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jyothi2603 jyothi2603
wrote...
Posts: 356
Rep: 1 0
6 years ago
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.

Question 2

Which vein(s) is(are) responsible for most of the venous return in the arm?
 
  a. Deep
  b. Ulnar
  c. Subclavian
  d. Superficial

Question 3

The nurse is reviewing venous blood flow patterns. Which of these statements best describes the mechanism(s) by which venous blood returns to the heart?
 
  a. Intraluminal valves ensure unidirectional flow toward the heart.
  b. Contracting skeletal muscles milk blood distally toward the veins.
  c. High-pressure system of the heart helps facilitate venous return.
  d. Increased thoracic pressure and decreased abdominal pressure facilitate venous return to the heart.

Question 4

A 65-year-old patient is experiencing pain in his left calf when he exercises that disappears after resting for a few minutes. The nurse recognizes that this description is most consistent with _______ the left leg.
 
  a. Venous obstruction of
  b. Claudication due to venous abnormalities in
  c. Ischemia caused by a partial blockage of an artery supplying
  d. Ischemia caused by the complete blockage of an artery supplying

Question 5

The nurse is reviewing the blood supply to the arm. The major artery supplying the arm is the _____ artery.
 
  a. Ulnar
  b. Radial
  c. Brachial
  d. Deep palmar

Question 6

Which statement is true regarding the arterial system?
 
  a. Arteries are large-diameter vessels.
  b. The arterial system is a high-pressure system.
  c. The walls of arteries are thinner than those of the veins.
  d. Arteries can greatly expand to accommodate a large blood volume increase.

Question 7

The nurse is preparing to assess the dorsalis pedis artery. Where is the correct location for palpation?
 
  a. Behind the knee
  b. Over the lateral malleolus
  c. In the groove behind the medial malleolus
  d. Lateral to the extensor tendon of the great toe
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Replies
wrote...
6 years ago
The answer to question 1

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.

The answer to question 2

ANS: D
The superficial veins of the arms are in the subcutaneous tissue and are responsible for most of the venous return.

The answer to question 3

ANS: A
Blood moves through the veins by (1) contracting skeletal muscles that proximally milk the blood; (2) pressure gradients caused by breathing, during which inspiration makes the thoracic pressure decrease and the abdominal pressure increase; and (3) the intraluminal valves, which ensure unidirectional flow toward the heart.

The answer to question 4

ANS: C
Ischemia is a deficient supply of oxygenated arterial blood to a tissue. A partial blockage creates an insufficient supply, and the ischemia may be apparent only during exercise when oxygen needs increase.

The answer to question 5

ANS: C
The major artery supplying the arm is the brachial artery. The brachial artery bifurcates into the ulnar and radial arteries immediately below the elbow. In the hand, the ulnar and radial arteries form two arches known as the superficial and deep palmar arches.

The answer to question 6

ANS: B
The pumping heart makes the arterial system a high-pressure system.

The answer to question 7

ANS: D
The dorsalis pedis artery is located on the dorsum of the foot. The nurse should palpate just lateral to and parallel with the extensor tendon of the big toe. The popliteal artery is palpated behind the knee. The posterior tibial pulse is palpated in the groove between the malleolus and the Achilles tendon. No pulse is palpated at the lateral malleolus.
jyothi2603 Author
wrote...
6 years ago
Thank you for taking the time to explain this, just got my quiz back: Perfect
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