Vascular Disorders Discussion Questions
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The number of the question corresponds to the same-numbered
outcome at the beginning of the chapter.
1. A 50-year-old woman weighs 95 kg and has a history of tobacco
use, high blood pressure, high sodium intake, and sedentary lifestyle. When developing an individualized care plan for her, the
nurse determines that the most important risk factors for peripheral artery disease (PAD) that need to be modified are
a. weight and diet.
b. activity level and diet.
c. tobacco use and high blood pressure.
d. sedentary lifestyle and high blood pressure.
2. Rest pain is a manifestation of PAD that occurs due to a chronic
a. vasospasm of small cutaneous arteries in the feet.
b. increase in retrograde venous blood flow in the legs.
c. decrease in arterial blood flow to the nerves of the feet.
d. decrease in arterial blood flow to the leg muscles during
exercise.
3. A patient with infective endocarditis develops sudden left leg pain
with pallor, paresthesia, and a loss of peripheral pulses. The nurse’s
initial action should be to
a. elevate the leg to promote venous return.
b. start anticoagulant therapy with IV heparin.
c. notify the physician of the change in peripheral perfusion.
d. place the bed in reverse Trendelenburg to promote perfusion.
4. Which clinical manifestations are seen in patients with either
Buerger’s disease or Raynaud’s phenomenon (select all that apply)?
a. Intermittent fevers
b. Sensitivity to cold temperatures
c. Gangrenous ulcers on fingertips
d. Color changes of fingers and toes
e. Episodes of superficial vein thrombosis
5. A patient is admitted to the hospital with a diagnosis of abdominal
aortic aneurysm. Which signs and symptoms would suggest that
his aneurysm has ruptured?
a. Sudden shortness of breath and hemoptysis
b. Sudden, severe low back pain and bruising along his flank
c. Gradually increasing substernal chest pain and diaphoresis
d. Sudden, patchy blue mottling on feet and toes and rest pain
6. Priority nursing measures after an abdominal aortic aneurysm
repair include
a. assessment of cranial nerves and mental status.
b. administration of IV heparin and monitoring of aPTT.
c. administration of IV fluids and monitoring of kidney function.
d. elevation of the legs and application of elastic compression
stockings.
Vascular Disorders Discussion Questions Essay
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