Exam 38: Nursing Management: Vascular Disorders

Several hours after an open surgical repair of an abdominal aortic aneurysm, the patient develops a urinary output of 20 mL/hr for 2 hours. The nurse notifies the health care provider and anticipates orders for

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

The nurse has initiated discharge teaching for a patient who is to be maintained on warfarin (Coumadin) following hospitalization for venous thromboembolism (VTE). The nurse determines that additional teaching is needed when the patient says,

When developing a teaching plan for a patient newly diagnosed with peripheral artery disease ( PAD ), which information should the nurse include?

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

A patient is admitted to the hospital with a diagnosis of chronic venous insufficiency. Which of these statements by the patient is most consistent with the diagnosis?

When assessing a patient with possible peripheral artery disease (PAD), the nurse obtains a brachial BP of 140/80 and an ankle pressure of 110/70. The nurse calculates the patient's ankle-brachial index (ABI) as ____________________.

A 46-year-old is diagnosed with thromboangiitis obliterans (Buerger's disease). When the nurse is planning expected outcomes for the patient, which outcome has the highest priority for this patient?

When 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 take first?

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

Which nursing action will be included in the plan of care after endovascular repair of an abdominal aortic aneurysm?

The health care provider has prescribed bed rest with the feet elevated for a patient admitted to the hospital with deep vein thrombosis. The best method for the nurse to use in elevating the patient's feet is to

A patient with a history of an abdominal aortic aneurysm is admitted to the emergency department ( ED ) with severe back pain and absent pedal pulses. Which action should the nurse take first?

Which nursing action in the care plan for a patient who had an open repair of an abdominal aortic aneurysm 3 days previously is appropriate for the nurse to delegate to experienced nursing assistive personnel (NAP)?

A patient tells the health care provider about experiencing cold, numb fingers when running during the winter and is diagnosed with Raynaud's phenomenon. The nurse will anticipate teaching the patient about tests for

In evaluating the patient outcomes following teaching for a patient with chronic peripheral artery disease ( PAD ), the nurse determines a need for further instruction when the patient says,

A patient at the clinic says, "I have always taken an evening walk, but lately my leg cramps and hurts after just a few minutes of walking. The pain goes away after I stop walking, though." The nurse should

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

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

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 accurate?