Drugs/Labs
A nurse is caring for a patient with a diagnosis of deep venous thrombosis (DVT). The patient has an order to receive 30 mg enoxaparin (Lovenox). Which injection site should the nurse use to administer this medication safely?
Abdomen, anterior-lateral aspect
References:
DVT (Deep Vein Thrombosis) NCLEX Questions. (2019, November 13). Registered Nurse RN. Retrieved June 6, 2022, from https://www.registerednursern.com/dvt-deep-vein-thrombosis-nclex-questions/?
Your patient reports experiencing dull and achy sensations in the lower extremities. You note that the lower extremities have edema and brownish pigmentation. Pulses are present bilaterally and the extremities feel warm to the touch. To help alleviate the patient's symptoms, the nurse will position the lower extremities in what position?
Elevated position above heart level
What is the goal of treatment for an Aortic Aneurysm?
A: To limit progression of disease and prevent rupture
What are three non pharmacological therapies for hypertension?
What is a balloon angioplasty?
It is when a small balloon is inflated inside the blocked artery to open the blocked area of the vein.
A patient, who is receiving continuous IV Heparin for the treatment of a DVT, has an aPTT of 110 seconds. What is your next nursing action per protocol?
Hold the infusion and notify the charge nurse. (normal range 25 to 35 seconds)
True or false. Peripheral arterial disease leads to a decrease in rich oxygenated blood being delivered to the lower extremities, which leads to ischemia and necrosis of skin tissue
True
What are some things to monitor/do after an Embolectomy?
Administer Anticoagulants, monitor peripheral circulation and bed in semi-fowlers position
Mild signs and symptoms of varicose vein may be controlled with the following. Give 3 examples.
What is an Atherectomy?
This is where the blocked area inside the artery is "shaved" away by a tiny device on the end of a catheter.
: The nurse is reviewing the laboratory test results for a 68-year-old patient whose been on warfarin (Coumadin) therapy for 3 months. The nurse concludes that the patient is within a therapeutic INR (international normalized ratio) range what results?
INR 2.0-3.0
You're assessing a patient's health history for peripheral vascular disease. What signs and symptoms reported by the patient would indicate the patient may be experiencing peripheral arterial disease?
pain in legs at night, relieved by dangling legs off of bed.
pain and tingling when walking
What are some non-pharmacological interventions/approaches for HTN?
Lifestyle changes: weight loss, diet, exercise, and education along with NO smoking or stress
Raynaud’s disease is caused by intermittent arterial spasms.One treatment that is not for this disease is:
Beta blockers
relaxation techniques
cessation of all tobacco
avoid caffeine and other drugs
Beta Blockers
What happens to the peripheral vascular system when the patient contracts hypothermia.
Peripheral vasoconstriction
The nursing is caring for a patient taking Warfarin (Coumadin), the patient recent labs results show their INR at 6.5. What medication would the nurse give the patient?
Vitamin K (phytonadione)
What is the most common cause for peripheral arterial disease?
Atherosclerosis
What is the reason behind administering warm/ moist soaks for phlebitis?
To dilate the veins and promote circulation
False (Elevate legs when sitting; Text book, pate 364)
What is PVD and what causes it?
It is a slow and progressive circulation disorder. caused by narrowing, blockage, or spasms in a blood vessel.
Reference:
https://www.hopkinsmedicine.org/health/conditions-and-diseases/peripheral-vascular-disease
: You’re providing care to a patient who has been receiving long-term doses of Heparin. What finding in this patient demonstrates the patient may be experiencing a complication that can occur due to long-term use of this drug?
bone fractures
Your patient has severe peripheral arterial disease. When the lower extremities are elevated you would expect them to appear _________ and, when they are in the dependent position you would expect them to appear ________. Fill in the blanks
pallor; ruber
Some things to monitor for when dealing with Venous Thrombosis?
Short of breath, chest pain, and bleeding signs and symptoms
A patient has Buerger’s disease. What is the most important aspect of patient compliance to decrease signs and symptoms of Buerger’s disease?
What are the 6 "P's" of Peripheral Vascular Disease?
pain, pallor, poikilothermia, pulselessness, paresthesia, paralysis