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WorksheetsMed surg practice questions: peripheral vascular disease
Total questions: 19
Worksheet time: 29mins
A client with PAD reports calf pain after walking two blocks that subsides with rest. Which nursing instruction is most appropriate to improve the client’s symptoms?
Begin high-intensity resistance training.
Walk until pain begins, rest, and resume walking.
Avoid all walking to prevent pain.
Elevate legs above heart level after walking.
The nurse is evaluating discharge teaching for PAD. Which client statement indicates effective understanding?
“I should keep my legs elevated above my heart to promote circulation.”
“I’ll check my feet daily for sores or injuries.”
“I’ll use compression stockings to reduce swelling.”
“I’ll soak my feet daily to keep the skin moist.”
A client with PAD is prescribed cilostazol. Which outcome best indicates the medication is effective?
Reduced blood pressure
Increased walking distance without pain
Decreased leg swelling
Improved pedal pulse strength
The nurse is planning care for a client with PAD. Which intervention should be avoided?
Encouraging smoking cessation
Maintaining a warm environment
Using elastic bandages on lower legs
Providing a walking program
The nurse is teaching a PAD client about positioning. Which instruction is correct?
“Keep your legs elevated when sitting.”
“Sit with your legs dependent to promote blood flow.”
“Cross your legs when sitting to reduce pressure.”
“Lie flat with feet slightly higher than the heart.”
The nurse is prioritizing care for four PAD clients. Which should be seen first?
Reports new severe leg pain and pulselessness
Cannot tolerate walking more than one block
Has dependent rubor in both legs
Reports thick, brittle toenails
A client with a DVT is prescribed low-molecular-weight heparin (LMWH). Which statement shows effective understanding of home administration?
“I will inject the medication into my thigh muscle.”
“I’ll rotate injection sites in my abdomen.”
“I’ll massage the site to help it absorb faster.”
“I will use the same site each time for consistency.”
A client with CVI reports increased ankle swelling and brownish discoloration of the skin. Which pathophysiological process best explains these findings?
Arterial plaque buildup
Venous valve incompetence leading to blood pooling
Capillary rupture from hypertension
Lymphatic obstruction
A client with a femoral DVT develops sudden shortness of breath and chest pain. Which action should the nurse take immediately?
Assess oxygen saturation and apply oxygen
Perform chest percussion
Place client in Trendelenburg position
Administer subcutaneous heparin
A client with Buerger’s disease presents with an ischemic ulcer on the toe. Which nursing goal has the highest priority?
Prevent infection and promote wound healing
Improve nutritional intake
Maintain optimal hydration
Encourage moderate exercise
A nurse evaluates the effectiveness of teaching for Raynaud’s prevention. Which client behavior shows correct understanding?
Using hand warmers when grocery shopping in the freezer section
Wearing tight leather gloves for style in winter
Drinking energy drinks before outdoor activity
Avoiding exercise in warm weather
A nurse is caring for a postoperative client following AAA repair. Which finding is most concerning?
Urine output 15 mL/hr
Slightly diminished bowel sounds
Mild incisional pain
BP 118/70 mmHg
A client with an abdominal aortic aneurysm has BP 190/110 mmHg. The nurse should:
Give antihypertensive as ordered
Increase IV fluids
Raise foot of bed
Encourage deep breathing exercises
A client with Raynaud's is prescribed nifedipine. Which outcome best indicates the medication is effective?
Reduced frequency of vasospastic episodes
Increased heart rate during cold exposure
Warmth and erythema in the hands during attacks
Improved nail growth
The nurse should suspect aneurysm rupture if the patient develops hypotension, tachycardia, and a rigid abdomen. True or false?
True
False
Match the complication to the nursing priority. Use the following priorities:
Raynaud's patient with vasospasm
Warm extremity
Buerger's disease patient with toe ulcer
Educate on smoking cessation
Postoperative patient with sudden chest pain and shortness of breath
Call rapid response
Postoperative patient with red, swollen calf
Elevate the leg and notify provider
Elevating the legs above the level of the heart promotes:
Arterial return
Venous return
Capillary refill
Dependent edema
Select the interventions appropriate for a patient with peripheral arterial disease (select all that apply)
Elevate legs above heart level
Assess peripheral pulses
Keep legs warm
Apply compression stockings
Match each symptom with the disorder. Disorders: Peripheral arterial disease (PAD) or Venous insufficiency.
Cold, plae extremity
Pain worse with elevation
Intermittent claudication
Swollen, warm extremity
Leg heaviness
