Exam 19: Peripheral Vascular System

A female client being examined by the nurse exhibits 2+ pitting edema in the right arm, while the left arm is normal in size. Which question by the nurse is the most appropriate based on this data?

An adult female client develops a pulmonary embolism and is admitted to the intensive care unit (ICU). While completing the client's health history interview, which statement made by the client is consistent with the diagnosis? Select all that apply.

While performing a focused interview with a healthy adult client, the nurse notes frequent position changes, wringing of hands, lack of eye contact, incomplete sentences, and rapid speech. The vital signs are BP 160/88 mmHg, apical pulse 102 beats per minute, and respiratory rate 26 per minute. Which responses by the nurse are appropriate in this situation? Select all that apply.

The nurse is preparing to assess the client's dorsalis pedis pulse. Which location will the nurse palpate to assess this pulse?

The educator is reviewing the causes of orthostatic hypotension with the nurse. Which information should the educator include? Select all that apply.

The client developed a pulmonary embolism. In which area did the embolism most likely originate?

The nurse is preparing to document the findings associated with a client's peripheral pulses. Which should the nurse include in the documentation? Select all that apply.

The client was recently diagnosed with venous insufficiency. Which client statements support the client's diagnosis? Select all that apply.

Which question should the nurse ask the client that is associated with a diagnosis of chronic bronchitis?

The nurse is obtaining a history from an adult female client. Which statement made by the client should the nurse recognize places her at risk for a deep vein thrombosis? Select all that apply.

The nurse is preparing to assess the extremities of a client experiencing right-sided heart failure. Which findings should the nurse anticipate in the lower extremities?

The nurse obtaining a blood pressure in both of the client's arms determines that there is a difference of 15 mmHg in the systolic readings between the arms and repeats the assessment with the same results. Based on this data, which does the nurse suspect?

The nurse educator is teaching a group of nursing students how to perform an assessment of the client's peripheral vascular system. Which student statements indicate an appropriate understanding of the peripheral vascular assessment? Select all that apply.

The client is visiting the healthcare provider's office with complaints of discoloration of her hands. The client states, "My fingertips turn whitish and then later they get really red." Which disorder does the nurse anticipate the client will be diagnosed with based on this data?

The nurse is preparing to assess the arteriovenous fistula of a client scheduled for dialysis. Which findings should the nurse anticipate?

The nurse caring for a client post cardiac catheterization is unable to locate pulses in the right distal extremity with the Doppler. Which is the nurse's priority action?

A client with peripheral arterial disease asks why they are experiencing so much pain in their lower extremities. Which information should the nurse be prepared to discuss with the client?

A client presents with an enlargement of several cervical lymph nodes and asks the nurse about the function of these structures. Which response by the nurse is the most appropriate?

The nurse has reviewed the functions of the peripheral vascular system with a client. Which statement made by the client indicates further teaching is needed?

The nurse is performing a focused interview with a client who was recently diagnosed with varicose veins. Which statements by the client will the nurse document as risk factors for varicose vein development? Select all that apply.