Exam 34: Nursing Management: Vascular Disorders

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?

While working in the outpatient clinic,the nurse notes that a patient has a history of intermittent claudication.Which statement by the patient would support this information?

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?

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?

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?

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

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 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

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?

A 73-year-old patient with chronic atrial fibrillation develops sudden severe pain,pulselessness,pallor,and coolness in the right leg.The nurse should notify the health care provider and immediately

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

A patient is being evaluated for post-thrombotic syndrome.Which assessment will the nurse perform?

When developing a teaching plan for a 76-year-old patient newly diagnosed with peripheral artery disease (PAD),which instructions should the nurse include?

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?

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

A 46-year-old is diagnosed with thromboangiitis obliterans (Buerger's disease).When the nurse is developing a discharge teaching plan for the patient,which outcome has the highest priority for this patient?

When evaluating the discharge teaching for a patient with chronic peripheral artery disease (PAD),the nurse determines a need for further instruction when the patient says,"I will

A patient who is 2 days post-femoral-popliteal bypass graft to the right leg is being cared for on the vascular unit.Which action by a licensed practical/vocational nurse (LPN/LVN)caring for the patient requires the registered nurse (RN)to intervene?

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?

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