Health Promotion + Maintenance

Peripheral vascular disease (PVD)

Blood circulation disorder that causes the blood vessels outside of the heart and brain to narrow, block, or spasm and can occur in arteries or veins Causes: smoking, HTN, diabetes, high cholesterol, over age 50, postmenopausal

Circurmoral cyanosis

Bluish discoloration of and around the lips indicator of cyanotic heart defect

The nurse is having an education class for pregnant women. A question is raised about exercise. What is the nurse's best response?

Discuss with HCP your current exercise regimen and history Should exercise each day for 30 mins or more

Which prescriptions are appropriate for the nursery nurse to initiate on a newborn prior to discharge home?

Hepatitis B vaccine, erythromycin ointment, vitamin k, PKU screening

Telangiectatic nevi (Stork bites)

Normal newborn finding

Ortolani's sign

Positive indicates congenital hip dislocation

Varicose veins

Veins have one-way valves that prevent blood from flowing backwards. When these valves fail, blood begins to collect in the vein rather than continuing toward the heart ∙ Leads to distended and tortuous veins along inner aspects of both legs ∙ Prevention: exercise, wear low heeled shoes, elevate, do not cross legs, avoid excessive sun exposure + standing too long

A nurse is caring for a pediatric client who has been diagnosed with hypothyroidism. What is essential for the nurse to teach the parents of this child?

Wait 4 hours before giving child iron supplements, antacids that contain calcium or aluminum hydroxide, or calcium supplements as it interferes with medication.

A nurse is planning to teach a group of adult males in their 40's about health care promotion recommendations. Which recommendations should the nurse include?

∙ Limit alcohol to no more than two drinks per day ∙ Do monthly skin self-exam to check for new moles or changes in moles ∙ Eye exams every 2 years ∙ Physical exams every 2-3 years if healthy ∙ 30 mins of physical exercise most days of week

Holter Monitor

∙ Small portable device attached to a client by electrodes worn for 24-48 hours to detect cardiac irregularities over a period of time ∙ Client must record every activity with the time, in addition to any episodes of chest pain or palpitations ∙ Avoid anything that may interfere with the machine, no electric razors, no hair dryers, metal detectors or microwave ovens, or even electric toothbrushes, phone ∙ Avoid water