NURSING > QUESTIONS & ANSWERS > Chapter 38: Care of Patients with Vascular Problems Test Bank (All)

Chapter 38: Care of Patients with Vascular Problems Test Bank

Document Content and Description Below

1. A client with atherosclerosis asks a nurse which factors are responsible for this condition. What is the nurse’s best response? a. “Injury to the arteries causes them to spasm, reducing blood flow to the extremities.” b. “Excess fats in your diet are stored in the lining of your arteries, causing them to constrict.” c. “A combination of platelets and fats accumulates, narrowing the artery and reducing blood flow.” d. “Excess sodium causes injury to the arteries, reducing blood flow and eventually causing obstruction.” ANS: C Most researchers believe that a combination of platelet and lipid accumulation following intimal injury is responsible for the process of atherosclerosis. DIF: Cognitive Level: Comprehension/Understanding REF: p. 773 TOP: Client Needs Category: Physiological Integrity (Physiological Adaptation—Pathophysiology) MSC: Integrated Process: Teaching/Learning 2. The nurse is working with clients at a health fair. Which teaching takes priority to reduce the risk of atherosclerosis? a. Instructing a diabetic client not to smoke or use any tobacco b. Teaching diet changes to a client with elevated cholesterol levels c. Suggesting limiting alcohol to an older client with hypolipidemia d. Encouraging exercise to an obese client who lives a sedentary lifestyle 3. A client with hyperlipidemia who is being treated with dietary fat restrictions and an exercise program asks the nurse why his serum lipid levels are still elevated. What activity by the nurse is most appropriate? a. Developing a very low-fat diet that the client will adhere to b. Explaining familial tendencies in hyperlipidemia c. Referring the client to a registered dietitian for weight loss d. Educating the client on antihyperlipidemic medicationsANS: B The liver of clients with familial hyperlipidemia makes excessive cholesterol and other fats. If the client is compliant with the treatment regimen and problems persist, a familial problem may exist. The client is already on a low-fat diet and exercise program, so further refining the diet and counseling for weight loss is redundant. The nurse might want to explore medications with the client, but education is premature until familial hyperlipidemia has been explored. DIF: Cognitive Level: Application/Applying or higher REF: N/A TOP: Client Needs Category: Physiological Integrity (Physiological Adaptation—Pathophysiology) MSC: Integrated Process: Teaching/Learning 4. A client with atherosclerosis is attempting to stop cigarette smoking with the use of a nicotine patch. Which statement by the client indicates a good understanding of smoking cessation education? a. “Abruptly discontinuing this patch can cause high blood pressure.” b. “Abruptly discontinuing this patch can cause nausea and vomiting.” c. “Smoking while using this patch increases the risk of respiratory infection.” d. “Smoking while using this patch increases the risk of a heart attack.” 5. A client with hypercholesterolemia and atherosclerosis is prescribed nicotinic acid (Niaspan). Which instruction does the nurse provide the client? a. “This medication may make you flush.” b. “Take this medication on an empty stomach.” c. “You will not need to change your diet with this medication.” d. “Take this medication when you experience chest pain.” ) 6. The nurse incorporates dietary teaching into the plan for a client with a low-density lipoprotein (LDL) level of 158 mg/dL. What dietary instruction by the nurse is most appropriate?

[Show More]

Last updated: 3 years ago

Preview 1 out of 15 pages

Buy Now

Instant download