Perfusion 2/ Elimination

A client is receiving cilostazol for peripheral arterial disease causing intermittent claudication. The nurse determines this medication is effective when the client reports:

"I am able to walk further without leg pain."

The nurse instructs a client with coronary artery disease in the proper use of nitroglycerin. The client has had 2 previous episodes of coronary artery disease. At the onset of chest pain, what should the client do?

Call 911 when three nitroglycerin tablets taken every 5 minutes are not effective.

A client is diagnosed with deep vein thrombosis (DVT). Which nursing diagnosis should receive highest priority at this time?

Ineffective peripheral tissue perfusion related to venous congestion

A client developed cardiogenic shock after a severe myocardial infarction and has now developed acute renal failure. The client's family asks the nurse why the client has developed acute renal failure. The nurse should base the response on the knowledge that there was:

a decrease in the blood flow through the kidneys.

When assessing a child after heart surgery to correct tetralogy of Fallot, which finding should alert the nurse to suspect a low cardiac output?

altered level of consciousness and thready pulse

A client with chronic arterial occlusive disease undergoes percutaneous transluminal coronary angioplasty (PTCA) for mechanical dilation of the right femoral artery. After the procedure, the client will require long-term administration of:

aspirin or clopidogrel.

The primary health care provider (HCP) prescribes intravenous magnesium sulfate for a primigravid client at 38 weeks' gestation diagnosed with severe preeclampsia. Which medication would be most important for the nurse to have readily available?

calcium gluconate

A client has undergone an amputation of three toes and a femoral-popliteal bypass. The nurse should teach the client that after surgery which leg position is contraindicated while sitting in a chair?

crossing the legs

The client has been managing angina episodes with nitroglycerin. Which finding indicates that the therapeutic effect of the drug has been achieved?

decreased chest pain

A client has been diagnosed with peripheral arterial occlusive disease. In order to promote circulation to the extremities, the nurse should instruct the client to:

participate in a regular walking program.