Care of patients with Hypertension and peripheral vascular disease – Flashcards
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Hypertension is diagnosed by the finding of a blood pressure reading greater than
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140/90 twice, 2 weeks apart
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Because of reduced sensitivity of the baroreceptors in the older adult who is also on a diuretic, the nurse instructs the patient to,
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sit on the side of the bed before standing
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The home health nurse is alarmed that the hypertensive patients blood pressure has risen to 200/160 but has denied any discomfort. the nurse interprets these assessments as being indicative of
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malignant hypertension
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The nurse adds an intervention to the care plan of a patient who has just been prescribed a thiazide diuretic which is to increase
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intake of foods containing potassium
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The patient has been prescribed a low sodium diet, which food omissions from the diet will indicate the patient has adequate understanding of the recommended diet
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Hot dogs
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The patient is instructed that the most common and effective anti platelet aggregation agent is
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aspirin
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The patient scheduled for a percutaneous angioplasty (PTA) is instructed that a ___________ is left in the artery to keep it patent
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stent
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The nurse is providing patient teaching to a pregnant patient who works as a cashier in a grocery store. which suggestion by the nurse will help most in preventing varicose veins?
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March in place while standing at the counter
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An 86 year old patient asks why her ankles have a brownish discoloration and the skin looks so thick. which is the most accurate response by the nurse?
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The valves in the vessels in your legs aren't working as well as they used to, which causes the discoloration and thickening of your skin
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The nurse is planning the care for a patient who is to have a saphenous vein stripping. what will be the priority intervention?
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Bed rest and leg elevation for the first 12-24 hours
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The 75 year old diabetic patient has an inflamed area at the shin caused by scratching. which intervention should the nurse perform first
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cover with clear occlusive dressing
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The unna paste boot is wrapped in a variety of directions to make the most of muscular action. These dressings are usually changed
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every two to three days
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The nurse assessing a patient with a deep venous thrombosis becomes concerned when the patient demonstrates which sign of symptom
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hemoptysis
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The patient with a deep vein thrombosis is on a protocol of IV urokinase. the nurse clarifies that this drug will
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dissolves the clot
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The patient who is on daily doses of warfarin is instructed in the use of a coagulation monitoring device. the patient is taught that the device will monitor which blood clotting time
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INR
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The student nurse is planning a presentation on hypertension to present in a community setting. which group of individuals should the student identify as having the highest incidence of hypertension
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African americans
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The nurse is caring for a patient diagnosed with an abdominal aortic aneurysm. The patient is complaining of intense abdominal pain and lightheadedness. the patient blood pressure has dropped and pulse is rising. what is the priority nursing intervention?
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contact the physician immediately
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The nurse is initiating the care plan for a patient with peripheral arterial disease, who complains of pain in the loser extremities at a 3/10 has a 0.5 cm x 1 cm ulcer on the left lower leg, and the lower legs are shiny and hairless bilaterally. what is the priority nursing diagnoses?
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Impaired skin integrity related to ulcer on lower extremity
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The nurse cautions the patient with uncontrolled hypertension that the consequences of the disease will include
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threat of a stroke possible kidney failure risk for heart attack probability of congestive heart failure
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Peripheral vascular disease is characterized by
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narrowing of arteries obstruction of veins defective valve function production of thrombophlebitis
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The nurse outlines methods of prevention of peripheral vascular disease (PVD)
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relieving stress controlling diabetes maintaining appropriate weight routinely exercising stopping smoking
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The nurse in a long time care facility designs a teaching program for the residents to help prevent peripheral vascular disease (PVD) caused by age related changes which include
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loss of elasticity in vessel walls atherosclerosis vessels sedentary practices weakened leg muscles
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The nurse anticipates that the patient with venous insufficiency will need an intervention for
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assessment for phlebitis elevating feet to reduce edema NSAIDS for pain control strategies to decrease itching approach to regular exercise
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The nurse instructs that the 6 p's of arterial disease include
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Pain Pulselessness Paralysis Paresthesia pallor poikilothermia
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The nurse plans to enhance blood flow in the 80 year old long term care facility resident who has PVD by interventions such as
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using lap throws or light blankets over legs while sitting encouraging walking coaching isometric exercises keeping environment warm
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The nurse is caring for a patient with raynauds disease who is employed as a construction worker, has hypertension and smokes 1/2 to 1 pack of cigarettes per day. What teaching points should the nurse include in discharge instructions?
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wear gloves during cool weather insulated socks needed when working in the cool weather attend a smoking program wear gloves when handling hot objects at work
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The patient who has a history of smoking and alcohol abuse is most likely to develop ______________ hypertension
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Secondary
