The unlicensed assistive personnel (UAP) is applying elastic compressi

Peripheral Vascular Disease NCLEX Questions

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Question 1 of 5.

The unlicensed assistive personnel (UAP) is applying elastic compression stockings to the client. Which action by the UAP would warrant immediate intervention by the nurse?

A. The UAP is putting the stockings on while the client is in the chair.

B. The UAP inserted two (2) fingers under the proximal end of the stocking.

C. The UAP elevated the feet while lying down prior to putting on the stockings.

D. The UAP made sure the toes were warm after putting the stockings on.

Explanation: Applying stockings in a chair (A) is incorrect; legs should be elevated to reduce edema. Two fingers (B) ensures fit, elevation (C) is correct, and warm toes (D) is appropriate.

Question 2 of 5.

The 66-year-old male client has his blood pressure (BP) checked at a health fair. The BP is 168/98. Which action should the nurse implement first?

A. Recommend that the client have his blood pressure checked in one (1) month.

B. Instruct the client to see his health-care provider as soon as possible.

C. Discuss the importance of eating a low-salt, low-fat, low-cholesterol diet.

D. Explain that this BP is within the normal range for an elderly person.

Explanation: BP 168/98 indicates stage 2 hypertension, requiring prompt HCP evaluation (B). Waiting a month (A) delays care, diet discussion (C) is secondary, and normal range (D) is incorrect (normal is <120/80).

Question 3 of 5.

The nurse is administering a beta blocker to the client diagnosed with essential hypertension. Which intervention should the nurse implement?

A. Notify the health-care provider if the potassium level is 3.8 mEq.

B. Question administering the medication if the BP is less than 90/60 mm Hg.

C. Do not administer the medication if the client's radial pulse is greater than 100.

D. Monitor the client's BP while he or she is lying, standing, and sitting.

Explanation: Beta blockers lower BP; BP <90/60 (B) indicates hypotension, warranting withholding the dose. Potassium 3.8 (A) is normal, pulse >100 (C) is not a contraindication, and orthostatic checks (D) are routine but not primary.

Question 4 of 5.

The client diagnosed with essential hypertension asks the nurse, 'Why do I have high blood pressure?' Which response by the nurse would be most appropriate?

A. You probably have some type of kidney disease that causes the high BP.'

B. More than likely you have had a diet high in salt, fat, and cholesterol.'

C. There is no specific cause for hypertension, but there are many known risk factors.'

D. You are concerned that you have high blood pressure. Let's sit down and talk.'

Explanation: Essential hypertension has no single cause but multiple risk factors (e.g., genetics, lifestyle) (C). Kidney disease (A) or diet (B) may contribute but aren't definitive, and concern (D) avoids the question.

Question 5 of 5.

The client diagnosed with essential hypertension asks the nurse, 'I don't know why the doctor is worried about my blood pressure. I feel just great.' Which statement by the nurse would be the most appropriate response?

A. Damage can be occurring to your heart and kidneys even if you feel great.'

B. Unless you have a headache, your blood pressure is probably within normal limits.'

C. When is the last time you saw your doctor? Does he know you are feeling great?'

D. Your blood pressure reflects how well your heart is working.'

Explanation: Hypertension causes silent organ damage (heart, kidneys) (A), even without symptoms. Headaches (B) aren't reliable, doctor visits (C) are irrelevant, and heart function (D) is vague.