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WorksheetsNUR209 TEST 1
Total questions: 32
Worksheet time: 16mins
What is included in discharge teaching for a client with thrombophlebitis?
Encourage prolonged standing when resting
Elevate legs, use compression socks, avoid leg crossing when resting
Avoid exercise and ambulation
Limit fluid intake
Which of the following are risk factors for hypertension?
Low sodium diet, physical activity, and young age
Alcohol, smoking, diabetes, stress, obesity, and family history
Adequate hydration, low cholesterol, and healthy diet
Vegetarian diet, normal BMI, and low stress
What is the disruption of the graft anastomosis of the aorta?
Improved perfusion in the grafted area
Breakdown or leakage at the surgical connection between graft and native aorta
Hardening of arterial walls due to plaque
Narrowing of the lumen by clot formation
What interventions could be used to enhance the elderly’s blood flow?
Strict bedrest, cold environment, low fluid intake
Compression stockings, hydration, ambulation, leg elevation, warm environment
Avoidance of exercise, high salt intake, smoking
Decreased nutrition, caffeine, reduced fluid intake
What is streptokinase?
Antihypertensive medication
Anticoagulant
Thrombolytic enzyme (clot-busting)
Vasoconstrictor
What is the difference between primary and secondary hypertension?
Both have identifiable causes
Primary: identifiable cause; Secondary: no identifiable cause
Primary: no identifiable cause; Secondary: caused by another condition
Primary: due to renal failure; Secondary: genetic
What are the 5 Ps of arterial disease?
Pain, pallor, pulselessness, paresthesia, paralysis
Pain, pallor, pulses present, pitting edema, paralysis
Pallor, polyuria, pulse bounding, paralysis, pruritus
Paresthesia, pallor, polycythemia, pain, pressure
What are AAA symptoms?
Lower extremity edema and frequent urination
Severe back/abdominal pain, pulsating abdominal mass, feeling of pressure
Chest tightness, cough, wheezing
Numbness, tingling, and intermittent claudication
What patient teaching can reduce hypertension risks?
Avoid exercise, increase sodium intake, smoke in moderation
Weight management, diet, exercise, smoking cessation, stress reduction
Sleep less, avoid fluids, consume high cholesterol foods
Increase alcohol use, reduce mobility, avoid hydration
What are signs and symptoms of pulmonary embolism?
Productive cough with yellow sputum, fever, and chills
Sudden dyspnea, tachypnea, sharp chest pain, hemoptysis, anxiety, restlessness
Dizziness, confusion, and bradycardia
Numbness, tingling, intermittent claudication
What medication should you avoid taking with Coumadin?
Aspirin, NSAIDs, ginkgo, garlic
Acetaminophen only
Antihypertensives
Antibiotics only
What is the most common cause of peripheral vascular disease?
Varicose veins
Atherosclerosis
Venous insufficiency
Diabetes alone
What are precautions after a vein stripping?
No stockings, no ambulation, avoid hydration
Prolonged bed rest, avoid ambulation
Avoid fluids, low sodium diet, bedrest only
Elevate legs, use compression stockings, monitor for bleeding, encourage ambulation
What are some age-related changes that affect peripheral circulation?
Increased mobility, improved clot dissolution
Increased elasticity, improved wound healing
Arterial stiffening, decreased elasticity, reduced cardiac output, slower wound healing
Enhanced cardiac output and improved perfusion
What is a hypertensive crisis?
BP 140/90 with mild headache
BP 180/120, immediate intervention required to prevent organ damage
BP 130/80, no symptoms
BP 100/60 with dizziness
What is malignant hypertension?
Severe, rapidly progressing hypertension with diastolic ≥120, life-threatening
Mild elevation in BP
Controlled hypertension with medication
Hypertension in young athletes
What can help decrease vasoconstriction?
Smoking, stress, caffeine
Low fluid intake and bedrest
Avoidance of medications
Smoking cessation, stress reduction, relaxation, exercise, antihypertensives/vasodilators
What effects does hypertension have on the body?
Strengthens the heart and improves arteries
Damages arterial walls, makes heart work harder, increases risk of heart attack, stroke, vision loss
Improves circulation and perfusion
Prevents clotting
What precautions should patients take while on Coumadin?
Avoid hydration
Increase intake of vitamin K
Avoid high-injury risk activities, shaving with sharp razors, brushing teeth hard
Exercise excessively
Why should patients keep their legs flat before aortic surgery?
To prevent fluid overload
To improve oxygenation
To increase arterial flow to brain
To prevent blood clots
How can you prevent peripheral vascular disease (PVD)?
No smoking, control diabetes, control high blood pressure, exercise
High fat diet, sedentary lifestyle, smoking
Avoid fluids, reduce mobility, increase sodium
Decrease exercise, increase stress
Why should a patient with hypertension drink caffeine in moderation?
Caffeine has no effect on hypertension
Caffeine lowers blood pressure
Caffeine causes constriction of arteries
Caffeine prevents clot formation
What is intermittent claudication?
Sudden chest pain with exertion
Persistent numbness of extremities
Pain in legs with activity due to poor circulation
Irregular heart rhythm with dizziness
What is Raynaud’s disease?
Intermittent claudication with walking
Vasospasms of arteries in fingers and toes
Hypertension with severe headache
Venous insufficiency with edema
What happens with baroreceptors in older adults?
Become more sensitive, causing hypertension
Cause fluid overload
Increase heart rate significantly
Become less sensitive, leading to orthostatic hypotension and fall risk
What precautions should be taken when giving diuretics?
Restrict fluids and potassium
Stay hydrated, monitor potassium levels
Increase sodium intake
Avoid mobility
What is the most common and effective antiplatelet aggregation drug?
Aspirin
Heparin
Warfarin
Clopidogrel only
What causes discoloration of the skin around the feet and ankles with PVD?
Melanin buildup
Increased circulation
Hemosiderin deposits
Infection
How often should an Unna boot dressing be changed?
Daily
Once a month
1-2 WEEKS
Every 8 hours
What is the INR range for someone taking Coumadin?
1.0–1.5
2.0–3.0
3.5–4.0
5.0–6.0
What is the difference between subjective and objective data?
Subjective = what the nurse observes; Objective = what the patient reports
Subjective = patient’s report; Objective = measurable/observable data
Subjective = lab values; Objective = pain scale rating
Subjective = imaging results; Objective = medical history
What are the signs and symptoms of PVD?
Intermittent claudication, numbness, tingling
Persistent cough, shortness of breath
Chest pain, dizziness, blurred vision
Fever, chills, muscle aches
