Exam 36: Care of Patients with Vascular Problems

A nurse is caring for a client on IV infusion of heparin.What actions does this nurse include in the client's plan of care? (Select all that apply.)

Which statements by the client indicate good understanding of foot care in peripheral vascular disease? (Select all that apply.)

A client had a femoropopliteal bypass graft with a synthetic graft.What action by the nurse is most important to prevent wound infection?

An older client with peripheral vascular disease (PVD)is explaining the daily foot care regimen to the family practice clinic nurse.What statement by the client may indicate a barrier to proper foot care?

A client is taking warfarin (Coumadin)and asks the nurse if taking St.John's wort is acceptable.What response by the nurse is best?

A nurse is working with a client who takes atorvastatin (Lipitor).The client's recent laboratory results include a blood urea nitrogen (BUN)of 33 mg/dL and creatinine of 2.8 mg/dL.What action by the nurse is best?

A nurse is caring for a client with a nonhealing arterial ulcer.The physician has informed the client about possibly needing to amputate the client's leg.The client is crying and upset.What actions by the nurse are best? (Select all that apply.)

A student nurse asks what "essential hypertension" is.What response by the registered nurse is best?

The nurse is reviewing the lipid panel of a male client who has atherosclerosis.Which finding is most concerning?

A client has hypertension and high risk factors for cardiovascular disease.The client is overwhelmed with the recommended lifestyle changes.What action by the nurse is best?

A nurse is caring for a client with a deep vein thrombosis (DVT).What nursing assessment indicates a priority outcome has been met?

A nurse is caring for a client with a nonhealing arterial lower leg ulcer.What action by the nurse is best?

A client with a history of heart failure and hypertension is in the clinic for a follow-up visit.The client is on lisinopril (Prinivil)and warfarin (Coumadin).The client reports new-onset cough.What action by the nurse is most appropriate?

A client is receiving an infusion of alteplase (Activase)for an intra-arterial clot.The client begins to mumble and is disoriented.What action by the nurse takes priority?

A nurse is interested in providing community education and screening on hypertension.In order to reach a priority population,to what target audience should the nurse provide this service?

A client has been diagnosed with hypertension but does not take the antihypertensive medications because of a lack of symptoms.What response by the nurse is best?

A nurse wants to provide community service that helps meet the goals of Healthy People 2020 (HP2020)related to cardiovascular disease and stroke.What activity would best meet this goal?

A nurse is preparing a client for a femoropopliteal bypass operation.What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)

A nurse is teaching a larger female client about alcohol intake and how it affects hypertension.The client asks if drinking two beers a night is an acceptable intake.What answer by the nurse is best?

The nurse is evaluating a 3-day diet history with a client who has an elevated lipid panel.What meal selection indicates the client is managing this condition well with diet?