Exam 38: Nursing Management: Vascular Disorders

A patient with a venous thromboembolism (VTE)is started on enoxaparin (Lovenox)and warfarin (Coumadin).The patient asks the nurse why two medications are necessary.Which response by the nurse is most appropriate?

A patient in the outpatient clinic has a new diagnosis of peripheral artery disease (PAD).Which group of medications will the nurse plan to include when providing patient teaching about PAD management?

Which assessment finding for a patient who has been admitted with a right calf venous thromboembolism (VTE)requires immediate action by the nurse?

Which action by a nurse who is giving fondaparinux (Arixtra)to a patient with a lower leg venous thromboembolism (VTE)indicates that more education about the drug is needed?

The health care provider prescribes an infusion of heparin (Hep-Lock)and daily partial thromboplastin time (PTT)testing for a patient with venous thromboembolism (VTE).The nurse will plan to

Which nursing intervention for a patient who had an open repair of an abdominal aortic aneurysm 2 days previously is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)?

The nurse is caring for a patient with critical limb ischemia who has just arrived on the nursing unit after having percutaneous transluminal balloon angioplasty.Which action should the nurse perform first?

The nurse who works in the vascular clinic has several patients with venous insufficiency scheduled today.Which patient should the nurse assign to an experienced licensed practical/vocational nurse (LPN/LVN)?

A 67-year-old patient is admitted to the hospital with a diagnosis of venous insufficiency.Which patient statement is most supportive of the diagnosis?

The health care provider has prescribed bed rest with the feet elevated for a patient admitted to the hospital with venous thromboembolism.Which action by the nurse to elevate the patient's feet is best?

Several hours after an open surgical repair of an abdominal aortic aneurysm,the UAP reports to the nurse that urinary output for the past 2 hours has been 40 mL.The nurse notifies the health care provider and anticipates an order for a(n)

After receiving report,which patient admitted to the emergency department should the nurse assess first?

When discussing risk factor modification for a 63-year-old patient who has a 5-cm abdominal aortic aneurysm,the nurse will focus discharge teaching on which patient risk factor?

The nurse reviews the admission orders shown in the accompanying figure for a patient newly diagnosed with peripheral artery disease.Which admission order should the nurse question?

Which topic should the nurse include in patient teaching for a patient with a venous stasis ulcer on the left lower leg?

When caring for a patient on the first postoperative day after an abdominal aortic aneurysm repair,which assessment finding is most important for the nurse to communicate to the health care provider?

The nurse has started discharge teaching for a patient who is to continue warfarin (Coumadin)following hospitalization for venous thromboembolism (VTE).The nurse determines that additional teaching is needed when the patient says which of the following?

An 80-year-old patient with a history of an abdominal aortic aneurysm arrives at the emergency department (ED)with severe back pain and absent pedal pulses.Which actions should the nurse take first?

The nurse performing an assessment with a patient who has chronic peripheral artery disease (PAD)of the legs and an ulcer on the right second toe would expect to find

A patient has a 6-cm thoracic aortic aneurysm that was discovered during a routine chest x-ray.When obtaining an admission history from the patient,it will be most important for the nurse to ask about