Cardiovascular System | Peripheral Vascular Diseases NCLEX Quiz 19
All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
- 1.The most important factor in regulating the caliber of blood vessels. which determines resistance to flow. is:
- A.
Hormonal secretion
- B.
Independent arterial wall activity.
- C.
The influence of circulating chemicals
- D.
The sympathetic nervous system
- 2.With peripheral arterial insufficiency. leg pain during rest can be reduced by:
- A.
Elevating the limb above heart level
- B.
Lowering the limb so it is dependent
- C.
Massaging the limb after application of cold compresses
- D.
Placing the limb in a plane horizontal to the body
- 3.Buerger’s disease is characterized by all of the following except:
- A.
Arterial thrombosis formation and occlusion
- B.
Lipid deposits in the arteries
- C.
Redness or cyanosis in the limb when it is dependent
- D.
Venous inflammation and occlusion
- 4.A significant cause of venous thrombosis is:
- A.
Altered blood coagulation
- B.
Stasis of blood
- C.
Vessel wall injury
- D.
All of the above
- 5.When caring for a patient who has started anticoagulant therapy with warfarin (Coumadin). the nurse knows not to expect therapeutic benefits for:
- A.
At least 12 hours
- B.
The first 24 hours
- C.
2-3 days
- D.
1 week
- 6.Mike. a 43-year old construction worker. has a history of hypertension. He smokes two packs of cigarettes a day. is nervous about the possibility of being unemployed. and has difficulty coping with stress. His current concern is calf pain during minimal exercise that decreased with rest. The nurse assesses Mike’s symptoms as being associated with peripheral arterial occlusive disease. The nursing diagnosis is probably:
- A.
Alteration in tissue perfusion related to compromised circulation
- B.
Dysfunctional use of extremities related to muscle spasms
- C.
Impaired mobility related to stress associated with pain
- D.
Impairment in muscle use associated with pain on exertion.
- 7.A 24-year old man seeks medical attention for complaints of claudication in the arch of the foot. A nurse also notes superficial thrombophlebitis of the lower leg. The nurse would next assess the client for:
- A.
Familial tendency toward peripheral vascular disease
- B.
Smoking history
- C.
Recent exposures to allergens
- D.
History of insect bites
- 8.Intravenous heparin therapy is ordered for a client. While implementing this order. a nurse ensures that which of the following medications is available on the nursing unit?
- A.
Vitamin K
- B.
Aminocaproic acid
- C.
Potassium chloride
- D.
Protamine sulfate
- 9.A client who has been receiving heparin therapy also is started on warfarin sodium (coumadin). The client asks the nurse why both medications are being administered. In formulating a response. the nurse incorporates the understanding that warfarin sodium:
- A.
Stimulates the breakdown of specific clotting factors by the liver. and it takes 2-3 days for this is exhibit an anticoagulant effect.
- B.
Inhibits synthesis of specific clotting factors in the liver. and it takes 3 to 4 days for this medication to exert an anticoagulation effect.
- C.
Stimulates production of the body’s own thrombolytic substances. but it takes 2-4 days for it to begin.
- D.
Has the same mechanism action of heparin. and the crossover time is needed for the serum level of warfarin sodium to be therapeutic.
- 10.A nurse has the order to begin administering warfarin sodium (Coumadin) to a client. While implementing this order. the nurse ensures that which of the following medications is available on the nursing unit as the antidote for Coumadin?
- A.
Vitamin K
- B.
Aminocaproic acid
- C.
Potassium chloride
- D.
Protamine sulfate
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