The nurse is reviewing the risk factors for venous disease. Which ...

[cool]

The nurse is reviewing the risk factors for venous disease. Which of these situations best describes a person at highest risk for the development of venous disease?
 
  a. Woman in her second month of pregnancy
  b. Person who has been on bed rest for 4 days
  c. Person with a 30-year, 1 pack per day smoking habit
  d. Older adult taking anticoagulant medication

Question 2

A 70-year-old patient is scheduled for open-heart surgery. The surgeon plans to use the great saphenous vein for the coronary bypass grafts. The patient asks, What happens to my circulation when this vein is removed? The nurse should reply:
 
  a. Venous insufficiency is a common problem after this type of surgery.
  b. Oh, you have lots of veinsyou won't even notice that it has been removed.
  c. You will probably experience decreased circulation after the vein is removed.
  d. This vein can be removed without harming your circulation because the deeper veins in your leg are in good condition.

[stanleka1]

Answer to Question 1

ANS: B
People who undergo prolonged standing, sitting, or bed rest are at risk for venous disease. Hypercoagulable (not anticoagulated) states and vein-wall trauma also place the person at risk for venous disease. Obesity and the late months of pregnancy are also risk factors.

Answer to Question 2

ANS: D
As long as the femoral and popliteal veins remain intact, the superficial veins can be excised without harming circulation. The other responses are not correct.