Exam 1 AH II NUR 308 Vascular Practice
Questions and Correct Answers
The patient diagnosed with hypertension is likely to report:
-Cardiac palpitations
-Vertigo
-Dyspnea on exertion
-No symptoms ✅No symptoms
Which type of HTN accounts for 90% of all cases? ✅Primary hypertension
Secondary HTN ✅HTN that is a consequence of another disease or condition
Risk factors of HTN ✅age (older than 55 for men, 65 for women), cigarette, obesity,
physical inactivity, dyslipidemia, diabetes mellitus, family hx, microalbuminuria, African
American race
How do we determine if a patient has HTN? ✅Basis of two or more elevated BP
readings supine and sitting on at least 2 separate readings
How to get accurate BP readings? ✅Appropriate BP cuff (too lose= too low BP, too
tight= too high bp), have pt avoid caffeine/ smoking and activity about 15-30 mins before
Some routine tests for HTN? ✅CBC, Na, K, blood glucose, urinalysis, lipid profile,
electrocardiogram
Which of the following nonpharmacologic measures would be included while providing
education for a patient with HTN?
-exercise daily for 10 min periods of high intensity
-Add weight lifting to daily exercise regime
-Reduce table salt and alcohol intake
-Reduce smoking and begin isometric exercises ✅Reduce table salt and alcohol intake
, The nurse determines that discharge teaching for a patient on Coumadin has been
effective based on which of the following patient statements?
-" I know that Coumadin will make my stools black in color."
-" I should massage my legs twice a day to improve circulation."
-" I will not eat any green leafy vegetables while taking coumadin."
-" Swimming would be a good form of exercise for me." ✅"Swimming would be good
form of exercise for me"
The nurse teaches a patient with a newly diagnosed DVT to
-Dangle their feet over the edge of the bed every 2 hours
-Keep the affected leg elevated
-Maintain bedrest until anticoagulation is achieved
-Massage their legs twice a day ✅Keep the affected leg elevated
In DVT pts, what must we monitor for? ✅Pulmonary embolism
S/s to look for PE in a DVT patient? ✅changes in LOC, dyspnea, SOB, productive
cough, tachycardia, decreased oxygen saturation
The purpose of an inferior vena cava filter is to prevent DVT? True or False ✅FALSE;
purpose is to catch the clot and prevent it from migrating (specifically to the lungs, PE)
How do we evaluate the effectiveness of heparin IV? ✅The PTT (1 1/2-2 times more
than normal)
How do we evaluate the effectiveness of warfarin therapy? ✅The INR (want it to be 2-
3)
Varicose veins ✅prominent, torturous dilated veins effecting lower extremities, gravity
on venous pressure, valvular incompetence (leads to twisting and pulling blood)
Which of the following nursing interventions would be most appropriate while providing
care to a patient with venous insufficiency?
-Dangle legs on side of bed four times a day.
-Elevate legs on two pillows
-Cleanse wound with hydrogen peroxide
-Remove compression stockings while OOB. ✅Elevate legs on two pillows (trying to
get blood to go back to the heart)
DVT s/s ✅unilateral edema, warm, MAY be tender/redness, low grade fever,
Purpose of wet dressing? ✅Helps promote venous return back to the heart
Which of the following complaints from a patient with arterial occlusive disease would
concern the nurse most?
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