring for a patient with venous insufficiency. What should the nurse assess the patient's lower extremities for?

3 to 5 days.

When caring for a patient who has started anticoagulant therapy with warfarin (Coumadin), the nurse knows that therapeutic benefits will not occur for:

Fibrinolytic

Which class of medication lyses and dissolves thrombi?

Obesity

Which is a risk factor for venous disorders of the lower extremities?

BP of 160/110 mm Hg

Which of the following assessment results is considered a major risk factor for PAD?

Increased abdominal and back pain

Which sign or symptom suggests that a client's abdominal aortic aneurysm is extending?

Intermittent claudication

Which term refers to a muscular, cramplike pain in the extremities consistently reproduced with the same degree of exercise and relieved by rest?

Lowering the limb so that it is dependent.

With a severe degree of peripheral arterial insufficiency, leg pain during rest can be reduced by:

Atherosclerosis

You are presenting a workshop at the senior citizens center about how the changes of aging predisposes clients to vascular occlusive disorders. What would you name as the most common cause of peripheral arterial problems in the older adult?