Vascular Procedures: Nursing Care

A client with venous insufficiency is most likely to exhibit which of the following clinical manifestations?

Following a cardiac catheterization, a patient reports feeling numbness and coolness in their left leg. Distal pulses are also diminished. Which intervention is the MOST appropriate initial action?

A patient who had a carotid endarterectomy (CEA) is now hypertensive with a blood pressure of 160/90 mmHg. Which action is MOST appropriate for the nurse to complete?

A patient is prescribed statins, and states the following "I have been having muscle aches lately, especially in my legs." What is the MOST appropriate response?

Which laboratory finding would the nurse anticipate in a patient experiencing a 'shift to the left'?

Which INR result would be most appropriate for a patient prescribed Coumadin?

A patient is undergoing a bone marrow biopsy. Which statement made by the nurse would be MOST helpful in preparing the patient for the procedure?

What is the primary treatment goal for a patient experiencing a sickle cell crisis?

A nurse is teaching a patient about dietary sources of iron. Which food is BEST for improving Iron levels?

A patient has microcytic anemia related to iron deficiency. Which of the following lab values is MOST likely to be decreased?

A patient is prescribed Captopril. What is the MOST important instruction the nurse gives the patient?

What is the expected outcome of administering Heparin to a patient with angina?

A patient who is prescribed Oral Iron for iron deficiency anemia is experiencing nausea and constipation. What intervention should the nurse recommend to the patient to minimize these side effects?

A patient taking isosorbide dinitrate reports experiencing frequent headaches. What should the nurse advise the patient.

Which assessment finding requires immediate intervention for a patient post Carotid Endarterectomy (CEA)?

When teaching a patient about managing hypertension, which of the following lifestyle modifications is MOST important for the nurse to emphasize?

A patient with peripheral arterial disease (PAD) reports experiencing intermittent claudication. Which activity should the nurse recommend.

A patient with arterial disease has a non-healing ulcer on their lower extremity. What measures should the nurse implement?

What is the priority nursing assessment for a patient following a Carotid Artery Stenting procedure?

A patient has been diagnosed with an abdominal aortic aneurysm. The nurse knows to teach avoidance of:

A patient with a history of hypertension is prescribed a medication that inhibits Angiotensin II. The nurse understands that this medication will directly lead to which outcome?

A patient is scheduled for a chemical cardiac stress test using dobutamine. What pre-procedure instruction is MOST important for the nurse to provide?

The nurse is assessing a patient with peripheral arterial disease (PAD). Which assessment finding would be MOST indicative of PAD?

A patient with a history of angina is prescribed sublingual nitroglycerin tablets. Which statement indicates the patient understands how to properly take this medication?

A nurse is caring for a patient after a cardiac catheterization. The patient suddenly reports chest pain and shortness of breath. What is the nurse's priority action?

A nurse is instructing a patient to increase iron intake. Which of the following meal choices would BEST improve iron absorption?

A patient with hypertension is prescribed Lisinopril. What electrolyte imbalance is MOST important to monitor?

Which statement accurately describes the Frank-Starling law of the heart?

A patient diagnosed with a carotid artery bruit is MOST at risk for?

A nurse is teaching a patient how to manage newly diagnosed hypertension with lifestyle modifications. Which of the following recommendations would be MOST effective in lowering blood pressure?

A patient is prescribed warfarin. The patient states they eat a lot of green leafy vegetables. What instruction should the nurse provide related to this?

A patient's ECG tracing shows a prolonged PR interval. This finding indicates a delay in which area of the heart?

The nurse is caring for a patient with a diagnosis of heart failure. Which of the following assessment findings BEST indicates fluid volume overload?

A patient undergoing a cardiac assessment has a high LDL level. What medication should the nurse anticipate being prescribed?

A patient is started on a new medication for hypertension and reports experiencing dizziness upon standing. What is the MOST appropriate initial nursing intervention?

A nurse is reviewing the lab results for a patient with a suspected hematological disorder. Which of the following findings requires further investigation?

A nurse is teaching a client with peripheral arterial disease ways to reduce pain at rest. What position would the nurse recommend?

A patient has an ankle-brachial index (ABI) result of 0.6. How does the nurse interpret this result?

A patient is diagnosed with a DVT and is started on heparin. What laboratory value should the nurse monitor to evaluate the effectiveness of heparin therapy?

If the bicuspid (mitral) valve is damaged, which of the following would be the MOST immediate consequence?

A thrombus in the left ventricle would MOST directly affect which of the following?

Which sequence accurately describes the normal flow of blood through the heart?

If a patient's sinoatrial (SA) node is not functioning correctly, what compensatory change would you expect to observe?

What is the MOST likely consequence of significant blockage in the left anterior descending (LAD) artery?

Which statement BEST describes the function of venous valves?

How would increased resistance in the pulmonary circulation affect the heart?

Which change would MOST directly result from the failure of the chordae tendineae?

What is the primary function of the Purkinje fibers?

If the inferior vena cava is blocked, which area would experience the MOST significant increase in venous pressure?

Which situation would result in an increase in afterload?

If a patient had an injury that damaged the myocardium of the right ventricle, which complication should the nurse anticipate?

What finding would MOST strongly suggest an issue with the aortic valve?

How does the increased carbon dioxide (CO2) level in the blood affect the affinity of hemoglobin for oxygen?

Which of the following BEST describes the role of the coronary arteries?

Where does the heart receive deoxygenated blood from the systemic circulation?

What is the primary function of the myocardium?

Which event is directly facilitated by the contraction of the left ventricle?

Which action best captures the role of the arterioles within the circulatory system?

Which finding suggests the MOST immediate risk of impaired perfusion?

Which physiological process is most directly affected by increased sodium intake in relation to hypertension?

A patient's hypertension is linked to excess angiotensin II. Besides vasoconstriction, what other direct effect does angiotensin II have that exacerbates hypertension?

How does low plasma potassium contribute to hypertension?

A patient is diagnosed with primary hypertension. What precursor most likely contributes to this condition?

Which patient is at the highest risk for developing hypertension?

What is the underlying mechanism by which ACE inhibitors help to manage hypertension?

A patient with peripheral arterial disease (PAD) reports experiencing muscle pain with exercise that is relieved by rest. How is this BEST documented?

A patient with PAD has an ankle-brachial index (ABI) of 0.8. What does this indicate?

What is the main purpose of using hemorheological agents like pentoxifylline in treating peripheral arterial disease (PAD)?

A patient with PAD is prescribed clopidogrel. What lab value is important for the nurse to monitor related to adverse effects of this medication?

What is the primary mechanism of action for lipid-lowering statins in the treatment of PAD?

What findings should the nurse monitor for related to a patient taking atorvastatin

A patient taking warfarin is taught to maintain a consistent intake of which nutrient to avoid interactions with the drug?

A patient is scheduled for a thrombectomy. What is the underlying problem that likely warranted this procedure?

What is the rationale for inserting a vena cava filter in a patient with DVT?

A patient with a DVT develops sudden shortness of breath and chest pain. What condition should the nurse suspect?

A patient is started on propranolol for hypertension. What information is MOST important for the nurse to emphasize?

A patient is prescribed isosorbide dinitrate. Which concurrent medication is contraindicated due to the risk of severe hypotension?

A patient with angina using transdermal nitroglycerin patches should be taught that these patches are MOST appropriately used for what?

The nurse is caring for a patient prescribed metoprolol 300 mg/day PO in 2 divided doses. The pharmacy sends up 50-mg tablets. How many tablets will the patient receive per dose?