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Med-Surg II HESI Exam - set two Questions And Correct Detailed Answers (Verified Answers) Already Graded A+
- The client admitted with peripheral vascular disease (PVD) asks the nurse why her
legs hurt when she walks. The nurse bases a response on the knowledge that the main
characteristic of PVD is:
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- Decreased blood flow.
- Increased blood flow.
- Slow blood flow.
- Thrombus formation.
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Correct Answer: 1. Decreased blood flow.
- The nurse is assessing a 48-year-old client with a history of smoking during a routine
- Heart rate 57 bpm.
- SpO2 of 94% on room air.
clinic visit. The client, who exercises regularly, reports having pain in the calf during exercise that disappears at rest. Which of the following findings requires further evaluation?•
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- Blood pressure 134/82.
- Ankle-brachial index of 0.65.
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Correct Answer: 4. Ankle-brachial index of 0.65.
- The nurse is teaching a client about risk factors associated with atherosclerosis and
- Diabetes.
- Age.
- Exercise level.
- Dietary preferences.
how to reduce the risk. Which of the following is a risk factor that the client is not able to modify?•
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Correct Answer: 2. Age.
- An overweight client taking warfarin (Coumadin) has dry skin due to decreased
- Apply lanolin or petroleum jelly to intact skin.
- Follow a reduced-calorie, reduced-fat diet.
- Inspect the involved areas daily for new ulcerations.
- Instruct the client to limit activities of daily living (ADLs).
arterial blood flow. What should the nurse instruct the client to do? Select all that apply.•
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- Use an electric razor to shave.
Correct Answer: 1, 2, 3, 5
- A client is receiving Cilostazol (Pletal) for peripheral arterial disease causing
- "I am having fewer aches and pains."
- "I do not have headaches anymore."
- "I am able to walk further without leg pain."
- "My toes are turning grayish black in color."
intermittent claudication. The nurse determines this medication is effective when the client reports which of the following?•
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Correct Answer: 3. "I am able to walk further without leg pain."
- When assessing the lower extremities of a client with peripheral vascular disease
(PVD), the nurse notes bilateral ankle edema. The edema is related to:
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- Competent venous valves.
- Decreased blood volume.
- Increase in muscular activity.
- Increased venous pressure.
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Correct Answer: 4. Increased venous pressure.
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- A client with peripheral vascular disease has undergone a right femoral-popliteal
- IV fluid solution.
- Pedal pulses.
- Nasal cannula flow rate.
- Capillary refill.
bypass graft. The blood pressure has decreased from 124/80 to 94/62. What should the nurse assess first?•
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Correct Answer: 2. Pedal pulses.
- The nurse is obtaining the pulse of a client who has had a femoral-popliteal bypass
surgery 6 hours ago. Which assessment provides the most accurate information about the client's postoperative status?
