A patient with peripheral vascular disease has been on pentoxifylline (Trental) for 2 weeks.

Which statements by the patient indicate no need for further patient teaching about the disease? Select all that apply.

"I should quit smoking to improve blood flow.".

"I need to avoid prolonged sitting or standing.".

"I should take my pentoxifylline with meals.".

"I need to limit my physical activity to avoid worsening symptoms.".

Answer and Explanation

Correct Answer : A,B

Pentoxifylline is a medication that improves blood flow and oxygen delivery to the tissues in patients with peripheral vascular disease (PVD), a condition that causes narrowing of the arteries in the legs. Pentoxifylline can help reduce the symptoms of intermittent claudication, which is cramping pain in the legs that occurs with walking and improves with rest.

Choice A is correct because smoking is a major risk factor for PVD and quitting smoking can improve blood flow and prevent further damage to the arteries.

Choice B is correct because prolonged sitting or standing can reduce blood flow to the legs and worsen symptoms of PVD.

Patients should avoid crossing their legs, wearing tight clothing, or exposing their legs to cold temperatures. They should also elevate their legs when resting and move them frequently.

Choice C is wrong because pentoxifylline should be taken on an empty stomach, at least one hour before or two hours after meals, to increase its absorption and effectiveness.

Choice D is wrong because physical activity is beneficial for patients with PVD and intermittent claudication.

Exercise can improve blood circulation, increase muscle strength, reduce pain, and lower cardiovascular risk factors. Patients should be encouraged to walk regularly, as tolerated, and follow a supervised exercise program if available.

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Correct Answer is D

Explanation

Taking a loop diuretic with supper is not advisable because it can cause nocturia, which is the need to urinate frequently at night. This can disrupt sleep and affect quality of life.Loop diuretics should be taken in the morning or early afternoon to avoid this problem.

Choice A is wrong because weighing oneself each day before breakfast is a good way to monitor fluid balance and detect any signs of fluid retention or dehydration.This can help adjust the dose of the loop diuretic as needed.

Choice B is wrong because contacting the healthcare provider if shortness of breath returns is a sensible precaution and indicates awareness of the symptoms of worsening heart failure.Shortness of breath is caused by fluid accumulation in the lungs, which loop diuretics help to prevent or reduce.

Choice C is wrong because having a banana with breakfast every morning is a good source of potassium, which can help prevent hypokalemia, a common side effect of loop diuretics.Loop diuretics increase the excretion of potassium in the urine, which can lead to low blood levels of potassium and cause muscle weakness, cramps, fatigue, arrhythmias, and increased sensitivity to digoxin.

A. Hold the urge to urinate as much as possible. B. Empty bladder before and after sexual intercourse. C. Take antibiotics as ordered. D. Female patients should wipe from front to back. E. Drink 8 to 10 glasses of water a day.

Correct Answer is ["B","C","D","E"]

Explanation

These are all measures that can help prevent urinary tract infection (UTI), which is an infection in any part of the urinary system, including kidneys, ureters, bladder, and urethra.

Choice A is wrong because holding the urge to urinate as much as possible can allow bacteria to grow in the bladder and cause infection.It is better to urinate frequently and completely to flush out any germs that may enter the urinary tract.

Choice B is correct because emptying the bladder before and after sexual intercourse can help remove any bacteria that may have been introduced during sex.Sexual activity is one of the common causes of UTI, especially in women.

Choice C is correct because taking antibiotics as ordered can help treat an existing UTI or prevent a recurrent one.Antibiotics are the first line of treatment for UTI and they work by killing the bacteria that cause the infection.

Choice D is correct because female patients should wipe from front to back after using the bathroom.This can prevent bacteria from the anus or fecal matter from spreading to the urethra and causing infection.

Choice E is correct because drinking 8 to 10 glasses of water a day can help dilute the urine and flush out any bacteria that may be present in the urinary tract.Water also helps maintain a healthy urinary system by keeping it hydrated and functioning well.

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A patient with peripheral vascular disease has been on pentoxifylline (Trental) for 2 weeks. Which statements by the patient indicate no need for further patient teaching about the disease? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been placed on a loop diuretic to reduce the fluid that has been accumulating in the lungs. Which statement made by the patient indicates a need for further teaching about the medication by the nurse?

Correct Answer is D

Explanation

To prevent urinary tract infection, the nurse must teach the patient the following. Select all that apply.

Correct Answer is ["B","C","D","E"]

Explanation

The use of diuretics in the treatment of heart failure may lead to what condition?

Which of the following diuretic agents will the nurse teach the patient to avoid food sources that are high in potassium?

Match the following drug classification with the appropriate drug,

The prescriber orders furosemide 80 mg for a patient who has been retaining extra fluid after surgery. The nurse notes the following: BP of 142/88 (lying) and 108/60 (sitting); daily weight of 154 lb, a 1-lb drop from day before; serum potassium of 2.8 mEq/L. What should the nurse do?

The patient with peripheral vascular disease such as Raynaud's disease should avoid what?

Certain factors place us at risk for the development of cardiovascular disease. Which of the following are modifiable risk factors? Select all that apply.

The use of diuretics in the treatment of heart failure may lead to what condition?

A patient with peripheral vascular disease has been on pentoxifylline (Trental) for 2 weeks.

Which statements by the patient indicate no need for further patient teaching about the disease? Select all that apply.