what is the nurses first action when a patient comes in with sickle cell
Pain managment
What is intermittent claudication?
A key distinguishing feature of PAD during physical assessment is this symptom that occurs during activity and is relieved by rest.
This symptom is commonly associated with left-sided heart failure and results from fluid backing up into the lungs.
crackles
A blood pressure reading of 140/90 mmHg or higher on two separate occasions is classified as this stage of hypertension.
stage 2
The most immediate concern for a client experiencing prolonged diarrhea is this potential complication.
dehydration
1. A nurse is reviewing lab results for a client with suspected iron deficiency anemia. Which of the following lab values would the nurse expect to find?
A. Elevated hemoglobin and hematocrit
B. Increased mean corpuscular volume (MCV)
C. Decreased serum ferritin
D. Increased reticulocyte count
Correct Answer: C – Serum ferritin is decreased in iron deficiency anemia due to low iron stores.
What disease results in brownish hyperpigmentation?
chronic venous insufficiency, results from hemosiderin deposits due to RBC breakdown.
Clients with right-sided heart failure may exhibit this abdominal finding due to liver congestion.
hepatomegaly
This modifiable risk factor is one of the leading causes of primary (essential) hypertension.
high sodium diet or obesity
To reduce symptoms of GERD, patients are advised to avoid this meal timing habit before bedtime.
do not eat within 2-3 hours of bedtime
what is the biggest risk for a patient with sickle cell anemia?
vaso-occlusive crisis
Where are ulcers due to PAD typically found
the toes
This lab value is elevated in heart failure and reflects ventricular stretching due to fluid overload.
BNP
A client with newly diagnosed hypertension reports blurry vision, severe headache, and chest pain. The nurse should suspect this life-threatening complication.
hypertensive crisis
This classic symptom of renal calculi is described as sudden, severe, and radiating from the flank to the groin.
renal colic
what lab value increases in B12 anemia?
MCV
with what disease are conpression stocking contraindicated
PAD
This medication class is used in heart failure to reduce preload and relieve pulmonary congestion by promoting diuresis.
loop diuretics
Clients taking this class of antihypertensives should be monitored for a persistent dry cough.
ACE inhibitors
Before administering medications to a client with chronic renal failure, the nurse must closely monitor this organ function marker, as impaired clearance can lead to toxicity.
GFR
Chronic blood loss anemia leads to what other type of anemia?
Iron-deficiency anemia
This non-invasive test compares blood pressure in the ankle with blood pressure in the arm to help diagnose PAD.
ABI
A client with chronic heart failure is taught to report a sudden weight gain of this many pounds in one day or over three days.
2lbs in one day or 5lbs in one week
The DASH diet, recommended for managing hypertension, is rich in fruits, vegetables, and this key mineral that helps lower blood pressure.
potassium
What is the sudden, intense urge to urinate followed by involuntary leakage?
urge incontinence