University  of Scranton

Nursing 380

Nursing Care of the Patient with Peripheral Vascular Disease Study Guide

Dr. Margarete Lieb Zalon, RN, CS



1.   Mr. Allen is a 45-year old man with Buerger's disease.  He smokes 3 packs of cigarettes each day.  Mr. Allen has been exeriencing increased pain and discomfort with his disease.  He has an ulcer on the bottom of his foot.  What are the essential elements that he should be taught about foot care?
 

2.    What would be the single most important health promotion activity for Mr. Allen?
 
 

3.    Describe an an appropriate set of exercises for Mr. Allen to enhance his circulation and decrease the discomfort association with his illness..
 

4.    Mr. Allen has had a ballon angioplasty of the femoral artery.  Following return to the clinical unit.  What are the key observations that need to be made?
 

5.    How should Mr. Allen be positioned after the angioplasty?
 
 

6.    What should be included in the assessment of Mr. Allen's pain?
 

7.    Mr. Allen never stopped smoking and then  he developed diabetes.  Three years later, he developed a wound on the bottom of his foot which became gangrenous.  After numerous tries with debridement and advanced wound care techniques, and no progress, he was told that needed a below the knee amputation.  Following the procedure, how should the extremity be positioned during the first 24 hours?
 
 

8.    What should be done to faciliate the fitting and subsequent use of a prosthesis?
 
 

9.    How can contractures be prevented in someone that has an above the knee amputation?
 
 

10.    What would you do if a patient who has just had a below-the-knee amputation is bleeding?
 
 

11.    What is a strategy that can be used to decrease the likelihood of the development of phantom limb pain?
 

Nursing Care of the Patient with Peripheral Vascular Disease Quiz
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