NURS 2830 Exam 3 Guide With Comp lete Solut ion The nurse is providing care for a 61-year-old female smoker who is 30 kg overweight and was diagnosed with type 2 diabetes several years prior. Which of the following teaching points regarding the prevention of peripheral artery disease (PAD) is most accurate? a) "If you develop swelling in your ankles or feet, then you should seek emergency care." b) "I'll show you how to check your pulses at your groin, knees and feet to monitor your risk of PAD." c) "Quitting smoking and keeping good control of your blood sugar levels are important." d) "It's critical that you come to get screening tests twice annually." - ANSWER C The nurse is planning care for a patient recovering from orthopedic surgery. Interventions should be included to address which contributing factor to deep vein thrombosis development? a) Immobility b) Hypertension c) Smoking d) Obesity - ANSWER A During the assessment, the nurse identifies warm thick skin that is reddish-blue. The nurse also notes a painful ulcer at the ankle. The nurse suspects the client may have what? a) Hypertrophic changes b) Venous insufficiency c) Intermittent claudication d) Arterial insufficiency - ANSWER B A client at risk for peripheral arterial disease should be screened by which of the following tests? a) Ankle-brachial index b) Bilateral vascular claudication assessment c) Doppler testing of femoral arteries d) Angiogram of femoral and popliteal arteries - ANSWER A A client asks the nurse about the function that the lymph system plays in the body. Which of the following would be most appropriate for the nurse to include when responding to the client? a) It manufactures T lymphocytes. b) It drains capillary blood from the circulation. c) It filters harmful substances from the body. d) It produces protective antibodies. - ANSWER C The nurse is providing care for a 61-year-old female smoker who is 30 kg overweight and was diagnosed with type 2 diabetes several years prior. Which of the following teaching points regarding the prevention of peripheral artery disease (PAD) is most accurate? a) "If you develop swelling in your ankles or feet, then you should seek emergency care." b) "I'll show you how to check your pulses at your groin, knees and feet to monitor your risk of PAD." c) "Quitting smoking and keeping good control of your blood sugar levels are important." d) "It's critical that you come to get screening tests twice annually." - ANSWER C Assessment of a client's lower extremities reveals unilateral edema of the right foot and ankle. Which of the following would be most appropriate for the nurse to do next? a) Perform the Allen test. b) Compare measurements of both extremities. c) Palpate the femoral pulses. d) Check for bilateral varicosities. - ANSWER C A client presents with lymphedema in one arm, with nonpitting edema. Which of the following should the nurse assess for, based on this finding? a) History of Raynaud's disorder b) History of breast surgery
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