Exam 34: Nursing Management: Vascular Disorders

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The nurse is caring for a patient with a descending aortic dissection.Which assessment finding is most important to report to the health care provider?

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A 46-year-old service-counter worker undergoes sclerotherapy for treatment of superficial varicose veins at an outpatient center.Which instructions should the nurse provide to the patient before discharge?

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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?

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A 23-year-old patient tells the health care provider about experiencing cold,numb fingers when running during the winter and Raynaud's phenomenon is suspected.The nurse will anticipate teaching the patient about tests for

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

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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

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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)?

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The nurse is caring for a patient immediately after repair of an abdominal aortic aneurysm.On assessment,the patient has absent popliteal,posterior tibial,and dorsalis pedis pulses.The legs are cool and mottled.Which action should the nurse take first?

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When assessing a patient with possible peripheral artery disease (PAD),the nurse obtains a brachial BP of 147/82 and an ankle pressure of 112/74.The nurse calculates the patient's ankle-brachial index (ABI)as ________ (round up to the nearest hundredth).

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After teaching a patient with newly diagnosed Raynaud's phenomenon about how to manage the condition,which action by the patient demonstrates that the teaching has been effective?

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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)?

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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)

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Which actions could the nurse delegate to unlicensed assistive personnel (UAP)who are providing care for a patient who is at risk for venous thromboembolism?

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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?

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

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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?

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