Perfusion PVD Quiz PREPU 21/21

A nurse is providing discharge instructions to a client with peripheral vascular disease that include stress-reduction techniques. The client asks the nurse, "Why is reducing stress so important?" What is the nurse's best response? "Reducing stress will help decrease the amount of medication you take for peripheral vascular disease." "Stress reduction techniques are helpful because stress stimulates the release of vasoconstricting catecholamines." "Stress reduction techniques will distract you from focusing on claudication pain." "Reducing stress is helpful only because it will assist in smoking cessation."

"Stress reduction techniques are helpful because stress stimulates the release of vasoconstricting catecholamines."

A client has been diagnosed with peripheral vascular disease of the lower extremities. What site would the nurse use to assess circulation of the legs? Temporal artery Radial artery Carotid artery Dorsalis pedis artery

Dorsalis pedis artery

When assessing an individual with peripheral vascular disease, which clinical manifestation would indicate complete arterial obstruction in the lower left leg? burning pain in the left calf numbness and tingling in the left leg coldness of the left foot and ankle aching pain in the left calf

coldness of the left foot and ankle Coldness in the left foot and ankle is consistent with complete arterial obstruction. Other expected findings would include paralysis and pallor. Aching pain, a burning sensation, or numbness and tingling are earlier signs of tissue hypoxia and ischemia and are commonly associated within incomplete obstruction

The most important reason for a nurse to encourage a client with peripheral vascular disease to initiate a walking program is that this form of exercise: reduces stress. decreases venous congestion. increases high-density lipoprotein (HDL) level. aids in weight reduction.

decreases venous congestion.

A client with no known history of peripheral vascular disease comes to the emergency department complaining of sudden onset of lower leg pain. Inspection and palpation reveal absent pulses; paresthesia; and a mottled, cyanotic, cold, and cadaverous left calf. While the physician determines the appropriate therapy, the nurse should: place a heating pad around the affected calf. elevate the affected leg as high as possible. keep the affected leg level or slightly dependent. shave the affected leg in anticipation of surgery.

keep the affected leg level or slightly dependent.

Vasodilation or vasoconstriction produced by an external cause will interfere with a nurse's accurate assessment of a client with peripheral vascular disease (PVD). Therefore, the nurse should: match the room temperature to the client's body temperature. keep the client warm. keep the client uncovered. maintain room temperature at 78° F (25.6° C).

keep the client warm.

A nurse is teaching a client who will soon be discharged with a prescription for warfarin (Coumadin). Which statement should the nurse include in discharge teaching? "Eat more yogurt and broccoli." "This drug will dissolve any clots you may still have." "Don't take aspirin while you're taking warfarin." "If you miss a dose, double the next dose."

"Don't take aspirin while you're taking warfarin."

A nurse is reviewing self-care measures for a client with peripheral vascular disease. Which statement indicates proper self-care measures? "I walk only to the mailbox in my bare feet." "I have my wife look at the soles of my feet each day." "I stopped smoking and use only chewing tobacco." "I like to soak my feet in the hot tub every day."

"I have my wife look at the soles of my feet each day."

A client with peripheral vascular disease has poor circulation. The nurse should assess the client for changes in: (Select all that apply.) fluid intake skin temperature pain in extremity nail bed color nausea

skin temperature pain in extremity nail bed color

The client with peripheral vascular disease has been prescribed diltiazem. The nurse should determine the effectiveness of this medication by assessing the client for: relief of anxiety. sedation. vasodilation. vasoconstriction.

vasodilation

A nurse is reviewing self-care measures for a client with peripheral vascular disease. Which statement indicates proper self-care measures? "I walk only to the mailbox in my bare feet." "I like to soak my feet in the hot tub every day." "I stopped smoking and use only chewing tobacco." "I have my wife look at the soles of my feet each day."

"I have my wife look at the soles of my feet each day."

While the nurse is providing preoperative teaching for a client with peripheral vascular disease who is to have a below-the-knee amputation, the client says, "I hate the idea of being an invalid after they cut off my leg." The nurse's most therapeutic response would be: "Tell me more about how you are feeling." "We will talk more about this after your surgery." "You are fortunate to have a wife who can take care of you." "Focusing on using your one good leg will make your recovery easier."

"Tell me more about how you are feeling."

Which of the following explains the influence of aging on the development of peripheral vascular disease? Increased resistance. Decreased resistance. Decreased viscosity. Increased viscosity.

Increased resistance. Explanation: As people age, the accumulation of collagen in the intima of the blood vessels results in the vessels' becoming stiff and less flexible. Consequently, there is an increased resistance within the aging adult's circulatory system

A nurse is developing a nursing care plan for a client with peripheral arterial disease. Which of the following will be the priority nursing diagnosis? Ineffective thermoregulation Ineffective self-health management Impaired tissue integrity Ineffective peripheral tissue perfusion

Ineffective peripheral tissue perfusion

A client is diagnosed with deep vein thrombosis (DVT). Which nursing diagnosis should receive highest priority at this time? Risk for injury related to edema Ineffective peripheral tissue perfusion related to venous congestion Impaired gas exchange related to increased blood flow Excess fluid volume related to peripheral vascular disease

Ineffective peripheral tissue perfusion related to venous congestion

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

Intermittent claudication Bruit Sound produced by turbulent blood flow through an irregular, tortuous, stenotic, or dilated vessel Aneurysm A localized sac or dilation of an artery formed at a weak point in the vessel wall

A nurse is assessing a client's right lower leg, which is wrapped with an elastic bandage. Which signs and symptoms suggest circulatory impairment? Redness, cool skin temperature, and swelling Numbness, warm skin temperature, and redness Numbness, cool skin temperature, and pallor Swelling, warm skin temperature, and drainage

Numbness, cool skin temperature, and pallor

A diabetic client with peripheral vascular disease is ordered to wear knee-high elastic compression stockings continuously until discharge. Which of the following would be the priority for this client after the stockings are applied? Elevate the client's legs while out of bed. Teach the client isotonic leg exercises. Remove elastic stockings once per day and observe lower extremities. Order a second pair of stockings to be rotated each day.

Remove elastic stockings once per day and observe lower extremities.

Following abdominal surgery, which factor predisposes a client to deep vein thrombosis? The client has been pregnant four times. The client is 5? 9? tall and weighs 128 lb (58 kg). The client will be immobile during and shortly after surgery. The client usually walks 3 miles a day.

The client will be immobile during and shortly after surgery.

A client has been diagnosed with PVD. What area of the body should the nurse focus the assessment? The lower extremities Lung sounds Heart rate and rhythm The abdominal area

The lower extremities

The nurse teaches the client with peripheral vascular disease (PVD) to refrain from smoking because nicotine slows the heart rate. causes diuresis. causes vasospasm. depresses the cough reflex.

causes vasospasm.