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Adult Health II Exam 3 Newest 2025/2026 With Complete Questions And Correct Answers |Already Graded A+||Brand New Version!|
- The client diagnosed with arterial occlusive disease is one (1) day
- keep the right leg in the dependent position
- apply sequential compression devices to lower extremities
- monitor the client's pedal pulses every shift
- assess the client's leg dressing every four (4) hours. - ANSWER-D.
post operative right femoral-popliteal bypass. Which intervention should the nurse implement?
assess the client's leg dressing every four (4) hours.
The leg dressing needs to be assessed for hemorrhaging or signs of infection. Monitoring should occur more than once per shift. SCD's will be applied only to the unaffected leg. The right leg should remain elevated to decrease edema.
- The nurse is unable to assess a pedal pulse in the client diagnosed
- Complete a neurovascular assessment.
- Use the Doppler device.
- Instruct the client to hang the feet off the side of the bed. 1 / 4
with arterial occlusive disease. Which intervention should the nurse implement first?
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- Wrap the legs in a blanket. - ANSWER-1. Complete a neurovascular
assessment.
An absent pulse is not uncommon in a client diagnosed with arterial occlusive disease, but the nurse must ensure that the feet can be moved and are warm, which indicates adequate blood supply.
- The wife of a client with arterial occlusive disease tells the nurse,
- "It describes the type of pain he has when he stops walking."
- "His legs are deprived of oxygen during periods of inactivity."
- "You are concerned that your husband is having rest pain."
- "This term is used to support that his condition is getting better." -
"My husband says he is having rest pain. What does that mean?" Which statement by the nurse would be most appropriate?
ANSWER-2. "His legs are deprived of oxygen during periods of inactivity."
Rest pain indicated a worsening of the arterial occlusive disease; the muscles of the legs are not getting enough oxygen when the client is resting to prevent muscle ischemia.
- The nurse and an unlicensed nursing assistant are caring for a 64-
year-old client who is four (4) hours post-operative bilateral femoral- popliteal bypass surgery. Which nursing task should be delegated to the unlicensed nursing assistant? 2 / 4
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- Monitor the continuous passive motion machine.
- Assist the client to the bedside commode.
- Feed the client the evening meal.
- Elevate the foot of the client's bed. - ANSWER-4. Elevate the foot of
the client's bed.
After surgery, the client's legs will be elevated to help decreased edema.The surgery has corrected the decreased blood flow supply to the lower extremities. Continuous passive motion machine (CPM) is used for knee surgeries. Client will be on bed rest for at least 4 hours.
- The nurse is teaching a class on atherosclerosis. Which statement
- Glucose combines with carbon monoxide, instead of with oxygen, and
- Diabetes stimulates the sympathetic nervous system, resulting in
- Diabetes speeds the atherosclerotic process by thickening the
- The increased glucose combines with the hemoglobin, which causes
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describes the scientific rationale as to why diabetes is a risk factor for developing atherosclerosis?
this leads to oxygen deprivation of tissues
peripheral constriction that increases the development of atherosclerosis
basement membrane of both large and small vessels.
deposits of plaque in the lining of the vessels. - ANSWER-c. Diabetes speeds the atherosclerotic process by thickening the basement membrane of both large and small vessels.
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Glucose does not combine with carbon monoxide. Vasoconstriction is not a risk factor. When glucose combines with hemoglobin in a laboratory test called glycosylated hemoglobin, the result can determine the client's average glucose level over the past 3 months (HbgA1C)
- Which interventions should the nurse discuss with the client
- Include significant other in the discussion.
- Stop smoking or using any type of tobacco products.
- Maintain a sedentary lifestyle as much as possible.
- Avoid stressful situations.
- Daily isometric exercises are important. - ANSWER-a. Include
- Stop smoking or using any type of tobacco products.
diagnosed with atherosclerosis?Select all that apply.
significant other in the discussion.
Adherence to a lifestyle modification is enhanced when the client receives support from significant others. Tobacco use is the most significant modifiable risk fact that contributes to the development of atherosclerosis.
- Which assessment data would the nurse recognize to suppor the
- shortness of breath
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diagnosis of abdominal aortic aneurysm (AAA)?