Chapter 37: Vascular Disorders Lewis:
Medical-Surgical Nursing, 10th Edition
A 46-yr-old provider-counter worker undergoes sclerotherapy for treatment of superficial
varicose veins at an outpatient middle. Which instructions must the nurse provide to the affected
person earlier than discharge?
A. Sitting on the work counter, in place of standing, is suggested.
B. Exercise, which include walking or running, can purpose recurrence of varicosities.
C. Elastic compression stockings must be implemented before getting away from bed.
D. Taking an aspirin daily will help prevent clots from forming round venous valves. - ANS-ANS:
C
Elastic compression stockings are implemented with the legs increased to reduce strain within
the decrease legs. Walking is recommended to save you recurrent varicosities. Sitting and
status are both chance elements for varicose veins and venous insufficiency. An aspirin a day
isn't ok to save you venous thrombosis and might now not be endorsed for a patient who had
simply had sclerotherapy.
A patient at the health center says, "I always walk after dinner, however these days my leg
cramps and hurts after only some minutes of starting. The pain goes away after I prevent taking
walks, even though." The nurse must
a. Search for the presence of tortuous veins bilaterally on the legs.
B. Ask about any skin color changes that arise in reaction to cold.
C. Check for unilateral swelling, redness, and tenderness of both leg.
D. Palpate for the presence of dorsalis pedis and posterior tibial pulses. - ANS-ANS: D
The nurse must examine for other clinical manifestations of peripheral arterial disorder in a
affected person who describes intermittent claudication. Changes in skin coloration that arise in
reaction to cold are regular with Raynaud's phenomenon. Tortuous veins at the legs recommend
venous insufficiency. Unilateral leg swelling, redness, and tenderness imply venous
thromboembolism.
A patient within the outpatient health center has a new diagnosis of peripheral artery disorder
(PAD). Which organization of medicine will the nurse plan to consist of when coaching
approximately PAD control?
A. Statins
b. Antibiotics
c. Thrombolytics
d. Anticoagulants - ANS-ANS: A
Research indicates that statin use with the aid of patients with PAD improves multiple
consequences. There is no research that supports the usage of the opposite drug classes in
PAD.
, A patient who's 2 days submit femoral popliteal skip graft to the proper leg is being cared for on
the vascular unit. Which movement with the aid of a certified practical/vocational nurse
(LPN/LVN) caring for the affected person requires the registered nurse (RN) to interfere?
A. The LPN/LVN has the patient to take a seat in a chair for two hours.
B. The LPN/LVN offers the prescribed aspirin after breakfast.
C. The LPN/LVN assists the affected person to stroll 40 feet inside the hallway.
D. The LPN/LVN places the patient in Fowler's function for meals. - ANS-ANS: A
The affected person must avoid sitting for lengthy intervals because of the increased stress at
the suture line resulting from leg edema and due to the chance for venous thromboembolism
(VTE). The other actions with the aid of the LPN/LVN are appropriate.
A affected person with a venous thromboembolism (VTE) is started on enoxaparin (Lovenox)
and warfarin (Coumadin). The patient asks the nurse why two medicines are important. Which
reaction by the nurse is maximum accurate?
A. "Taking two blood thinners substantially reduces the danger for some other clot to form."
b. "Enoxaparin will paintings proper away, however warfarin takes several days to begin
stopping clots."
c. "Enoxaparin will begin to dissolve the clot, and warfarin will prevent any extra clots from
forming."
d. "Because of the chance for a blood clot in the lungs, it is critical with a purpose to take a
couple of blood thinner." - ANS-ANS: B
Low molecular weight heparin (LMWH) is used because of the instant impact on coagulation
and discontinued once the international normalized ratio (INR) price shows that the warfarin has
reached a therapeutic degree. LMWH has no thrombolytic residences. The use of
anticoagulants isn't always associated with the threat for pulmonary embolism, and are not vital
to lessen the danger for some other VTE. Anticoagulants do not thin the blood.
A young grownup patient tells the health care issuer about experiencing bloodless, numb arms
whilst running in the course of the wintry weather, and Raynaud's phenomenon is suspected.
The nurse will expect teaching the patient approximately assessments for
a. Hyperglycemia. C. Autoimmune problems.
B. Hyperlipidemia. D. Coronary artery sickness. - ANS-ANS: C
Secondary Raynaud's phenomenon may additionally occur together with autoimmune illnesses
including rheumatoid arthritis. Patients need to be screened for autoimmune issues. Raynaud's
phenomenon is not related to hyperlipidemia, hyperglycemia, or coronary artery disorder.
After receiving trade of shift document, which patient admitted to the emergency branch should
the nurse determine first?
A. A sixty seven-yr-old patient who has a gangrenous left foot ulcer with a vulnerable pedal
pulse
b. A 50-year-old affected person who is complaining of surprising sharp and intense upper back
ache
c. A 39-year-vintage affected person who has right calf tenderness, redness, and swelling after
a
plane trip
d. A 58-12 months-antique patient who's taking anticoagulants for atrial traumatic inflammation
and has black
Medical-Surgical Nursing, 10th Edition
A 46-yr-old provider-counter worker undergoes sclerotherapy for treatment of superficial
varicose veins at an outpatient middle. Which instructions must the nurse provide to the affected
person earlier than discharge?
A. Sitting on the work counter, in place of standing, is suggested.
B. Exercise, which include walking or running, can purpose recurrence of varicosities.
C. Elastic compression stockings must be implemented before getting away from bed.
D. Taking an aspirin daily will help prevent clots from forming round venous valves. - ANS-ANS:
C
Elastic compression stockings are implemented with the legs increased to reduce strain within
the decrease legs. Walking is recommended to save you recurrent varicosities. Sitting and
status are both chance elements for varicose veins and venous insufficiency. An aspirin a day
isn't ok to save you venous thrombosis and might now not be endorsed for a patient who had
simply had sclerotherapy.
A patient at the health center says, "I always walk after dinner, however these days my leg
cramps and hurts after only some minutes of starting. The pain goes away after I prevent taking
walks, even though." The nurse must
a. Search for the presence of tortuous veins bilaterally on the legs.
B. Ask about any skin color changes that arise in reaction to cold.
C. Check for unilateral swelling, redness, and tenderness of both leg.
D. Palpate for the presence of dorsalis pedis and posterior tibial pulses. - ANS-ANS: D
The nurse must examine for other clinical manifestations of peripheral arterial disorder in a
affected person who describes intermittent claudication. Changes in skin coloration that arise in
reaction to cold are regular with Raynaud's phenomenon. Tortuous veins at the legs recommend
venous insufficiency. Unilateral leg swelling, redness, and tenderness imply venous
thromboembolism.
A patient within the outpatient health center has a new diagnosis of peripheral artery disorder
(PAD). Which organization of medicine will the nurse plan to consist of when coaching
approximately PAD control?
A. Statins
b. Antibiotics
c. Thrombolytics
d. Anticoagulants - ANS-ANS: A
Research indicates that statin use with the aid of patients with PAD improves multiple
consequences. There is no research that supports the usage of the opposite drug classes in
PAD.
, A patient who's 2 days submit femoral popliteal skip graft to the proper leg is being cared for on
the vascular unit. Which movement with the aid of a certified practical/vocational nurse
(LPN/LVN) caring for the affected person requires the registered nurse (RN) to interfere?
A. The LPN/LVN has the patient to take a seat in a chair for two hours.
B. The LPN/LVN offers the prescribed aspirin after breakfast.
C. The LPN/LVN assists the affected person to stroll 40 feet inside the hallway.
D. The LPN/LVN places the patient in Fowler's function for meals. - ANS-ANS: A
The affected person must avoid sitting for lengthy intervals because of the increased stress at
the suture line resulting from leg edema and due to the chance for venous thromboembolism
(VTE). The other actions with the aid of the LPN/LVN are appropriate.
A affected person with a venous thromboembolism (VTE) is started on enoxaparin (Lovenox)
and warfarin (Coumadin). The patient asks the nurse why two medicines are important. Which
reaction by the nurse is maximum accurate?
A. "Taking two blood thinners substantially reduces the danger for some other clot to form."
b. "Enoxaparin will paintings proper away, however warfarin takes several days to begin
stopping clots."
c. "Enoxaparin will begin to dissolve the clot, and warfarin will prevent any extra clots from
forming."
d. "Because of the chance for a blood clot in the lungs, it is critical with a purpose to take a
couple of blood thinner." - ANS-ANS: B
Low molecular weight heparin (LMWH) is used because of the instant impact on coagulation
and discontinued once the international normalized ratio (INR) price shows that the warfarin has
reached a therapeutic degree. LMWH has no thrombolytic residences. The use of
anticoagulants isn't always associated with the threat for pulmonary embolism, and are not vital
to lessen the danger for some other VTE. Anticoagulants do not thin the blood.
A young grownup patient tells the health care issuer about experiencing bloodless, numb arms
whilst running in the course of the wintry weather, and Raynaud's phenomenon is suspected.
The nurse will expect teaching the patient approximately assessments for
a. Hyperglycemia. C. Autoimmune problems.
B. Hyperlipidemia. D. Coronary artery sickness. - ANS-ANS: C
Secondary Raynaud's phenomenon may additionally occur together with autoimmune illnesses
including rheumatoid arthritis. Patients need to be screened for autoimmune issues. Raynaud's
phenomenon is not related to hyperlipidemia, hyperglycemia, or coronary artery disorder.
After receiving trade of shift document, which patient admitted to the emergency branch should
the nurse determine first?
A. A sixty seven-yr-old patient who has a gangrenous left foot ulcer with a vulnerable pedal
pulse
b. A 50-year-old affected person who is complaining of surprising sharp and intense upper back
ache
c. A 39-year-vintage affected person who has right calf tenderness, redness, and swelling after
a
plane trip
d. A 58-12 months-antique patient who's taking anticoagulants for atrial traumatic inflammation
and has black
