Ch18 Peripheral Vascular System

60 Questions  I  By Shinichiro
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1.  When performing an assessment on a client the nurse notes the presence of an enlarged epitrochlear lymph node. The nurse would anticipate finding which of the following on the assessment?
A.
B.
C.
D.
2.  When performing an assessment on a client the nurse notes the presence of an enlarged superficial inguinal nodes. The nurse would anticipate finding which of the following on the assessment?
A.
B.
C.
D.
3.  When performing an assessment on a client the nurse notes the determine circulation. The nurse would anticipate finding which of the following on the assessment?
A.
B.
C.
D.
4.  When performing an assessment on a client the nurse notes the determine circulation to the extremities. The nurse would anticipate finding which of the following on the assessment?
A.
B.
C.
D.
5.  When performing an assessment, the nurse notes the presence of ankle edema bilaterally. The nurse knows that:
A.
B.
C.
D.
6.  When performing an assessment, the nurse notes the presence of inflammation and edema over the affected area. The nurse knows that:
A.
B.
C.
D.
7.  When performing an assessment, the nurse notes the presence of edema in the affected extremity. The nurse knows that:
A.
B.
C.
D.
8.  When performing an assessment, the nurse notes the presence of decreased pulses. The nurse knows that:
A.
B.
C.
D.
9.  The neonatal(rookie) nurse obtains a newborn's blood pressure of 76/40 mm Hg. Which of the following should the nurse do?
A.
B.
C.
D.
10.  An eight-month-pregnant client states that she has developed a few varicose veins during her pregnancy. What can the nurse tell the client about these veins?
A.
B.
C.
D.
11.  When assessing the carotid arteries, the nurse should:
A.
B.
C.
D.
12.  The neonatal(rookie) nurse obtains a newborn's blood pressure of 76/40 mm Hg. Perform a focused assessment and call the health care provider.
A.
B.
13.  The neonatal(rookie) nurse obtains a newborn's blood pressure of 76/40 mm Hg. Assess the thigh blood pressure expecting that it will be lower than that of the arm.
A.
B.
14.  The neonatal(rookie) nurse obtains a newborn's blood pressure of 76/40 mm Hg. Ask another nurse to validate the blood pressure because it is low.
A.
B.
15.  An eight-month-pregnant client states that she has developed a few varicose veins during her pregnancy. the nurse tell the client about these veins, "These are common and will go away after delivery."
A.
B.
16.  An eight-month-pregnant client states that she has developed a few varicose veins during her pregnancy. the nurse tell the client about these veins, "We need to talk to your health care provider about this."
A.
B.
17.  An eight-month-pregnant client states that she has developed a few varicose veins during her pregnancy. the nurse tell the client about these veins, "This is related to decreased circulation."
A.
B.
18.  An eight-month-pregnant client states that she has developed a few varicose veins during her pregnancy. the nurse tell the client about these veins, "This is related to decreased circulation."
A.
B.
19.  When assessing the carotid arteries, the nurse should utilize the bell of the stethoscope to assess for bruits.
A.
B.
20.  When assessing the carotid arteries, the nurse should palpate both carotid arteries simultaneously to assess for the symmetry of the pulse.
A.
B.
21.  When assessing the carotid arteries, the nurse should palpate firmly to occlude the artery.
A.
B.
22.  When assessing the carotid arteries, the nurse should massage the area noting any masses or hardness.
A.
B.
23.  When assessing the characteristics of the pulse, the nurse notes which of the following? Select all that apply.
A.
B.
C.
D.
E.
24.  A client has a 1+/0-4+ dorsalis pedis pulse on the right. The lower leg is cool, pale, and painful. This description is most consistent with:
A.
B.
C.
D.
25.  A client has a 1+/0-4+ dorsalis pedis pulse on the right. The lower leg is cool, pale, and painful. This description is most consistent with arterial insufficiency.
A.
B.
26.  A client has a 1+/0-4+ dorsalis pedis pulse on the right. The lower leg is cool, pale, and painful. This description is most consistent with venous insufficiency
A.
B.
27.  A client has a 1+/0-4+ dorsalis pedis pulse on the right. The lower leg is cool, pale, and painful. This description is most consistent with thrombophlebitis。
A.
B.
28.  A client has a 1+/0-4+ dorsalis pedis pulse on the right. The lower leg is cool, pale, and painful. This description is most consistent with lymphatic insufficiency
A.
B.
29.  A client tells the nurse, "My legs really hurt when I walk, but if I stop walking the pain gets better in a few minutes." This symptom most likely describes:
A.
B.
C.
D.
30.  A client tells the nurse, "My legs really hurt when I walk, but if I stop walking the pain gets better in a few minutes." This symptom most likely describes decreased arterial circulation.
A.
B.
31.  A client tells the nurse, "My legs really hurt when I walk, but if I stop walking the pain gets better in a few minutes." This symptom most likely describes the presence of varicosities.
A.
B.
32.  A client tells the nurse, "My legs really hurt when I walk, but if I stop walking the pain gets better in a few minutes." This symptom most likely describes lymphatic abnormalities
A.
B.
33.  A client tells the nurse, "My legs really hurt when I walk, but if I stop walking the pain gets better in a few minutes." This symptom most likely describes deep vein thrombosis
A.
B.
34.  Evaluation of the texture, moisture, and temperature of the skin; hair distribution; capillary refill; and auscultating for bruits are primarily related to which of the following assessments?
A.
B.
C.
D.
35.  Evaluation of the texture, moisture, and temperature of the skin; hair distribution; capillary refill; and auscultating for bruits are primarily related to arterial.
A.
B.
36.  Evaluation of the texture, moisture, and temperature of the skin; hair distribution; capillary refill; and auscultating for bruits are primarily related to lymphatic.
A.
B.
37.  Evaluation of the texture, moisture, and temperature of the skin; hair distribution; capillary refill; and auscultating for bruits are primarily related to respiratory.
A.
B.
38.  Evaluation of the texture, moisture, and temperature of the skin; hair distribution; capillary refill; and auscultating for bruits are primarily related to venous.
A.
B.
39.  The nurse performs Allen's test to assess which of the following?
A.
B.
C.
D.
40.  The nurse performs Allen's test to assess patency of the radial and ulnar arteries.
A.
B.
41.  The nurse performs Allen's test to assess arterial circulation to the lower extremities.
A.
B.
42.  The nurse performs Allen's test to assess varicose veins.
A.
B.
43.  The nurse performs Allen's test to assess edema.
A.
B.
44.  A client's blood pressure is 158/90 mm Hg. What does this reading suggest to the nurse?
A.
B.
C.
D.
45.  When performing an assessment on a client with COPD the nurse notes the presence of clubbing. Which of the following is noted in this condition? Select all that apply.
A.
B.
C.
D.
E.
46.  A client is being evaluated for suspected thrombosis of a deep leg vein. Which of the following is the nurse most likely to note during the assessment?
A.
B.
C.
D.
47.  A client is being evaluated for suspected thrombosis of a deep leg vein. Client has pain in the calf when dorsiflexing the foot.
A.
B.
48.  A client is being evaluated for suspected thrombosis of a deep leg vein. Client has a cool foot with diminished pulses.
A.
B.
49.  A client is being evaluated for suspected thrombosis of a deep leg vein. Client has increased pain with elevation of the extremity.
A.
B.
50.  A client is being evaluated for suspected thrombosis of a deep leg vein. Client has decreased hair distribution on the legs
A.
B.
51.  An elderly client has lower-extremity edema and thick skin discolored to a dark brown. The client complains of his legs feeling "full." Which of the following does this information suggest to the nurse?
A.
B.
C.
D.
52.  An elderly client has lower-extremity edema and thick skin discolored to a dark brown. The client complains of his legs feeling "full." The client might have venous insufficiency.
A.
B.
53.  An elderly client has lower-extremity edema and thick skin discolored to a dark brown. The client complains of his legs feeling "full." The client may have varicose veins.
A.
B.
54.  An elderly client has lower-extremity edema and thick skin discolored to a dark brown. The client complains of his legs feeling "full." The client might have arterial insufficiency.
A.
B.
55.  An elderly client has lower-extremity edema and thick skin discolored to a dark brown. The client complains of his legs feeling "full." The client may have an arterial aneurysm.
A.
B.
56.  When palpating a client's pulse, the nurse notes that strength of the pulse alternates between strong and weak pulsations. The nurse would document the presence of which of the following?
A.
B.
C.
D.
57.  When palpating a client's pulse, the nurse notes that strength of the pulse alternates between strong and weak pulsations. The nurse would document the presence of pulsus alternans.
A.
B.
58.  When palpating a client's pulse, the nurse notes that strength of the pulse alternates between strong and weak pulsations. The nurse would document the presence of weak/thready pulsations.
A.
B.
59.  When palpating a client's pulse, the nurse notes that strength of the pulse alternates between strong and weak pulsations. The nurse would document the presence of unequal pulses.
A.
B.
60.  When palpating a client's pulse, the nurse notes that strength of the pulse alternates between strong and weak pulsations. The nurse would document the presence of pulsus paradoxus.
A.
B.
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