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Hypertension, PAD, PVD and AAA NCLEX style actual questions and answers for Med Surg I NUR 317
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Hypertension, PAD, PVD and AAA NCLEX style actual questions and answers for Med Surg I NUR 317
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Hypertension, PAD, PVD and AAANCLEX style actual questions and
answers for Med Surg I NUR 317
The nurse is caring for a client with peripheral arterial disease
(PAD). For which symptoms does the nurse assess?
A. Reproducible leg pain with exercise
B. Unilateral swelling of affected leg
C. Decreased pain when legs are elevated
D. Pulse oximetry reading of 90% - ANSWER>>>>>A
Claudication (leg pain with ambulation due to ischemia) is
reproducible in similar circumstances. Unilateral swelling is
typical of venous problems such as deep vein thrombosis. With
PAD, pain decreases with legs in the dependent position. Pulse
oximetry readings reflect the amount of oxygen bound to
hemoglobin; PAD results from atherosclerotic occlusion of
peripheral arteries.
When administering furosemide (Lasix) to a client who does not
like bananas or orange juice, the nurse recommends that the
client try which intervention to maintain potassium levels?
A. Increase red meat in the diet.
B. Consume melons and baked potatoes.
C. Add several portions of dairy products each day.
D. Try replacing your usual breakfast with oatmeal or Cream of
Wheat. - ANSWER>>>>>B
Melons and baked potatoes contain potassium. Red meat is
high in saturated fat and is to be consumed sparingly. Dairy
,products are high in calcium. Cereals are fortified with iron;
oatmeal contains fiber but not potassium
A client with peripheral arterial disease (PAD) has undergone
percutaneous transluminal angioplasty (PTA) of the lower
extremity. What is essential for the nurse to assess after the
procedure?
A. Ankle-brachial index
B. Dye allergy
C. Pedal pulses
D. Gag reflex - ANSWER>>>>>C
Priority nursing care focuses on assessment for bleeding at the
arterial puncture site and monitoring for distal pulses. Pulse
checks must be assessed postprocedure to detect improvement
(stronger pulses) or complications (diminished or absent
pulses).
Which teaching point does the nurse include for a client with
peripheral arterial disease (PAD)?
A. "Elevate your legs above heart level to prevent swelling."
B. "Inspect your legs daily for brownish discoloration around
the ankles."
C. "Walk to the point of leg pain, then rest, resuming when pain
stops."
D. "Apply a heating pad to the legs if they feel cold." -
ANSWER>>>>>C
Exercise may improve arterial blood flow by building collateral
circulation; instruct the client to walk until the point of
claudication, stop and rest, and then walk a little farther.
, The client undergoing femoral popliteal bypass states that he is
fearful he will lose the limb in the near future. Which response
by the nurse is most therapeutic?
A. "Are you afraid you will not be able to work?"
B. "If you control your diabetes, you can avoid amputation."
C. "Your concerns are valid; we can review some steps to limit
disease progression."
D. "What about the situation concerns you most?" -
ANSWER>>>>>C
It is important to validate the client's concern and offer needed
information. Asking the client if he is afraid may identify fear
but does not allow the client to discuss his specific concern.
A client has just undergone arterial revascularization. Which
statement by the client indicates a need for further teaching
related to postoperative care?
A. "My leg might turn very white after the surgery."
B. "I should be concerned if my foot turns blue."
C. "I should report a fever or any drainage."
D. "Warmness, redness, and swelling are expected." -
ANSWER>>>>>A
Pallor is one of the signs of decreased perfusion along with
increased pain, poikilothermia, paresthesia, pulselessness, and
paralysis
The nurse is assigned to all of these clients. Which client should
be assessed first?
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