The nurse assesses a client’s legs. Which assessment finding indicates arterial insufficiency? a. Full veins present in dependent extremity. Ankle discoloration and pitting edema Decrease or absent palpable pulses. Pain with activity but not while resting.
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The nurse assesses a client’s legs. Which assessment finding indicates arterial insufficiency? a. Full veins present in dependent extremity.
- Ankle discoloration and pitting edema
- Decrease or absent palpable pulses.
- Pain with activity but not while resting.
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- The nurse is administering lidocaine and considers which condition, if present in the patient, a caution for the use of this drug? a )Tachycardiab) Hypertensionc) Ventricular dysrhythmiasd )Renal dysfunctionIn addition to a cardiac glycoside and a diuretic, the provider prescribes an ACE inhibitor to treat the client's heart failure. The nurse should reinforce to the client that OTC medications can reduce the effectiveness of the ACEinhibitor. What otherinteractions with the ACEinhibitor should the nurse teach the client about?The nurse takes an initial blood pressure of a client and notes it to be 152/92 . Which of the following actions by the nurse is incorrect? Tell the client he or she has hypertension and recommend they get treatment Recheck the blood pressure after a period of rest Assess for factors that may have elevated the blood pressure prior to the measurement Ask about a history of high blood pressure and any medications taken
- When giving antihypertensive drugs, the nurse will consider giving the first dose at bedtime for which class of drugs?a) Alpha blockers such as doxazosin (Cardura)b) Diuretics such as furosemide (Lasix)c) ACE inhibitors such as captopril (Capoten)d) Vasodilators such as hydralazine (Apresoline)When administering any vasopressor during the treatment of shock, the nurse knows the assessment finding that best supports the goal of therapy is: a. Constriction of vessels to maintain BP b. Dilating vessels to improve tissue oxygenation c. Maintaining a MAP of, or greater than 65 mm Hg d. Increased urine output to 50 mL/hrA patient in the intensive care unit (ICU) is receiving intravenous vasodilator therapy for the management of hypertension. The nurse monitors the patient for which potential complication of vasodilator therapy? a) Bradycardia b) Hypotension c) Tachypnea d) Hyperglycemia
- The nurse instructor is teaching student nurses about the factors that may affect a patient’s blood pressure. Which state-ments accurately describe these factors? Select all that apply. a. Blood pressure decreases with age.b. Blood pressure is usually lowest on arising in the morning.c. Women usually have lower blood pressure than men untilmenopause.d. Blood pressure decreases after eating food.e. Blood pressure tends to be lower in the prone or supineposition.f. Increased blood pressure is more prevalent in AfricanAmericans.indicate the therapeutic technique being used: The physician orders a new blood pressure pill for a patient. The nurse enters the patient’s room to administer the medication and the patient refuses, stating that he takes “too many darn pills”. The nurse answers, “I understand that taking several pills can be upsetting. Your blood pressure has been elevated for the past two days and your doctor prescribed a stronger blood pressure medication.”The nurse is concerned that there have been significant variations in the documented blood pressure of a number of patients. The nurse feels it is appropriate to review the blood pressure monitoring techniques used by the new staff member who was responsible for taking the blood pressures.How can the nurse best evaluate the nurse’s monitoring technique?
- A client with heart failure (HF) is taking a diuretic to manage fluid retention. In evaluating the effectiveness of the medical regimen, which assessment is most important for the practical nurse (PN) to monitor? A Daily weight. B Blood pressure readings. C Color and clarity of urine. D Serum electrolytes.What nursing assessments will you use to assess perfusion?A patient is prescribed an angiotensin-converting enzyme (ACE) inhibitor for the treatment of hypertension. The nurse instructs the patient to monitor for which potential side effect of ACE inhibitors? a) Hyperkalemia b) Hypocalcemia c) Hypoglycemia d) Hypernatremia