Medications
The nurse is teaching a patient about taking hydrochlorothiazide. Of the following, these are the foods the patient should eat in conjunction with the use of this drug.
A. bananas and oranges
B. Milk and cheese
C. Cranberries and prunes
d. Cabbage and cauliflower
What are bananas and oranges?
This commonly ordered blood test is used to detect fibrin produced by blood clots:
What is D. dimer?
This is the most critical complication that can occur with a deep vein thrombosis.
What is Pulmonary Embolism?
A client with a PE may report worsening chest pain when doing this.
What are taking deep breaths?
Cilostazol (Pletal) helps in the treatment of PVD/PAD by this action:
A. opening valves in the veins
B. vasodilating the arteries
C. increasing platelets levels
What is vasodilating the arteries?
The unlicensed assistive personnel reports a client's blood pressure of 90/60 mm Hg to the nurse. The client's prescriptions say to notify the health care provider (HCP) if systolic blood pressure is <100 mm Hg. What should the nurse do first?
What is assess the client for other signs and symptoms?
This is the therapeutic range of the INR for a client taking warfarin (Coumadin) for DVT is:
These labs are monitored when a client is on warfarin.
What is 2-3?
What is PT/INR?
DVT's in the lower extremities are more likely to cause pain in this part of the leg.
What is the Calf?
This assessment findings would indicate the client possibly has a pulmonary embolism:
A. Bright red hemoptysis
B. Peripheral pitting edema
C. Sudden blurred vision
What is Bright red hemoptysis?
Symptoms may include swelling, tightness, pruritus, pain upon walking, & bronze-coloring of the skin due to stasis of blood.
What is venous stasis in venous insufficiency disease?
A nurse is caring for a client who is diagnosed with hypertension and is prescribed spironolactone (Aldactone) 25 mg/day. Which of the following statements by the client indicates a need for further teaching?
A. “I should eat a lot of fruits and vegetables, especially bananas and potatoes.”
B. “I will report any changes in heart rate or rhythm.”
C. “I should use a salt substitute that is low in potassium.”
D. “I will continue to take this medication even if I am feeling better.”
What is “I should eat a lot of fruits and vegetables, especially bananas and potatoes”?
Potatoes and bananas are high in potassium, and spironolactone is a potassium-sparing diuretic. Consuming these foods can lead to hyperkalemia.
This test that checks and compares blood pressures in the upper and lower extremities and is used to diagnose PAD.
What is Ankle Brachial Index (ABI)?
During overlap therapy for DVT, when are Heparin and Warfarin started during med administration:
A. Warfarin before Heparin
B. Heparin before Warfarin
C. At the same time
What is Heparin before Warfarin?
This is the mainstay treatment for PE.
What is anticoagulation?
Interventions for conservative management strategies for critical limb ischemia.
What is protecting the extremity from trauma, decreasing pain, preventing and controlling infection, and improving perfusion?
A clinic nurse is caring for a client who has hypertension and is prescribed hydrochlorothiazide, Lisinopril, and clonidine. The current blood pressure reading is 190/102 mm Hg, and the client reports a headache that has lasted several days. Which question is most important for the nurse to ask next?
What is: are you currently taking your blood pressure medications?
An alternate test to Computed tomography (CT) pulmonary angiography diagnose PE when the client can not have contrast is:
What is a VQ Scan?
This hormone in birth control pills can cause an increased risk for DVT>
A. Testosterone
B. Progesterone
C. Estrogen
What is Estrogen?
This treatment should be considered when patients have an acute PE and have an absolute contraindication to anticoagulation.
What is an inferior vena cava filter?
This drug can cause Ototoxicity.
What is Furosemide?
A female client with liver cirrhosis and chronic anemia is hospitalized for deep venous thrombosis. The client is receiving a heparin infusion and suddenly develops epistaxis. Which laboratory value would indicate that the heparin infusion needs to be turned off?
Hematocrit of 30%
Partial thromboplastin time of 110 seconds
Platelet count of 80,000
Prothrombin time of 11 seconds
What is Partial thromboplastin time of 110 seconds?
Heparin is an anticoagulant that helps prevent further clot formation. It is titrated based on a partial thromboplastin time (PTT). The therapeutic PTT targets is 1.5-2.0 times the normal reference range of 25-35 seconds. A PTT value >100 seconds would be considered critical and could result in life-threatening side effects. Common sentinel events that result from heparin drips include epistaxis, hematuria, and gastrointestinal bleeds. Heparin infusions require close monitoring by the nurse. The partial thromboplastin time is the laboratory value required to accurately monitor the therapeutic effects of
What is Partial thromboplastin time (Ptt) of 110 seconds?
Heparin is an anticoagulant that helps prevent further clot formation. It is titrated based on a partial thromboplastin time (PTT). The therapeutic PTT targets is 1.5-2.0 times the normal reference range of 25-35 seconds. A PTT value >100 seconds would be considered critical and could result in life-threatening side effects. Common sentinel events that result from heparin drips include epistaxis, hematuria, and gastrointestinal bleeds. Heparin infusions require close monitoring by the nurse. The partial thromboplastin time is the laboratory value required to accurately monitor the therapeutic effects of
This procedure uses a special dye (contrast material) and x-rays to see how blood flows through the lungs.
What is pulmonary angiography?
This type of surgery would put a client at high risk for DVT.
What is orthopedic surgery?
Given to patients experiencing hypotension as a result of a P.E.
What are fluids and vasopressors?
This classification of meds can cause a dry cough and possible angioedema.
What are ACE Inhibitors?