A nurse is reviewing the medical history of a client with suspected peripheral vascular disease. Which condition is a significant risk factor for the development of atherosclerosis and peripheral vascular disease?

Asthma

Osteoarthritis

Hypothyroidism

Hypercholesterolemia

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because asthma is not directly associated with an increased risk of atherosclerosis or peripheral vascular disease. Asthma is a chronic respiratory condition that affects the airways, not the blood vessels.

B) This choice is incorrect because osteoarthritis is a degenerative joint disease and is not directly linked to an increased risk of atherosclerosis or peripheral vascular disease.

C) This choice is incorrect because while hypothyroidism can impact cardiovascular health, it is not a primary risk factor for atherosclerosis or peripheral vascular disease. Hypothyroidism can lead to elevated cholesterol levels, but hypercholesterolemia is the specific condition related to increased cholesterol levels and atherosclerosis.

D) This choice is correct. Hypercholesterolemia, characterized by high levels of cholesterol in the blood, is a significant risk factor for atherosclerosis, which is the buildup of plaque in the arterial walls. Atherosclerosis is a common cause of peripheral vascular disease, leading to reduced blood flow to the extremities and various cardiovascular complications.

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Correct Answer is B

Explanation

A) This choice is incorrect because encouraging prolonged standing can worsen symptoms of chronic venous insufficiency (CVI). Prolonged standing increases venous pressure in the legs and can lead to further swelling and discomfort.

B) This choice is correct. Elevating the legs above heart level when resting is a beneficial intervention for individuals with chronic venous insufficiency (CVI). Elevating the legs helps improve venous return and reduces swelling in the legs.

C) This choice is incorrect because applying warm compresses to the legs may provide temporary relief for some individuals, but it is not a primary intervention for managing chronic venous insufficiency (CVI).

D) This choice is incorrect because tight-fitting compression stockings are commonly used to manage chronic venous insufficiency (CVI), but they should be fitted appropriately by a healthcare professional. Wearing overly tight compression stockings can impede blood flow and cause discomfort.

A. Instructing the client to avoid eating or drinking for 24 hours before the procedure. B. Informing the client of the need for general anesthesia during the procedure. C. Explaining that the procedure involves making a large incision in the abdomen. D. Informing the client that a catheter will be inserted through a blood vessel.

Correct Answer is D

Explanation

A) This choice is incorrect because avoiding eating or drinking for 24 hours before the procedure is not typically required for a percutaneous transluminal angioplasty (PTA) with stent placement. The client may be instructed to avoid eating or drinking for a few hours before the procedure to prevent aspiration during sedation, but a 24-hour fast is not necessary.

B) This choice is incorrect because percutaneous transluminal angioplasty (PTA) with stent placement is typically performed under local anesthesia or conscious sedation, not general anesthesia. General anesthesia is not required for this procedure.

C) This choice is incorrect because percutaneous transluminal angioplasty (PTA) with stent placement is a minimally invasive procedure that does not involve making a large incision in the abdomen. It is usually performed using small punctures or incisions in the groin or arm to insert a catheter.

D) This choice is correct. A percutaneous transluminal angioplasty (PTA) with stent placement involves the insertion of a catheter through a blood vessel, typically in the groin or arm, to reach the narrowed or blocked artery. The catheter is used to inflate a small balloon and place a stent to open the artery and improve blood flow. Providing information about the catheter insertion is essential for the client's understanding of the procedure.

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A nurse is reviewing the medical history of a client with suspected peripheral vascular disease. Which condition is a significant risk factor for the development of atherosclerosis and peripheral vascular disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with chronic venous insufficiency (CVI). Which intervention should the nurse include in the client's plan of care?

Correct Answer is B

Explanation

A client with peripheral vascular disease (PAD) is scheduled for a percutaneous transluminal angioplasty (PT with stent placement. What pre-procedure information should the nurse provide to the client?

Correct Answer is D

Explanation

A client with peripheral vascular disease (PAD) is experiencing intermittent claudication and reports difficulty walking. What should the nurse encourage the client to do to improve exercise tolerance?

A client has a history of smoking, diabetes, and hypertension. The nurse should recognize that these risk factors contribute to the development of which peripheral vascular disease?

A client with peripheral vascular disease (PAD) is experiencing cold feet due to reduced blood flow. Which self-care measure should the nurse recommend to the client?

A client with peripheral vascular disease (PAD) is at risk of developing complications related to impaired skin integrity. What should the nurse include in the plan of care to prevent skin breakdown?

A nurse is caring for a client with peripheral vascular disease (PAD) who experiences intermittent claudication. What should the nurse encourage the client to do during episodes of leg pain?

A client with peripheral vascular disease (PAD) reports experiencing numbness and tingling in their feet. The nurse should suspect:

A client with peripheral vascular disease is scheduled for an arteriography. The nurse should provide pre-procedure education, including informing the client that:

A client with peripheral vascular disease (PAD) is prescribed cilostazol. The nurse should instruct the client to report which adverse effect immediately?