Medical Surgical Nursing Patient Centered Collaborative Care, 7th Edition by Donna D.
Medical Surgical Nursing Patient Centered Collaborative Care, 7th Edition by Donna D.
$2.99
Chapter 38: Care of Patients with Vascular Problems
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “Injury to the arteries causes them to spasm, reducing blood flow to the extremities.” |
| b. | “Excess fats in your diet are stored in the lining of your arteries, causing them to constrict.” |
| c. | “A combination of platelets and fats accumulates, narrowing the artery and reducing blood flow.” |
| d. | “Excess sodium causes injury to the arteries, reducing blood flow and eventually causing obstruction.” |
ANS: C
Most researchers believe that a combination of platelet and lipid accumulation following intimal injury is responsible for the process of atherosclerosis.
DIF: Cognitive Level: Comprehension/Understanding REF: p. 773
TOP: Client Needs Category: Physiological Integrity (Physiological Adaptation—Pathophysiology)
MSC: Integrated Process: Teaching/Learning
| a. | Instructing a diabetic client not to smoke or use any tobacco |
| b. | Teaching diet changes to a client with elevated cholesterol levels |
| c. | Suggesting limiting alcohol to an older client with hypolipidemia |
| d. | Encouraging exercise to an obese client who lives a sedentary lifestyle |
ANS: A
Atherosclerosis can be caused by mechanical and/or chemical injury. People with diabetes often have premature, severe atherosclerosis from elevated low-density lipoprotein (LDL) levels and intimal injury from hyperglycemia. Cigarette smoking or other tobacco use releases toxins into the bloodstream and causes vasoconstriction, further contributing to intimal injury. This would be the priority teaching intervention, although all teaching would be appropriate.
DIF: Cognitive Level: Application/Applying or higher REF: N/A
TOP: Client Needs Category: Physiological Integrity (Physiological Adaptation—Pathophysiology)
MSC: Integrated Process: Nursing Process (Assessment)
| a. | Developing a very low-fat diet that the client will adhere to |
| b. | Explaining familial tendencies in hyperlipidemia |
| c. | Referring the client to a registered dietitian for weight loss |
| d. | Educating the client on antihyperlipidemic medications |
ANS: B
The liver of clients with familial hyperlipidemia makes excessive cholesterol and other fats. If the client is compliant with the treatment regimen and problems persist, a familial problem may exist. The client is already on a low-fat diet and exercise program, so further refining the diet and counseling for weight loss is redundant. The nurse might want to explore medications with the client, but education is premature until familial hyperlipidemia has been explored.
DIF: Cognitive Level: Application/Applying or higher REF: N/A
TOP: Client Needs Category: Physiological Integrity (Physiological Adaptation—Pathophysiology)
MSC: Integrated Process: Teaching/Learning
| a. | “Abruptly discontinuing this patch can cause high blood pressure.” |
| b. | “Abruptly discontinuing this patch can cause nausea and vomiting.” |
| c. | “Smoking while using this patch increases the risk of respiratory infection.” |
| d. | “Smoking while using this patch increases the risk of a heart attack.” |
ANS: D
Nicotine constricts blood vessels, increases mean arterial pressure, and increases afterload. Smoking while using a nicotine patch increases afterload to such an extent that the myocardium must work harder, with coronary arteries constricted. This may cause a myocardial infarction.
DIF: Cognitive Level: Application/Applying or higher REF: N/A
TOP: Client Needs Category: Health Promotion and Maintenance (Self-Care)
MSC: Integrated Process: Nursing Process (Implementation)
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $60.00.$40.00Current price is: $40.00.
Original price was: $39.99.$19.99Current price is: $19.99.
Original price was: $499.00.$49.00Current price is: $49.00.
Original price was: $80.00.$60.00Current price is: $60.00.
Original price was: $30.00.$20.00Current price is: $20.00.