A client diagnosed with peripheral vascular disease (PVD) is ...

[javeds]

A client diagnosed with peripheral vascular disease (PVD) is obese, has a 30-year history of cigarette smoking, and works as a contractor.
 
  When discussing risk factors for PVD, which statement by the nurse is appropriate?
  A) Nicotine is a vasoconstrictor.
  B) Obesity is a factor in cardiovascular disease but not peripheral vascular disease.
  C) Nicotine primarily affects coronary arteries and the lungs.
  D) Your current occupation is a major risk factor.

Question 2

A client admitted with chronic venous insufficiency has an infected wound of the left lower extremity. Which clinical manifestations does the nurse anticipate during the client's assessment?
 
  Select all that apply.
  A) Pulses absent in the extremity with the wound
  B) Wound that is pink with skin warm
  C) Ulceration that is pale in color
  D) Skin surrounding ulcer that is cool to the touch
  E) Surrounding skin brown in color

[aham8f]

Answer to Question 1

Answer: A

The vasoconstrictive properties of nicotine will worsen the client's (PVD) by further decreasing peripheral blood flow. One of the most important parts of treatment is the cessation of cigarette smoking. The client's occupation is not a risk factor related to PVD. Obesity is a risk factor for both cardiovascular as well as PVD; however, the nurse should focus on smoking cessation as a first priority with this client.

Answer to Question 2

Answer: B, E

Manifestations of a venous status ulcer would be a pink wound with warm skin and areas of hyperpigmentation. An ulcer that is pale in color with cool skin temperature and absent pulses is manifestations of arterial ulcers.

[javeds]

Correct answers!

[aham8f]

Great! Please up vote