Questions 9

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Transcultural Concepts in Nursing Care Test Bank Questions

Question 1 of 5

A client is admitted to the hospital for a surgical intervention due to peripheral vascular disease (PVD). The nurse should be prepared to answer questions about which procedure?

Correct Answer: C

Rationale: Patients with peripheral vascular disease (PVD) often undergo percutaneous transluminal angioplasty (PTA) as a non-surgical intervention to improve blood flow in the affected arteries. PTA involves the use of a catheter with a balloon at its tip, which is inflated at the site of arterial narrowing to widen the vessel by compressing the plaque and stretching the arterial walls. This procedure helps restore blood flow and can alleviate symptoms such as claudication and ischemia in patients with PVD. Stent placement, endarterectomy, and atherectomy are other interventions that may be used in the management of PVD, but PTA is specifically known for its role in improving arterial blood flow in these patients.

Question 2 of 5

The nurse is caring for a client with hypertrophic cardiomyopathy. Based on this diagnosis, which class of medications does the nurse anticipate being prescribed?

Correct Answer: D

Rationale: Beta blockers are commonly prescribed for patients with hypertrophic cardiomyopathy due to their ability to help lower heart rate, reduce myocardial oxygen demand, and improve diastolic filling time. They can also help to prevent arrhythmias in these patients. Digoxin, vasodilators, and nitrates are not typically used as first-line treatment for hypertrophic cardiomyopathy.

Question 3 of 5

A client is admitted to the hospital for a surgical intervention due to peripheral vascular disease (PVD). The nurse should be prepared to answer questions about which procedure?

Correct Answer: C

Rationale: Patients with peripheral vascular disease (PVD) often undergo percutaneous transluminal angioplasty (PTA) as a non-surgical intervention to improve blood flow in the affected arteries. PTA involves the use of a catheter with a balloon at its tip, which is inflated at the site of arterial narrowing to widen the vessel by compressing the plaque and stretching the arterial walls. This procedure helps restore blood flow and can alleviate symptoms such as claudication and ischemia in patients with PVD. Stent placement, endarterectomy, and atherectomy are other interventions that may be used in the management of PVD, but PTA is specifically known for its role in improving arterial blood flow in these patients.

Question 4 of 5

The nurse is providing discharge teaching to a client recovering from deep venous thrombosis (DVT). Which instructions are appropriate for the nurse to include in the teaching session? Select all that apply.

Correct Answer: A

Rationale: A. Avoid crossing the legs: Crossing the legs can impede blood flow and increase the risk of developing blood clots, so it is important for the client recovering from DVT to avoid this position.

Question 5 of 5

Which pathological change related to disseminated intravascular coagulation (DIC) occurs late in the course of the disease?

Correct Answer: A

Rationale: Disseminated intravascular coagulation (DIC) is a complex, life-threatening condition characterized by widespread activation of coagulation within the blood vessels. In the early stages of DIC, there is excessive clot formation (formation of small clots) throughout the body due to the dysregulation of coagulation factors. As the disease progresses, the body's clotting factors become depleted, leading to a state of systemic anticoagulation. This anticoagulant state increases the risk of hemorrhage (bleeding) as the blood is no longer able to adequately clot. Therefore, hemorrhage is a pathological change that occurs late in the course of DIC.

Similar Questions

Which pathological change related to disseminated intravascular coagulation (DIC) occurs late in the course of the disease?
The nurse identifies the diagnosis of Deficient Fluid Volume as appropriate for a patient with a nasogastric tube for gastric decompression. Which actions should the nurse perform to support this diagnosis? Select all that apply.
At a local health fair, a male participant remarks to the nurse about urine occasionally being pink and wonders if this should be a concern. How should the nurse respond?
A school-age client with a history of multiple allergies is prescribed epinephrine (EpiPen™) for prevention of anaphylactic shock. The client's mother says to the nurse, "I thought shock was about heart failure." Which response by the nurse is the most appropriate?
A nurse conducted a safety class for a group of older adult clients in the community on fall prevention. During a follow-up visit in the home of one of these clients, the nurse sees a number of fall hazards she identified during her class. What should the nurse document regarding the learning outcome for this client?

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