Ch.35 Vascular disorders

Question 1

What is the best position of a patient’s arm when taking their blood pressure?

Answer 1

At heart level

Question 2

What is a concern when taking a thiazide diuretic?

Answer 2

Low K+

Question 3

What is considered the limits on acceptable alcohol consumption daily?

Answer 3

2 drinks or less

Question 4

What is very important for a patient with Raynaud to remember when living in a cold climate?

Answer 4

Wear good mittens/gloves and socks to keep extremities warm

Question 5

130 / 82 what category of HTN does this fall in?

Answer 5

Pre-HTN

Question 6

What maneuver has been taught to detect DVT?

Answer 6

Homan’s sign

Question 7

What is considered a normal SBP?

Answer 7

<120 mm Hg

Question 8

What is a side effect of a calcium channel blocker?

Answer 8

Bradycardia

Question 9

What type of job would increase a patients risk of PVD?

Answer 9

Jobs where a person sits/stands in one place for the majority of the shift

Question 10

With a diet that has sodium restriction what is the recommended amount of daily intake?

Answer 10

2000 mg

Question 11

True or false: a patient’s whose venous system is insufficient will most likely have pitting edema

Answer 11

true

Question 12

Do we encourage elevation when a patient has peripheral vascular disease?

Answer 12

Not usually, as it can make venous return worse

Question 13

What four things do you need to assess when doing an extremity assessment for blood flow?

Answer 13

Color, hair loss, temperature and pulse

Question 14

What type of medication is Propranolol?

Answer 14

Beta blocker

Question 15

What could be a complication of an angiogram?

Answer 15

Loss of blood/pulses & contrast allergy

Question 16

When taking a diuretic what should patients be educated to eat?

Answer 16

Foods high in K+ unless it is a K+ diuretic

Question 17

True or false: it is safe to massage an extremity that has a clot

Answer 17

False

Question 18

True or false: A healthy heart diet includes soda

Answer 18

False – caffeine and sugar are negatives

Question 19

Why do we suggest dangling legs with compromised arterial blood flow?

Answer 19

To promote the blood flow to the lower extremities

Question 20

What is the best way to warm feet with a peripheral vascular disorder?

Answer 20

Loose fitting socks – use non restricting garments

Question 21

What’s disease would make using a beta blocker risky?

Answer 21

DM – lowers blood sugars

Question 22

True or false: Claudication is relieved with rest

Answer 22

True

Question 23

Upon assessment a patient with an arterial occlusion will have what color of an extremity?

Answer 23

Pale/cyanotic – cold/cool – no pulse

Question 24

How is exercising helpful in a patient with peripheral vascular disease?

Answer 24

Helps move blood through the muscles

Question 25

Would a patient with hypertension benefit from relaxation exercises?

Answer 25

Yes – stress can increase BP

Question 26

What is something that a patient can do to reduce pressure on a varicose vein?

Answer 26

Achieve an ideal body weight

Question 27

Why do patients wear compression stockings after vein stripping?

Answer 27

To prevent blood from returning into the collapsed vein and to promote circulation everywhere else

Question 28

What is claudication?

Answer 28

Cramping pain in the leg that is induced by exercise

Question 29

What type of medication should be avoided in patients with COPD?

Answer 29

Beta blocker – poorly selective

Question 30

What is being treated when a patient undergoes vein stripping?

Answer 30

Varicose veins

Question 31

For how long after smoking a cigarette does vasoconstriction happen?

Answer 31

1 hour

Question 32

When trying to reduce sodium Intake, what can replace sodium?

Answer 32

Garlic

Question 33

What indicates a positive Homan’s sign?

Answer 33

Pain in the calf

Question 34

What is a normal DBP?

Answer 34

<80mm Hg

Question 35

What color might lower extremities with chronic venous insufficiency?

Answer 35

Brown

Question 36

What type of medication is verapamil?

Answer 36

A CCB – calcium channel blocker

Question 37

But patient decides to stop HTN medications abruptly. What are they at risk of having?

Answer 37

A hypertensive crisis

Question 38

Treatment of primary (essential) HTN focuses on?

Answer 38

Modifiable risks

Question 39

Treatment of secondary HTN focuses on?

Answer 39

Specific disease processes

Question 40

What type of medication is Diltiazem?

Answer 40

CCB – calcium beta blocker