For peripheral venous disease, the nurse will teach the patient to do what in order to promote blood circulation?
Dangle the legs.
Sit in one position for prolonged hours.
Elevate the legs.
Stand in one position.
The Correct Answer is C
This is because elevating the legs can help reduce swelling and improve blood flow back to the heart by reducing the effects of gravity. Elevating the legs can also prevent blood from pooling in the veins and reduce the risk of blood clots.
Choice A is wrong because dangling the legs can increase swelling and pressure in the veins, which can worsen peripheral venous disease (PVD) symptoms and complications.
Choice B is wrong because sitting in one position for prolonged hours can impair blood circulation and increase the risk of blood clots, especially in the lower legs. People with PVD should avoid crossing their legs, wearing tight clothing, or sitting for long periods without moving.
Choice D is wrong because standing in one position can also increase swelling and pressure in the veins, which can lead to pain, ulcers, and skin changes. People with PVD should avoid standing for long periods without moving or changing positions.
Some additional information:
Peripheral venous disease (PVD) is a condition that affects blood flow in the veins and arteries outside of your heart and brain.
It can be caused by narrowing, blocking, or spasming of the blood vessels, or by blood clots in the veins. PVD can cause pain and fatigue, especially in the legs, and can lead to serious complications such as gangrene or amputation.
The most common cause of PVD is atherosclerosis, the buildup of plaque inside the artery wall.
Plaque reduces the amount of blood flow to the limbs and decreases the oxygen and nutrients available to the tissue. Other causes of PVD may include injury, infection, irregular anatomy of muscles or ligaments, or inflammation of the blood vessels.
The normal range of blood pressure in the veins is about 10 to 20 mmHg.
The normal range of oxygen saturation in the veins is about 60 to 80%.
The normal range of pulse rate in the veins is about 60 to 100 beats per minute.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
The nurse should contact the provider and ask the patient if they are feeling light headed or dizzy.
Choice A is wrong because administering the medication could worsen the patient’s condition.Furosemide is a diuretic that can cause dehydration, electrolyte imbalance, and hypotension.The patient already has a low serum potassium level of 2.8 mEq/L, which is below the normal range of 3.5 to 5.0 mEq/L.Giving furosemide could lower the potassium level further and increase the risk of cardiac arrhythmias.The patient also has a significant drop in blood pressure from lying to sitting position, which indicates orthostatic hypotension.Giving furosemide could lower the blood pressure more and cause dizziness, fainting, or falls.
Choice D is wrong because encouraging the patient to get up quickly and walk around could also cause dizziness, fainting, or falls due to orthostatic hypotension.The patient should be advised to change positions slowly and carefully, and to avoid activities that require alertness until their blood pressure stabilizes.
Choice E is wrong because holding the medication without contacting the provider could delay the appropriate treatment for the patient’s fluid retention.The nurse should notify the provider of the patient’s vital signs, laboratory results, and symptoms, and follow their orders regarding the medication dosage or alternative therapy.
Correct Answer is ["B"]
Explanation
This is a mnemonic to remember the common suffix of drugs that block the beta receptors in the heart and blood vessels, which can lower blood pressure, heart rate, and reduce chest pain. For example, metoprolol, atenolol, and propranolol are beta blockers.
Choice A is wrong because calcium channel blockers do not end in DIPINE.
Calcium channel blockers are drugs that block the entry of calcium into the cells of the heart and blood vessels, which can relax the blood vessels and lower blood pressure.
Some calcium channel blockers end in DIPINE, such as amlodipine and nifedipine, but not all of them.
For example, verapamil and diltiazem are also calcium channel blockers.
Choice C is wrong because ACE inhibitors do not end in ZoSIN.
ACE inhibitors are drugs that inhibit the enzyme angiotensin-converting enzyme (ACE), which can lower blood pressure and prevent heart failure.
ACE inhibitors usually end in PRIL, such as lisinopril, enalapril, and captopril.
Choice D is wrong because angiotensin II receptor blockers do not end in STATIN.
Angiotensin II receptor blockers are drugs that block the action of angiotensin II, a hormone that constricts blood vessels and raises blood pressure.
Angiotensin II receptor blockers usually end in SARTAN, such as losartan, valsartan, and irbesartan.
The normal range for blood pressure is less than 120/80 mmHg.
The normal range for heart rate is 60 to 100 beats per minute.
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