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RNSG 1443 Arterial & Venous Disorders Test 4 Questions With Complete Solutions
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RNSG 1443 Arterial & Venous Disorders Test 4 Questions With Complete Solutions
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RNSG 1443 Arterial & Venous Disorders Test 4Questions With Complete Solutions
(1) venous stasis, (2) damage of the endothelium, and (3)
hypercoagulability of the blood Correct Answer What are the
three factors of Virchow's triad in the etiology of venous
thrombosis?
Acute arterial ischemia Correct Answer sudden interruption in
the arterial blood supply to a tissue, organ, or extremity that, if
left untreated, can result in tissue death. Caused by embolism,
thrombosis of preexisting atherosclerotic artery, or trauma.
Emoblization of thrombus from heart is most frequent cause.
Ambulation, use of SCD's and support stockings, and turning
and leg exercises esp. plantar and dorsifexion of the foot to
promote venous return. Correct Answer What is the best way
to prevent venous stasis and increase venous return for a patient
with any venous disorder?
Angiography Correct Answer test for diagnosis of peripheral
arterial disease. The gold standard for determining the exact
location of a blockage as well as blood flow in an extremity.
Injection of a contrast dye under fluoroscopy. Injection of
contrast dye to determine exact point of blockage and general
circulation.
Anticoagulation therapy of IV unfractionated heparin,
thrombolysis, embolectomy, surgical revascularization, or
,amputation Correct Answer What are treatment options for
acute arterial ischemia?
Argatroban (Acova) Correct Answer Inhibits thrombin.
Alternative to heparin for the prevention and treatment of HIT
and for known HIT patients who require percutaneous coronary
intervention. Monitor a PTT or ACT. The effects of this
medication are not reversible.
Arterial Correct Answer Indicate whether the following
findings are manifestations of arterial (a) or venous (v) disease
— Decreased peripheral pulses
Arterial Correct Answer Indicate whether the following
findings are manifestations of arterial (a) or venous (v) disease
— Gangrene over bony prominences on toes and feet
Arterial Correct Answer Indicate whether the following
findings are manifestations of arterial (a) or venous (v) disease
— Pallor on elevation of the legs
Arterial Correct Answer Indicate whether the following
findings are manifestations of arterial (a) or venous (v) disease
— Rubor when legs are dependent
Arterial Correct Answer Indicate whether the following
findings are manifestations of arterial (a) or venous (v) disease
— Thickened, brittle nails
, Arterial Correct Answer Indicate whether the following
findings are manifestations of arterial (a) or venous (v) disease
—paresthesia
Atherectomy Correct Answer removal of obstructing plaque in
PAD
Atherosclerosis which leads to progressive narrowing of artery
lumen Correct Answer what is the leading cause of PAD?
Bedrest and limiting movement of the extremity until the clot is
stable, inflammation has receded, and anticoagulation is
achieved. So good assessment skills are needed as well as
evaluating the results of PT/INR with Coumadin administration
and if on Heparin looking at the APTT and PTT. Correct
Answer How do you prevent embolization of a thrombus in the
patient with a DVT?
Cardiovascular risk factor modification (smoking cessation,
lipid control, HTN control, DM control, regular exercise, ideal
body weight); drug therapy includes antiplatelet agents &
angiotensin-converting enzyme (ACE) inhibitors. Primary
nonpharmacologic treatment for claudication is a formal
exercise-training program with walking being the most effective
exercise. Meticulous foot care. Correct Answer What are some
nursing interventions for PAD?
Change position frequently, teach pt to move limbs while
awake, ambulation; graduated compression stockings (i.e. TED
hose); SCDs, anticoagulants. Greenfield filter placement in
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