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Medical_Surgical_Nursing_Linton_Matterson_Ch_35 LATEST

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MULTIPLE CHOICE 1. What should a nurse ask a patient related to past history of deep-vein thrombosis (DVT) and other vascular problems? a. An aneurysm b. Rheumatoid arthritis c. A peptic ulcer d . Rec... urring chest pain ANS: D Pain in the chest or dyspnea suggests that a pulmonary embolism may have occurred from the presence of a DVT. Approximately 10% of individuals with DVT develop pulmonary emboli. DIF: Cognitive Level: Application REF: p. 670 OBJ: 4 TOP: Venous Disorders KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 2. A 69-year-old patient reports a burning, aching pain in the legs when walking to the mailbox. These symptoms are relieved with rest. What should the nurse suspect? a. Venous insufficiency b. Claudication c. Phlebitis d. Rest pain ANS: B Arterial vascular disorders that produce pain with activity are defined as claudication, which is the result of ischemia of the tissues caused by a lack of adequate perfusion. DIF: Cognitive Level: Application REF: p. 671 OBJ: 4 TOP: Claudication KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 3. A nurse records the assessment of stasis dermatitis on an intake assessment for a patient with peripheral vascular disease (PVD). What is the best way to describe this finding? a. Brownish skin discoloration on the lower legs b. Ulceration on medial surface of the lower legs c. Edema in the lower legs d. Purple rash on medial surface of the lower legs [Show More]

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