Podcast
Questions and Answers
A nurse is caring for a patient with peripheral arterial disease in both legs. What should the nurse teach the patient?
A nurse is caring for a patient with peripheral arterial disease in both legs. What should the nurse teach the patient?
- Fluid restriction.
- Keep legs in dependent position. (correct)
- Elevate lower extremities.
- Avoid any exercise.
When caring for a patient in a hypertensive crisis, which assessment finding would classify the patient as having a hypertensive emergency?
When caring for a patient in a hypertensive crisis, which assessment finding would classify the patient as having a hypertensive emergency?
- Chronic kidney infections
- Patient taking nitroglycerin. (correct)
- Anemia.
- Chronic tension headaches.
A patient is on three antihypertensive medications and presents to the clinic with a blood pressure of 178/90 mmHg. How should the nurse classify this patient's hypertension?
A patient is on three antihypertensive medications and presents to the clinic with a blood pressure of 178/90 mmHg. How should the nurse classify this patient's hypertension?
- Hypertensive urgency.
- Hypertensive emergency.
- Resistant hypertension. (correct)
- Pre-hypertension.
A patient presents with leg pain during exercise, diminished pedal pulses, and pale lower extremities. Which disorder is most likely?
A patient presents with leg pain during exercise, diminished pedal pulses, and pale lower extremities. Which disorder is most likely?
An advanced practice nurse is prescribing medication for an outpatient with hypertension. Which medication classes meet the primary goals of hypertension management?
An advanced practice nurse is prescribing medication for an outpatient with hypertension. Which medication classes meet the primary goals of hypertension management?
A nurse is caring for a hypertensive patient who arrives in the emergency department in a hypertensive crisis. The patient reports only taking her antihypertensive medications when she experiences symptoms of hypertension. What is the most appropriate response by the nurse?
A nurse is caring for a hypertensive patient who arrives in the emergency department in a hypertensive crisis. The patient reports only taking her antihypertensive medications when she experiences symptoms of hypertension. What is the most appropriate response by the nurse?
A nurse is caring for a patient with peripheral venous disease. Which manifestations would the nurse expect to observe? (Select all that apply)
A nurse is caring for a patient with peripheral venous disease. Which manifestations would the nurse expect to observe? (Select all that apply)
In hypertensive patients, what is the primary goal of angiotensin receptor blockers (ARBs)?
In hypertensive patients, what is the primary goal of angiotensin receptor blockers (ARBs)?
You are assessing a patient with peripheral arterial disease (PAD) in the lower extremities. Which clinical findings are expected? (Select all that apply)
You are assessing a patient with peripheral arterial disease (PAD) in the lower extremities. Which clinical findings are expected? (Select all that apply)
Which physiological mechanism is primarily responsible for the effectiveness of thiazide diuretics in managing hypertension?
Which physiological mechanism is primarily responsible for the effectiveness of thiazide diuretics in managing hypertension?
A patient with hypertension is prescribed a beta-blocker. What is the primary mechanism by which beta-blockers lower blood pressure?
A patient with hypertension is prescribed a beta-blocker. What is the primary mechanism by which beta-blockers lower blood pressure?
A patient with peripheral arterial disease reports experiencing intermittent claudication. What is the underlying cause of this symptom?
A patient with peripheral arterial disease reports experiencing intermittent claudication. What is the underlying cause of this symptom?
Which lifestyle modification is most important for a patient with hypertension to reduce their cardiovascular risk?
Which lifestyle modification is most important for a patient with hypertension to reduce their cardiovascular risk?
What is the primary action of ACE inhibitors in the management of hypertension?
What is the primary action of ACE inhibitors in the management of hypertension?
A patient with peripheral arterial disease has an ulcer on their toe that is not healing. What is the priority intervention?
A patient with peripheral arterial disease has an ulcer on their toe that is not healing. What is the priority intervention?
Which medication is contraindicated in a patient with peripheral arterial disease?
Which medication is contraindicated in a patient with peripheral arterial disease?
What is the recommended initial pharmacological treatment for a patient newly diagnosed with stage 1 hypertension and no other comorbidities?
What is the recommended initial pharmacological treatment for a patient newly diagnosed with stage 1 hypertension and no other comorbidities?
Which instruction is essential for a patient starting on a new prescription for a calcium channel blocker for hypertension?
Which instruction is essential for a patient starting on a new prescription for a calcium channel blocker for hypertension?
A nurse is teaching a patient with peripheral arterial disease about foot care. Which statement by the patient indicates a need for further teaching?
A nurse is teaching a patient with peripheral arterial disease about foot care. Which statement by the patient indicates a need for further teaching?
A patient has been diagnosed with malignant hypertension. What is the primary goal of treatment?
A patient has been diagnosed with malignant hypertension. What is the primary goal of treatment?
Flashcards
PAD Teaching?
PAD Teaching?
Keep legs in a dependent position to improve arterial blood flow.
Hypertensive Emergency
Hypertensive Emergency
This is when a patient experiences acute end-organ damage. These patients require immediate, controlled blood pressure reduction to prevent further harm.
Resistant Hypertension
Resistant Hypertension
Elevated BP (≥130/80 mmHg) despite adherence to three antihypertensive agents of different classes. Ideally, one should be a diuretic.
PAD Symptoms
PAD Symptoms
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HCTZ and ACE Inhibitors
HCTZ and ACE Inhibitors
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Hypertension Medication Adherence
Hypertension Medication Adherence
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Peripheral Venous Disease Manifestations
Peripheral Venous Disease Manifestations
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Angiotensin Receptor Blockers
Angiotensin Receptor Blockers
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PAD Manifestations
PAD Manifestations
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Study Notes
Peripheral Arterial Disease Teaching
- Teach patients with peripheral arterial disease to keep legs in a dependent position
Hypertensive Emergency Classification
- A patient taking nitroglycerin in a hypertensive crisis classifies them as having a hypertensive emergency
Resistant Hypertension Identification
- A patient on three antihypertensives presenting with a blood pressure of 178/90 is identified as having resistant hypertension
Peripheral Arterial Disease Manifestations
- A patient presenting with leg pain during exercise, diminished pedal pulses, and pale lower extremities likely has peripheral arterial disease
Hypertension Medications
- For an outpatient with hypertension, hydrochlorothiazide (HCTZ) and an ACE inhibitor are two medications that meet the goals of medication administration
Hypertension Medication Teaching
- Most patients don't have symptoms with hypertension, so antihypertensive medications should be taken regularly
Peripheral Venous Disease Manifestations
- Manifestations of peripheral venous disease include irregularly bordered wounds and pedal edema
Angiotensin Receptor Blockers
- The goal of angiotensin receptor blockers in hypertensive patients is to reduce peripheral vascular resistance
Peripheral Arterial Disease Manifestations
- Manifestations of peripheral arterial disease in the lower extremities include pale feet, diminished or absent pedal pulses, numbness and tingling, and pain with exercise
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