Pvd - Quiz & Trivia

1. 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?

Wear adequate clothing during summer

Wear gloves when handling frozen foods

Wear goggles during winter

Attending stress management class

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.

Explanation

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.

2. To relieve symptoms of intermittent claudication, the nurse should recommend which additional measures?

Taking daily walks

Engaging in anaerobic exercise

Reducing daily fat intake to less than 45% of total calories

Avoiding foods that increase levels of high-density lipoproteins

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.

Explanation

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.

3. What antidote is given if the client exhibits signs of excessive bleeding due to heparin administration secondary to treatment of thromboplebitis?

Phytonadione (vitamin K)

Protamine sulfate

Thrombin

Aspirin

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.

Explanation

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.

4. 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:

Maintain cerebral function

Maintain tissue perfusion

Correct fluid imbalance

Control hemorrhage

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.

Explanation

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.

5. 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?

See if she can stand on one leg at a time

Checking the homan’s sign

Applying a cold compress and massaging the area

Measuring both legs and comparing the size

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.

Explanation

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.

6. Which of the following health management will be taught by the nurse to a patient who has a Raynauds disease?

Avoid consuming dark colored foods

Importance of avoiding emotional stress

Intake of vasodilator drugs

Refraining from going to warm places

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.

Explanation

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.

7. The skin of a patient with Raynauds disease will turn to bluish in color as a result of:

Pooling of deoxygenated blood during vasospasm

Sudden vasoconstriction

Exaggerated blood reflow

Sudden vasodilation

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.

Explanation

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.

8. A client with venous insufficiency develops varicose veins in both legs. Which statement about varicose vein is accurate?

Varicose veins are more common in men than in women

Primary varicose veins are caused by deep vein thrombosis & inflammation

Sclerotherapy is used to cure varicose veins

The severity of discomfort isn’t related to the size of varicosities

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.

Explanation

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.

9. 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.

Integrity of the incision

Positive homan’s sign

Clear lung sound

Bowel sounds in all four quadrants

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.

Explanation

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.

10. The most common charactestic manifestation of of Thromboangitis Obliterans is:

Numbness

Paresthesia

Intermittent Claudication

Pulsation over the abdomen

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.

Explanation

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.