NURC 324 Ch. 41 Sherpath

Which clinical manifestation would the nurse expect to find in a patient with Buerger disease? Select all that apply. One, some, or all responses may be correct.

Pain at rest Cold sensitivity Color changes of the limbs Paresthesia

Which symptom frequently occurs in patients in the early stages of peripheral arterial disease (PAD)?

Pain with ambulation

Which clinical manifestation in a patient with acute arterial ischemia in the left leg secondary to atrial fibrillation must be promptly reported to the provider? Select all that apply. One, some, or all responses may be correct.

Paralysis Paresthesia Pain Pallor

Which symptom reported by the patient would indicate to the nurse that the patient is experiencing intermittent claudication?

Patient says leg muscle pain occurs with continued exercise but goes away shortly after stopping exercise

Which patient statement would cause the nurse to provide further teaching about the medication when caring for a patient on warfarin who presents to the clinic with a subtherapeutic international normalized ratio (INR) level?

Since my leg venous thromboembolism (VTE), I have been trying to be healthier by eating more fruits and salads

Which information would the nurse provide when caring for a patient scheduled for an endarterectomy who asks what occurs during the surgery?

The artery is opened and the plaque blocking the artery is removed.

Which assessment finding would the nurse expect in a patient presenting to the clinic with reports of nocturnal leg cramping and achy left leg pain relieved by walking?

Varicose veins

Which response would the nurse provide when a female patient with peripheral arterial disease (PAD) asks about an appropriate exercise program?

Walking or biking is equally beneficial, and exercise should be performed at least 3 times per week

Which response by the nurse would best help promote venous ulcer wound healing in a patient with a venous ulcer who is asking the nurse for help ordering their meal?

A chicken and bean taco, and salad with orange slices on the side would give you important nutrients to help with the ulcer healing

Which patient is at highest risk of Raynaud's phenomenon occurrence?

A male patient who works construction and uses a jack hammer

Which patient with a history of varicose veins would benefit from education about prevention of recurrence?

A patient who is an editor and sits at a desk 8 hours a day

Which symptom would be concerning to the nurse caring for a patient with a lower extremity venous thromboembolism (VTE)?

Shortness of breath with chest pressure

Which action would the nurse anticipate when caring for a patient with a lower extremity venous thromboembolism (VTE) who is receiving heparin sodium intravenously IV and is scheduled for emergency surgery?

Administer intravenous protamine

Which medication is categorized as a factor Xa inhibitor and is used for venous thromboembolism (VTE) prevention and treatment? Select all that apply. One, some, or all responses may be correct.

Apixaban Fondaparinux Rivaroxaban

Which action by the nurse is appropriate when caring for a patient with a venous ulcer that states the affected leg has been itchy?

Apply moisturizer and instruct the patient to do this at home daily.

Which statement indicates to the nurse that the patient at risk for developing a thrombus needs further education?

Because I am routinely taking my medication for my atrial fibrillation, I do not need to follow up with my cardiologist

Which assessment finding demonstrates an increased risk for peripheral artery disease (PAD)?

Chronic left-sided weakness due to history of stroke

Which nursing intervention would the nurse include when caring for a patient with lower extremity peripheral artery disease (PAD) who has developed an opioid tolerance?

Collaborate with the pain management team

Which action would the nurse take when caring for a patient with a lower extremity venous thromboembolism (VTE) who states that they are experiencing moderate pain?

Contact the health care provider about ordering pain medications

Which food item on the tray for a patient with peripheral arterial disease (PAD) would prompt the nurse to check the patient's diet order?

Deli ham sandwich and wild rice soup

Which laboratory finding for a patient presenting to the emergency department with shortness of breath would be most concerning to the nurse?

D-dimer 441 mcg/L

Which information would the nurse tell the patient who has diabetes and a diagnosis of peripheral artery disease (PAD)?

Diabetic neuropathy increases the risk for injury

Which diagnostic study would the nurse expect to be performed when there is difficulty palpitating peripheral pulses?

Doppler ultrasound

Which patient is at highest risk for developing varicose veins?

Female patient who works as a hair stylist

Which part of a patient's health history would place them at risk for a venous thromboembolism (VTE)? Select all that apply. One, some, or all responses may be correct.

Hip fracture Atrial fibrillation Stroke Antiphospholipid antibody syndrome Breast cancer Tobacco use

Which patient statement reflects the need for further education regarding their new diagnosis of peripheral artery disease (PAD)?

I do not like eating fruits and vegetables.

Which patient statement would cause the nurse to contact the ordering health care provider when caring for a patient with chronic venous insufficiency (CVI) and a venous ulcer?

I haven't been changing the dressing because the ulcer smells awful

Which patient statement demonstrates the need for the nurse to provide further education about compression stockings to a patient with varicose veins?

I put my stockings on as soon as my legs start to hurt

Which patient statement after receiving education regarding postoperative care after a femoral bypass would indicate to the nurse that further education is needed?

I should increase my activity if I notice redness around the incision

Which patient statement demonstrates an appropriate goal for a patient with peripheral artery disease (PAD)?

I will exercise to increase my endurance, which will help relieve my leg pain

Which response would the nurse provide when asked by a patient who has undergone femoral bypass surgery about exercising at home?

Increase your walking gradually to 30 minutes per walk

Which laboratory value would cause the nurse to contact the ordering health care provider when caring for a patient with a history of venous thromboembolism (VTE) that has been taking warfarin long term and presents to the clinic with frequent nosebleeds?

International normalized ratio (INR) 6.3

Which response would the nurse provide to a patient with varicose veins who states, "I never look at my legs because the veins are so ugly"?

Let's talk about treatment options with the provider. But you should inspect your legs each day because having varicose veins increases the risk of developing ulcers

Which patient is at the highest risk for developing a venous thromboembolism (VTE)? Select all that apply. One, some, or all responses may be correct.

Male patient with quadriplegia and a recent hip fracture Male patient who is a current smoker and has a history of atrial fibrillation Female patient on oral contraceptives who returned from a 14-hour plane ride

Which statement describes why a sedentary lifestyle increases a patient's risk for developing a venous thromboembolism (VTE)?

Muscles that are inactive have a higher incidence of venous stasis

When caring for a patient who was recently moved from recovery to the postoperative unit after surgery for peripheral artery disease (PAD), which statement made by the patient would alert the nurse that something is wrong?

My surgical foot looks more pale than the other

Which laboratory value would cause the nurse to contact the ordering health care provider when caring for a patient receiving heparin sodium subcutaneously every 8 hours?

Platelet count 75,000/mm3

Which nursing intervention is most appropriate when caring for a patient with a venous thromboembolism (VTE) who is on bed rest?

Reposition the patient every 2 hours

Which statement would the nurse include when teaching a patient newly diagnosed with peripheral artery disease (PAD) about lifestyle changes?

Stop smoking, as it is the most important risk factor in PAD prevention

Which assessment finding would the nurse expect to see in a patient who developed phlebitis after an irritating medication was given to them intravenously? Select all that apply. One, some, or all responses may be correct.

Swelling Pain Redness Palpable cord

Which information is important to provide to the patient who is taking both omperazole and clopidogrel?

Taking omeprazole with clopidogrel reduces the antiplatelet effect by half

Which response would the nurse provide when asked by a patient with a venous ulcer why they are not on antibiotics for the wound?

The ulcer has no signs of acute infection, so antibiotics would not aid in the healing process

Which condition is associated with secondary Reynaud's phenomenon? Select all that apply. One, some, or all responses may be correct.

Thyroid disease Scleroderma Systemic lupus erythematosus (SLE)

A patient with which condition is at highest risk for developing a venous ulcer?

Uncontrolled varicose veins

Which patient finding is a clinical manifestation of a lower extremity venous thromboembolism (VTE)?

Unilateral leg edema with tenderness and warm skin

Which response would the nurse provide when asked by a pregnant patient with newly diagnosed varicose veins how to prevent more from developing?

Wear graduated compression stockings and frequently elevate your legs

Which factor explains why a patient with peripheral arterial disease (PAD) has leg pain at rest?

When PAD progresses, it will involve multiple arterial segments and cause pain.