Peripheral Vascular Disease NCLEX

Extract:

Question 1 of 5

The nurse is administering a beta blocker to the client diagnosed with essential hypertension. Which data would cause the nurse to question administering the medication?

Correct Answer: D

Rationale: Beta blockers slow heart rate; an apical pulse of 56 (
D) may indicate bradycardia, warranting caution. BP 110/70 (
A) is acceptable, K+ 3.4 (
B) is low but unrelated, and cough (
C) is not a contraindication.

Question 2 of 5

Which question should the nurse ask the male client diagnosed with aortoiliac disease during the admission interview?

A. Do you have trouble sitting for long periods of time?' B. How often do you have a bowel movement and urinate?' C. When you lie down, do you feel throbbing in your abdomen?' D. Have you experienced any problems having sexual intercourse?'

Correct Answer: D

Rationale: Aortoiliac disease can cause erectile dysfunction due to reduced pelvic blood flow, making sexual intercourse issues (
D) relevant. Sitting (
A), bowel/urination (
B), and throbbing (
C) are less specific.

Question 3 of 5

The unlicensed assistive personnel (UAP) is caring for the client diagnosed with chronic venous insufficiency. Which action would warrant immediate intervention from the nurse?

A. Removing compression stockings before assisting the client to bed. B. Taking the client’s blood pressure manually after using the machine. C. Assisting the client by opening the milk carton on the lunch tray. D. Calculating the client’s shift intake and output with a pen and paper.

Correct Answer: A

Rationale: Removing compression stockings (
A) at night is incorrect; they should be worn to reduce edema. Manual BP (
B), opening cartons (
C), and I/O Calculation(ans only)s (
D) are appropriate.

Question 4 of 5

The client diagnosed with atherosclerosis asks the nurse, 'I have heard of atherosclerosis for many years but I never really knew what it meant. Am I going to die?' Which statement would be the nurse’s best response?

A. This disease process will not kill you, so don’t worry.' B. The blood supply to your brain is being cut off.' C. It is what caused you to have your high blood pressure.' D. Atherosclerosis is a buildup of plaque in your arteries.'

Correct Answer: D

Rationale: Atherosclerosis is plaque buildup in arteries (
D), a clear and accurate response. It’s not always fatal (
A), doesn’t primarily affect brain (
B), and isn’t the sole cause of hypertension (
C).

Question 5 of 5

Which dietary recommendation should the nurse provide to a client with coronary artery disease?

A. Eat foods high in saturated fats. B. Limit intake of fruits and vegetables. C. Choose lean proteins and whole grains. D. Increase consumption of sugary drinks.

Correct Answer: C

Rationale: Lean proteins and whole grains reduce cholesterol and improve heart health.

Peripheral Vascular Disease NCLEX | Nurselytic

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NCLEX-PN

NCLEX-PN