A nurse is caring for a client who is receiving warfarin therapy to prevent a deep vein thrombosis. Which of the following medications should the nurse have available in the event of an overdose?
Vitamin K
A nurse is caring for a client who develops a pulmonary embolism. What is the priority intervention for the nurse to take?
Initiate oxygen therapy
A nurse is collecting data from a client prior to administering atenolol. When should the nurse withhold the medication?
For a pulse less than 60
A lipid panel consists of what 4 lab values?
HDL, LDL, Triglycerides, & Total cholesterol
Peripheral vascular disease consists of what two diseases?
PAD and chronic venous insufficiency
A nurse is caring for a client who has thrombophlebitis and is receiving a continuous infusion of heparin. The client asks the nurse how long it will take for the heparin to dissolve the clot. What should the nurse tell the client?
Heparin does not dissolve clots. It prevents growth of the existing clot and prevention of new clots.
Name three types of embolisms.
Blood clot
Air
Fat
(or amniotic fluid)
Elevated blood pressures caused by other disease processes or medications is classified as what type of hypertension?
Secondary hypertension
A nurse administered nitroglycerin sublingually to a client who has angina pectoris and experienced chest pain. The client states that his chest pain is relieved but now he has a headache. What is the appropriate response by the nurse?
"A headache is a common adverse effect of this medication, but it will probably occur less often over time."
What is "ankle-brachial index"?
Comparison of BP in the upper and lower extremities
A nurse is caring for a client who is 1 day postpartum following a cesarean birth. To prevent thrombophlebitis, what is the most important intervention the nurse should take?
Promote ambulation
A nurse is reviewing laboratory data from a client who has pulmonary embolism and is receiving IV heparin. What lab draw does the nurse anticipate to be ordered to monitor therapeutic effects?
A ptt
A nurse is reinforcing teaching with a client who has a family history of hypertension. The nurse should inform the client that his blood pressure reading of 124/84 mm Hg places him in which categories?
Pre-hypertension
A nurse at a provider's office receives a telephone call from a client who reports nausea and has unrelieved chest pain after taking a nitroglycerin tablet 5 min ago. What is the appropriate response by the nurse?
Call 911
A nurse is reviewing the laboratory results for a male adult client who is at risk for peripheral arterial disease from atherosclerosis. The nurse recognizes that what lab result places the client at risk?
Elevated LDLs
A nurse in a clinic is reviewing teaching about food choices with a client who has recently begun taking warfarin. The nurse should instruct the client to limit consumption of which kind of food?
Dark, green leafy vegetables
What are the 5 common signs/symptoms of a pulmonary embolism?
dyspnea, tachycardia, chest pain, hemoptysis, adventitious breath sounds (crackles)
A nurse is caring for an older African American adult client who has a new prescription for captopril. What is the life-threatening side effect caused by this medication in African Americans called?
Angioedema
What are the two medical diagnoses for "high cholesterol"? (different names, same meaning)
Hyperlipidemia and hypercholesterolemia
A nurse in an outpatient clinic is collecting data from a client who tells the nurse, "I have pain in my legs when I begin to walk, but the pain stops when I stop walking." What condition should the nurse suspect?
Intermittent claudication
What are the 3 components of Virchow's Triad?
Hypercoagulation
Venous stasis
Venous wall injury
A nurse is reviewing laboratory data from a client who has a suspected pulmonary embolism. What lab result is indicative of a pulmonary embolism?
D-dimer
A client has a new prescription for nifedipine. The nurse should instruct the client to avoid what kind of food?
Grapefruit/grapefruit juice
Name 4 non-modifiable risk factors for CAD.
Age
Ethnicity
Gender
Genetics
Name three nursing interventions for the patient with chronic venous insufficiency.
Elevate extremity, compression stockings, avoid prolonged sitting/standing, avoid crossing legs, avoid restrictive clothing, encourage ambulation