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Finals
| Question | Answer |
|---|---|
| After the nurse teaches the patient with hypertension about diet modifications that should be implemented, which diet choice indicates that the teaching has been effective? | Low-fat milk with meals |
| The nurse prepares the patient for femoral-popliteal bypass graft surgery. The client states, “I am afraid I might die. How might the nurse respond? | Tell me more about your concerns about the surgery. |
| Which action should be included in the plan of care when the nurse is caring for a patient who is receiving an IV antihypertensive medication to treat a hypertensive emergency? | Used an automated noninvasive blood pressure machine to obtain frequent BP measurements. |
| A nurse assesses clients in a medical surgical unit. Which client should the nurse identify as having the greatest risk for cardiovascular disease? | A 40-year-old woman with a history of diabetes mellitus |
| Which information should the nurse include when teaching a patient newly diagnosed with hypertension? | Hypertension is usually asymptomatic until target organ damage occurs. |
| The nurse on the intermediate care unit received a change of shift report on four patients with hypertension. Which patient should the nurse see first? | A 38-year-old with a BP of 162/92 who is complaining of chest pain. |
| The nurse is receiving a patient who had a femoral-popliteal bypass of the right femoral artery. Which nursing intervention takes priority in the immediate postoperative period? | Checking right pedal pulses |
| A patient with a history of hypertension treated with diuretic and an (ACE) inhibitor arrives in the emergency department complaining of a severe headache and nausea and has a blood pressure of 238/119 mmHg. Which question should the nurse ask first? | Have you been taking your medications? |
| A patient with peripheral arterial disease (PAD) is prescribed a daily dose of aspirin. You accurately explain the prescription stating? | Aspirin helps prevent the formation of clots. |
| Which nursing action should the nurse take first to assist a patient with newly diagnosed hypertension in making needed dietary changes? | Collect a detailed diet history. |
| A 40-year-old patient complains of leg swelling and on inspection has tortuous appearing swelling on her legs. The patient most likely will be treated for? | Varicose Vein |
| The nurse is providing patient teaching to a pregnant who works as a cashier in a grocery store. Which suggestion by the nurse, will help most in preventing varicose vein? | March on the spot |
| A 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? | 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. |
| If a patient complains of intermittent claudication, the nurse expects which clinical findings? | Pain, ache, discomfort when those muscle are used |
| The nurse assessing a patient with DVT becomes concerned when the patient demonstrates which clinical manifestation? | Hemoptysis |
| A patient is started on anti-hypertensive medications. Which patient statement indicates effectiveness of teaching? | Sudden changes in position may cause dizziness. |
| A student nurse is assessing the peripheral vascular system of an older adult. That action by the student should cause the faculty member to intervene? | Palpating both carotid artery at the same time. |
| You are reinforcing the healthcare provider’s instructions to an older adult patient who is newly diagnosed with hypertension. The patient does not speak the same language as you and is legally blind. What is the best nursing action? | Use a certified translator to provide instructions. |
| A patient has been diagnosed with hypertension but does not take the anti-hypertensive medications because of a lack of symptoms. What response by the nurse is best? | Most people with hypertension do not have symptoms. |
| A patient has hypertension and high risk-risk factors for cardiovascular disease. The patient is overwhelmed with the recommended lifestyle changes. What action by the nurse is best? | Assist in finding one change the patient can control. |
| An older patient with peripheral vascular disease is explaining the daily foot care regimen to the family clinic nurse. What statement by the patient may indicate a barrier to proper foot care? | “My hands shake when I try to do things requiring coordination.” |
| A Nurse is assessing an obese patient in the clinic for follow-up after an episode of deep vein thrombosis. The patient has lost 20 pounds since the last visit. What action by the nurse is best? | Measure for new compression stockings. |
| A patient with peripheral artery disease is prescribed a daily dose of aspirin. The nurse accurately explains the prescription by stating? | “Aspirin help prevent the formation of clots.” |
| A 69-year-old patient reports a burning, aching pain in the leg when walking to the mailbox. These symptoms are relieved with rest. What should the nurse suspect? | Claudication |
| A nurse records the assessment of statis dermatitis on an intake assessment for a patient with peripheral vascular disease. What is the best way to describe this finding? | Brownish skin discoloration on the lower legs. |
| A patient diagnosed with peripheral arterial disease complains of a sudden onset of pain in the right foot. Identify the first nursing action that the nurse should perform. | Check for pedal and posterior tibial pulses. |
| The nurse understands that characteristics of an embolus occluding an arterial extremity are? SATA | Pallor Paralysis Paresthesia |
| Vascular disease disorders often require the use of elastic stockings. Which action should the nurse implement when caring for a patient with elastic stocking? | Inspect the skin for pressure or irritation. |
| The nurse volunteers to do blood pressure screening at a local community hospital’s annual health fair. Which modification used by the nurse is most appropriate when taking the blood pressure of a patient who weighs 350 pounds? | The nurse uses an extra-large blood pressure cuff. |
| A 54-year-old man complains of pain when walking and numbness of the lower extremities. On examination, the nurse notes that both extremities are pale and cool to touch. The highest nursing priority diagnosis would be? | Altered peripheral tissue perfusion. |
| A nurse is preparing to administer low-molecular-weight heparin (LMWH). What is a major advantage related to the administration of a LMWH? | It is provided in fixed doses. |
| Which statement made by a patient indicates to the nurse that a teaching plan for the use of coumadin not effective? | “I’m drinking too much tea. My urine looks like tea.” |
| A student nurse asks what essential primary hypertensive is. What response by the instructor is best? | “It is hypertension with no specific cause.” |
| The patient with a newly diagnosed Raynaud’s disease is being discharged. Which teaching is appropriate? | Avoid exposure to cold and quit smoking. |
| The nurse has been assigned to a patient with Buerger’s disease (Thromboanglitis obliterans). The nurse understands which anatomic area is most often affected by this vascular condition? | Hands and Fingers |
| A female patient had Buerger’s disease. During the initial assessment, the nurse notes that the patient is experiencing a vasospastic episode. The nurse should immediately assess the? | Radial artery |
| Bedrest is related to an increased incidence of deep vein thrombosis. The plan of care for a patient on bedrest should not include? | Maintaining the patient in a supine position |
| Heparin 8000 units daily via subcutaneous injection has been ordered for a patient with DVT. Heparin 10,000u/mL is supplied from the pharmacy. If the patient receives 3 doses, how many mL will the patient receive? | 2.4 |
| The nurse practitioner has prescribed Normal Saline 700mL to infuse at 80mL/hr. how many mL of solution has the patient received in 4 hours if there are no interruptions to the plan of care? | 320 |
| The cardiologist has prescribed Cardizem XL 120 mg each day for a patient with hypertension. Cardezem XL 60mg tablets have been stocked in the medication dispensing machine. How many tablets should the nurse administer in a single dose? | 0 |
| The nurse practitioner writes an order for Actos(chlorpropamide) 0.2g orally each day. The drug container label read Actos 200mg tablets. How many mg will the nurse administer per dose? | 200 |
| The physician order Aciphex (Rabeprazole) 25 mg twice a day. The medication is available as 10 mg per single tablet. How many tablets should the nurse administer in a week? | 0 |
| The nurse is teaching a 39-year-old man who is diagnosed with pre-hypertension. Which lifestyle modification(s) should be recommended? SATA | Stop Smoking Exercise 30 minutes a day as able on most days of the week Stress reduction |
| The nurse is caring for a patient with Raynaud’s disease who is employed as a construction worker. The worker las hypertension and smokes 2 packs of cigarettes per day. What teaching points should the nurse include in discharge instructions? SATA | Wear gloves during cool weather Insulated socks are advisable when working in cool weather Stop smoking Wear gloves when handing hot objects at work |
| The nurse promotes lifestyle modification to a 50-year-old female patient diagnosed with hypertension which lifestyle changes would be recommended? SATA | Maintaining a healthy weight Including fruits, vegetables, and whole grain into diet Enjoying regular physical activity as able |
| A nurse suspects a circulatory disorder in one leg. Which assessments should the nurse include when comparing both legs? SATA | Color Warmth Pulse quality |
| When obtaining a health history from a patient, which findings strongly suggest that the patient is hypertensive? SATA | Headaches Dizziness |
| A 56-year-old who has no previous history of hypertension or other health problems suddenly develops a blood pressure of 210/140mmHg. After reconfirming the BP, it is appropriate for the nurse to tell the patient that? | Diagnosis of a possible cause treatment and ongoing monitoring will be needed. |
| A patient with hypertension who has just started taking atenolol returns to the health clinic after 2 weeks for a follow-up visit. The blood pressure is unchanged from the previous visit. Which action should the nurse take first? | Question the patient regarding any lifestyle changes made to help control the blood pressure.. |
| A nurse reinforces discharge instructions to a patient who is diagnosed with chronic venous insufficiency. Which instruction(s) should be included? | Avoid tight clothing. |
Created by:
Nya Thomas