Peripheral Vascular Disease NCLEX

Extract:

Question 1 of 5

Which complication should the nurse monitor for in a client with valvular heart disease?

Correct Answer: B

Rationale: Valvular heart disease can lead to heart failure due to increased cardiac workload and impaired pump function.

Question 2 of 5

The nurse is caring for clients on a medical floor. Which client will the nurse assess first?

A. The client with an abdominal aortic aneurysm who is constipated. B. The client on bedrest who ambulated to the bathroom. C. The client with essential hypertension who has epistaxis and a headache. D. The client with arterial occlusive disease who has a decreased pedal pulse.

Correct Answer: D

Rationale: Decreased pedal pulse in arterial occlusive disease (
D) suggests acute ischemia, a priority. Constipation (
A), unauthorized ambulation (
B), and epistaxis/headache (
C) are less urgent.

Question 3 of 5

Which interventions should the nurse discuss with the client diagnosed with atherosclerosis? Select all that apply.

A. Include the significant other in the discussion. B. Stop smoking or using any type of tobacco products. C. Maintain a sedentary lifestyle as much as possible. D. Avoid stressful situations. E. Daily isometric exercises are important.

Correct Answer: A,B,D

Rationale: Including significant other (
A), stopping smoking (
B), and avoiding stress (
D) reduce atherosclerosis risk. Sedentary lifestyle (
C) worsens it, and isometric exercises (E) increase BP.

Question 4 of 5

Which instruction should the nurse discuss with the client diagnosed with Raynaud's phenomenon?

A. Explain exacerbations will not occur in the summer. B. Use nicotine gum to help quit smoking. C. Wear extra-warm clothing during cold exposure. D. Avoid prolonged exposure to direct sunlight.

Correct Answer: C

Rationale: Cold triggers Raynaud’s; wearing warm clothing (
C) prevents vasospasm. Exacerbations occur in summer (
A), nicotine gum (
B) still delivers nicotine (harmful), and sunlight (
D) is irrelevant.

Question 5 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?

A. The client's BP is 110/70. B. The client's potassium level is 3.4 mEq/L. C. The client has a barky cough. D. The client's apical pulse is 56.

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.

Peripheral Vascular Disease NCLEX | Nurselytic

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NCLEX-PN

NCLEX-PN