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NURSING CARE OF PATIENTS WITH VASCULAR PROBLEMS

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NURSING CARE OF PATIENTS WITH VASCULAR PROBLEMS Chapter 36: Care of Patients with Vascular Problems Chapter 36: Care of Patients with Vascular Problems Ignatavicius: Medical-Surgical Nursing, 8t... h Edition MULTIPLE CHOICE 1.A student nurse is assessing the peripheral vascular system of an older adult. What action by the student would cause the faculty member to intervene? a.Assessing blood pressure in both upper extremities b.Auscultating the carotid arteries for any bruits c.Classifying capillary refill of 4 seconds as normal d.Palpating both carotid arteries at the same time ANS: D The student should not compress both carotid arteries at the same time to avoid brain ischemia. Blood pres- sure should be taken and compared in both arms. Prolonged capillary refill is considered to be greater than 5 seconds in an older adult, so classifying refill of 4 seconds as normal would not require intervention. Bruits should be auscultated. DIF: Remembering/Knowledge REF: 707 KEY: Nursing assessment| neurologic system| neurologic assessment MSC: Integrated Process: Communication and Documentation NOT: Client Needs Category: Physiological Integrity: Reduction of Risk Potential 2.The nurse is reviewing the lipid panel of a male client who has atherosclerosis. Which finding is most con- cerning? a.Cholesterol: 126 mg/dL b.High-density lipoprotein cholesterol (HDL-C): 48 mg/dL c.Low-density lipoprotein cholesterol (LDL-C): 122 mg/dL d.Triglycerides: 198 mg/dL ANS: D [Show More]

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