In preparation for the discharge of a client with arterial insufficiency and Raynaud’s disease, client teaching instructions should include:
The client’s instructions should include keeping the environment warm to prevent vasoconstriction.
A client comes to the outpatient clinic and tells the nurse that he has had legs pains that began when he walks but cease when he stops walking. Which of the following conditions would the nurse assess for?
Intermittent claudication is a condition that indicates vascular deficiencies in the peripheral vascular system.
A nurse is caring for a client who had a percutaneous insertion of an inferior vena cava filter and was on heparin therapy before surgery. The nurse would inspect the surgical site most closely for signs of:
After inferior vena cava insertion, the nurse inspects the surgical site for bleeding and signs and symptoms of infection. Otherwise, care is the same as for any post-op client.
Cancer can cause changes in what component of Virchow’s triad?
A nurse is assessing the neurovascular status of a client who returned to the surgical nursing unit 4 hours ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the nurse notes redness and edema. The pedal pulse is palpable and unchanged from admission. The nurse interprets that the neurovascular status is:
An expected outcome of surgery is warmth, redness, and edema in the surgical extremity because of increased blood flow.
Varicose veins can cause changes in what component of Virchow’s triad?
A nurse is assessing a client with an abdominal aortic aneurysm. Which of the following assessment findings by the nurse is probably unrelated to an aneurysm?
Not all clients with abdominal aortic aneurysms exhibit symptoms.
Which technique is considered the gold standard for diagnosing DVT?
A client is admitted with a venous stasis leg ulcer. A nurse assesses the ulcer, expecting to note that the ulcer:
Venous leg ulcers, also called stasis ulcers, tend to be more superficial than arterial ulcers, and the ulcer bed is pink. The edges of the ulcer are uneven, and granulation tissue is evident. The skin has a brown pigmentation from the accumulation of metabolic waste products resulting from venous stasis. The client also exhibits peripheral edema.
Which of the following characteristics is typical of the pain associated with DVT?
DVT is associated with deep leg pain of sudden onset, which occurs secondary to the occlusion.
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