Pvd
Cliends with peripheral vascular disorders
- 1.
What antidote is given if the client exhibits signs of excessive bleeding due to heparin administration secondary to treatment of thromboplebitis?
- A.
Phytonadione (vitamin K)
- B.
Protamine sulfate
- C.
Thrombin
- D.
Aspirin
Correct Answer
B. Protamine sulfateExplanation
Protamine sulfate is the correct antidote for excessive bleeding due to heparin administration. Heparin is an anticoagulant medication used to prevent blood clots, but in some cases, it can cause excessive bleeding. Protamine sulfate is a medication that can reverse the effects of heparin by binding to it and neutralizing its anticoagulant properties. Therefore, administering protamine sulfate can help stop the bleeding and restore normal clotting function.Rate this question:
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- 2.
To relieve symptoms of intermittent claudication, the nurse should recommend which additional measures?
- A.
Taking daily walks
- B.
Engaging in anaerobic exercise
- C.
Reducing daily fat intake to less than 45% of total calories
- D.
Avoiding foods that increase levels of high-density lipoproteins
Correct Answer
A. Taking daily walksExplanation
Taking daily walks is recommended as an additional measure to relieve symptoms of intermittent claudication. Walking helps improve blood circulation, strengthen muscles, and increase the distance a person can walk before experiencing pain. It is a form of aerobic exercise that can help improve symptoms and overall cardiovascular health.Rate this question:
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- 3.
A client with venous insufficiency develops varicose veins in both legs. Which statement about varicose vein is accurate?
- A.
Varicose veins are more common in men than in women
- B.
Primary varicose veins are caused by deep vein thrombosis & inflammation
- C.
Sclerotherapy is used to cure varicose veins
- D.
The severity of discomfort isn’t related to the size of varicosities
Correct Answer
D. The severity of discomfort isn’t related to the size of varicositiesExplanation
The severity of discomfort isn't related to the size of varicosities. This means that even if the varicose veins are large or small, the level of discomfort experienced by the client with venous insufficiency will not be affected. The discomfort is likely caused by the underlying venous insufficiency rather than the size of the varicose veins themselves.Rate this question:
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- 4.
The most common charactestic manifestation of of Thromboangitis Obliterans is:
- A.
Numbness
- B.
Paresthesia
- C.
Intermittent Claudication
- D.
Pulsation over the abdomen
Correct Answer
D. Pulsation over the abdomenExplanation
Thromboangitis Obliterans, also known as Buerger's disease, is a rare condition that affects the blood vessels in the limbs. It is characterized by inflammation and clot formation in the small and medium-sized arteries and veins. The most common characteristic manifestation of this disease is intermittent claudication, which refers to pain and cramping in the legs during physical activity. This occurs due to the narrowing or blockage of the blood vessels, leading to reduced blood flow. Numbness and paresthesia may also occur, but pulsation over the abdomen is not associated with Thromboangitis Obliterans.Rate this question:
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- 5.
Nurse Wating-ting is treating an overweight post-cesarean section patient with varicose veins. It is especially important that she checks for the following when assessing this patient.
- A.
Integrity of the incision
- B.
Positive homan’s sign
- C.
Clear lung sound
- D.
Bowel sounds in all four quadrants
Correct Answer
D. Bowel sounds in all four quadrantsExplanation
When assessing an overweight post-cesarean section patient with varicose veins, it is important to check for bowel sounds in all four quadrants. This is because the patient may be at a higher risk of developing postoperative ileus, a condition where the intestines become temporarily paralyzed after surgery. By checking for bowel sounds in all four quadrants, Nurse Wating-ting can ensure that the patient's intestines are functioning properly and there are no signs of obstruction or ileus.Rate this question:
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- 6.
The nurse is teaching a client with Thromboangitis Obliterans about techniques in avoiding of being exposed to cold. Which of the following statement made by the client demonstrate understanding of the disease?
- A.
Wear adequate clothing during summer
- B.
Wear gloves when handling frozen foods
- C.
Wear goggles during winter
- D.
Attending stress management class
Correct Answer
B. Wear gloves when handling frozen foodsExplanation
The correct answer is "Wear gloves when handling frozen foods." This statement demonstrates understanding of Thromboangitis Obliterans because exposure to cold temperatures can trigger symptoms and complications in this condition. Handling frozen foods without gloves can lead to cold exposure and potentially worsen the disease. Wearing gloves helps to protect the hands from cold temperatures and reduces the risk of triggering symptoms.Rate this question:
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- 7.
The skin of a patient with Raynauds disease will turn to bluish in color as a result of:
- A.
Pooling of deoxygenated blood during vasospasm
- B.
Sudden vasoconstriction
- C.
Exaggerated blood reflow
- D.
Sudden vasodilation
Correct Answer
A. Pooling of deoxygenated blood during vasospasmExplanation
The bluish color of the skin in a patient with Raynaud's disease is due to the pooling of deoxygenated blood during vasospasm. Raynaud's disease is characterized by episodes of vasospasm, where the blood vessels in the fingers and toes constrict, leading to reduced blood flow. This constriction causes a decrease in oxygen supply to the affected area, resulting in the bluish discoloration of the skin. The pooling of deoxygenated blood occurs because the narrowed blood vessels prevent proper circulation, leading to the accumulation of stagnant blood.Rate this question:
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- 8.
Which of the following health management will be taught by the nurse to a patient who has a Raynauds disease?
- A.
Avoid consuming dark colored foods
- B.
Importance of avoiding emotional stress
- C.
Intake of vasodilator drugs
- D.
Refraining from going to warm places
Correct Answer
B. Importance of avoiding emotional stressExplanation
Raynaud's disease is a condition in which the blood vessels in the fingers and toes spasm, causing them to turn white or blue. Emotional stress can trigger these spasms, so it is important for patients with Raynaud's disease to avoid emotional stress as much as possible. This can help prevent episodes of symptoms and manage the condition effectively.Rate this question:
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- 9.
An expert nurse is caring a patient with aneurysm. As part of the care plan of the client, the nurse main goal of her management is to:
- A.
Maintain cerebral function
- B.
Maintain tissue perfusion
- C.
Correct fluid imbalance
- D.
Control hemorrhage
Correct Answer
B. Maintain tissue perfusionExplanation
The main goal of the nurse in managing a patient with an aneurysm is to maintain tissue perfusion. This is important because an aneurysm can cause a disruption in blood flow to the affected area, leading to tissue damage or even rupture. By ensuring adequate tissue perfusion, the nurse can help prevent further complications and promote healing.Rate this question:
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- 10.
You enter the clinic to invite Mrs. Rosita in for her check up. You notice edema in her left leg. And she states that the back of her leg hurts and has been swollen. Which nursing measure would be helpful determining the cause of his problem?
- A.
See if she can stand on one leg at a time
- B.
Checking the homan’s sign
- C.
Applying a cold compress and massaging the area
- D.
Measuring both legs and comparing the size
Correct Answer
B. Checking the homan’s signExplanation
Checking the Homan's sign would be helpful in determining the cause of Mrs. Rosita's problem. Homan's sign is a test used to check for deep vein thrombosis (DVT), which can cause swelling and pain in the leg. By performing this test, the nurse can assess for tenderness in the calf muscle and determine if there is a blood clot present. This information can help guide further assessment and treatment for Mrs. Rosita's condition.Rate this question:
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Current Version
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Mar 20, 2023Quiz Edited by
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May 05, 2011Quiz Created by
Rymats
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