Chapter 24. Nursing Care of Patients With Occlusive Cardiovascular Disorders

Chapter 24. Nursing Care of Patients With Occlusive Cardiovascular Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   The nurse is reinforcing teaching for managing the pain of peripheral arterial disease. Which patient statement indicates correct understanding of discharge instructions?

a.	“I will lie down frequently.”
b.	“I will use a reclining chair.”
c.	“I will sit with my legs down.”
d.	“I will do knee flexion exercises.”

 

 

____     2.   A patient is brought to the emergency room by a daughter who reports that the patient has had multiple episodes of chest pain in the past few days and has refused to seek care. The patient states, “I feel fine and the pain has only lasted for brief periods.” The nurse recognizes that the patient is most likely using which coping technique?

a.	Anger
b.	Denial
c.	Projection
d.	Regression

 

 

____     3.   The nurse is providing discharge instructions to a patient with brown, leathery, edematous ankles and increased pain when sitting. Which patient statement indicates that teaching has been effective?

a.	“I should elevate my legs on pillows.”
b.	“I should keep my legs lower than my heart.”
c.	“Elastic bandages should be wrapped from the knee down.”
d.	“I should increase my intake of red meat and dairy products.”

 

 

____     4.   A patient with peripheral venous disease (PVD) is sitting in a chair and has edematous and purple feet. What action should the nurse to take?

a.	Notify the physician.
b.	Cover the patient with a blanket.
c.	Place the patient’s legs on a tall footstool.
d.	Have the patient lie in bed with pillow under knees.

 

 

____     5.   The nurse has reinforced teaching about symptoms of an MI and the importance of seeking medical treatment promptly to a patient who has angina. What should the nurse explain as a common reason prompt treatment is not sought?

a.	Lack of insurance
b.	Denial of symptoms
c.	Lack of transportation
d.	Not aware of symptoms

 

MULTIPLE CHOICE

 

1. ANS:  C

Placing the legs down will promote arterial circulation and help relieve pain from ischemia due to reduced blood flow. A. B. D. These actions will impede blood flow and increase pain.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Basic Care and Comfort | Cognitive Level: Analysis

 

2. ANS:  B

A normal emotional response is anxiety, denial, or embarrassment for myocardial infarction (MI), which delays treatment. Patients should be taught that time is muscle and to call 911 with symptoms. A. C. D. The patient’s behavior is not consistent with anger, projection, or regression.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Psychosocial Integrity | Cognitive Level: Analysis

 

3. ANS:  A

Elevating legs will promote venous return and help relieve pain from the swelling. B. C. Keeping the legs lower than the heart and using elastic bandages will impede blood return and increase pain. D. No specific dietary recommendations need to be followed.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Basic Care and Comfort | Cognitive Level: Analysis

 

4. ANS:  C
5. Placing the patient’s legs on a footstool will increase blood return while the patient is sitting up for short time periods. B. The patient’s feet are not purple due to being cold. A. It is not necessary to notify the physician, as the patient has PVD, unless there is a significant change. D. Placing a pillow under the knees would constrict blood return, further increasing edema.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application

 

5. ANS:  B

A normal emotional response when experiencing chest pain is anxiety, denial, or embarrassment. A. C. D. Insurance, transportation, or unawareness of symptoms is not common reasons for delaying treatment in the patient experiencing chest pain.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Psychosocial Integrity | Cognitive Level: Application