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peripheral venous disorder practice questions
med surge success
Terms in this set (21)
The nurse is teaching a class on venous insufficiency. The nurse would identify which condition as the most serious complication of chronic venous insufficiency?
Which assessment data would support that the client has a venous stasis ulcer?
A superficial pink open area on the medial part of the ankle
The client is employed in a job that requires extensive standing. Which intervention should the nurse include when discussing how to prevent varicose veins
Wear graduated compression hose.
The client with varicose veins asks the nurse, "What caused me to have these?" Which statement by the nurse would be most appropriate?
"You have incompetent valves in your legs."
he nurse is caring for the client with chronic venous insufficiency. Which statement indicates the client understands the discharge teaching?
"I need to elevate the foot of my bed while sleeping."
The unlicensed assistive personnel (UAP) is caring for the client diagnosed with chronic venous insufficiency. Which action would warrant immediate intervention from the nurse?
Removing compression stockings before assisting the client to bed
The 80-year-old client is being discharged home after having surgery to débride a chronic venous ulcer on the right ankle. Which referral would be most appropriate for the client?
Which assessment data would the nurse expect to find in the client diagnosed with chronic venous insufficiency?
Brown discolored skin
Which client would be most at risk for developing varicose veins?
A Caucasian female who is a nurse.
The client with varicose veins is six (6) hours postoperative vein ligation. Which nursing intervention should the nurse implement first?
Assess and maintain pressure bandages on the affected leg
The nurse has just received the a.m. shift report. Which client would the nurse assess first?
The client with arterial occlusive disease who cannot move the foot.
The nurse is completing a neurovascular assessment on the client with chronic venous insufficiency. What should be included in this assessment?
Assess for paresthesia.
Assess for pedal pulses.
Assess for paralysis.
Assess for pallor.
Assess for polar (temperature).
Which instruction should the nurse discuss with the client diagnosed with Raynaud's phenomenon?
Wear extra-warm clothing during cold exposure.
The client diagnosed with diabetes mellitus type 2 is admitted to the hospital with cellulitis of the right foot secondary to an insect bite. Which intervention should the nurse implement first?
Elevate the right foot on two (2) pillows.
Which discharge instruction should the nurse discuss with the client to prevent recurrent episodes of cellulitis?
Inspect the feet between the toes for cracks in the skin.
Which discharge instruction should the nurse teach the client diagnosed with varicose veins who has received sclerotherapy?
Walk 15 to 20 minutes three (3) times a day.
The nurse is teaching the client with peripheral vascular disease. Which interventions should the nurse discuss with the clien
Wear comfortable, well-fitting shoes.
Keep the area between the toes dry.
The unlicensed assistive personnel (UAP) is applying elastic compression stockings to the client. Which action by the UAP would warrant immediate intervention by the nurse?
The UAP is putting the stockings on while the client is in the chair.
The nurse is caring for the client on strict bedrest. Which intervention is priority when caring for this client?
Perform active range-of-motion exercises.
The client with a left-sided mastectomy is diagnosed with elephantiasis of the left arm. Which signs/symptoms should the nurse expect to assess?
Edematous arm from the axillary area to the fingertips.
The client admitted with a diagnosis of pneumonia complains of tenderness and pain in the left calf, and the nurse assesses a positive Homans' sign. Which interventions should the nurse implement? List in order of priority.
1. Instruct the client not to get out of the bed.
2. Notify the health-care provider
3. Initiate an intravenous line.
4. Administer a continuous heparin infusion.
5. Monitor the client's PTT.
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