MS1 Mod 5 Ch 24 Occlusive Disorders

The nurse is caring for a group of patients. Which patient is at highest risk for having atherosclerosis because of nonmodifiable risk factors?

• A 21-year-old male who drinks socially and has a high cholesterol level

• A 65-year-old male who smokes socially and has a brother with heart disease

• A 32-year-old female who lives a sedentary lifestyle and follows a low-fat diet

• A 73-year-old female who smokes and is a Black American

A patient with peripheral arterial disease (PAD) is sitting in a chair and has cool feet that are reddish-purple in color. What action should the nurse take?

• Notify the physician.

• Cover the patient with a blanket.

• Evaluate the distal pulses.

• Have the patient lie in bed with a pillow under the knees.

The nurse is collecting data on a patient having severe chest pain who may be a candidate for receiving tissue plasminogen activator [t-PA]. Which question is most important for the nurse to ask?

• How long ago did the chest pain begin?

• Have you received t-PA within the 6 months?

• Have you taken any nitroglycerin?

• Are you experiencing any nausea or shortness of breath?

The nurse is teaching a patient about dietary changes for a new diagnosis of atherosclerosis. What should the nurse include?

• Low-fat food options

• High-potassium food options

• Low-carbohydrate food options

• High-cholesterol food options

The nurse is assessing a patient who is receiving rosuvastatin (Crestor) to reduce cholesterol. Which finding is most concerning?

• The patient reports constipation.

• The patient has elevated liver function studies.

• The patient has an apical pulse of 58 beats/minute.

• The patient reports nocturia.

The nurse is caring for a group of patients. Which patient is the priority?

• A patient with stable angina reporting chest pain

• A patient with an aneurysm reporting sudden back pain

• A patient with varicose veins reporting heaviness in the legs

• A patient with Raynaud disease reporting white and numb skin

The nurse is teaching a patient with an abdominal aortic aneurysm (AAA) about activity. Which statement made by the patient indicates an understanding of the teaching?

• I am starting back to work as a grocery store stocker next week.

• I am going to continue my marathon training tomorrow.

• I will walk 20 minutes every other day.

• Instead of taking my car, I will ride my bike everywhere.

A patient who develops chest pain says the pain is a 9 on a scale of 0–10. Which action should the nurse take?

• Notify the registered nurse (RN).

• Apply telemetry.

• Administer nitroglycerin.

• Listen to lung sounds

The nurse is caring for a patient with venous stasis ulcers. What actions should the nurse take?

• Encourage the patient to keep legs in a dependent position.

• Encourage frequent ambulation.

• Apply compression stockings.

• Instruct the patient to wear constrictive clothing.

The nurse is caring for a patient who underwent a cardiac catheterization with a right femoral approach. During a neurovascular check, the nurse notes the extremity is cool to touch and dusky. Which action should the nurse take?

• Apply a warm compress to the extremity.

• Elevate the extremity.

• Notify the HCP.

• Document the finding.