PAD questions

medications

-antiplatelet -lipid lowering agents

complications

-delayed wound healing -wound infection -gangrene -tissue necrosis

risk factors

-women -african americans -tobacco -uncontrolled HTN -obesity -old age

what is the leading cause

atherosclersis

The nurse reviews the admission orders shown in the accompanying figure for a patient newly diagnosed with peripheral artery disease. Which admission order should the nurse question? a. Use of treadmill for exercise b. Referral for dietary instruction c. Exercising to the point of discomfort d. Combined clopidogrel and omeprazole therapy

combined clopidogrel and omeprazole therapy

pulses?

diminished in lower extremities, present but hard to find

diagnostic

doppler ultrasound

A 67-year-old patient is admitted to the hospital with a diagnosis of venous insufficiency. Which patient statement is most supportive of the diagnosis? a. I cant get my shoes on at the end of the day. b. I cant seem to ever get my feet warm enough. c. I have burning leg pains after I walk two blocks. d. I wake up during the night because my legs hurt.

i can't get my shoes on at the end of the day

When developing a teaching plan for a 76-year-old patient newly diagnosed with peripheral artery disease (PAD), which instructions should the nurse include? a. Exercise only if you do not experience any pain. b. It is very important that you stop smoking cigarettes. c. Try to keep your legs elevated whenever you are sitting. d. Put elastic compression stockings on early in the morning

it is very important that you stop smoking cigarettes

The nurse performing an assessment with a patient who has chronic peripheral artery disease (PAD) of the legs and an ulcer on the right second toe would expect to find a. dilated superficial veins. b. swollen, dry, scaly ankles. c. prolonged capillary refill in all the toes. d. a serosanguineous drainage from the ulcer.

prolonged capillary refill in all the toes

A patient in the outpatient clinic has a new diagnosis of peripheral artery disease (PAD). Which group of medications will the nurse plan to include when providing patient teaching about PAD management? a. Statins b. Antibiotics c. Thrombolytics d. Anticoagulants

statins

what is PAD

thickening of artery wall results in narrowing of arteries of upper and lower extremities

what does skin look like

think shiny and taut, hair loss on lower legs, brown pigmentation,

When evaluating the discharge teaching for a patient with chronic peripheral artery disease (PAD), the nurse determines a need for further instruction when the patient says, I will a. have to buy some loose clothes that do not bind across my legs or waist. b. use a heating pad on my feet at night to increase the circulation and warmth in my feet. c. change my position every hour and avoid long periods of sitting with my legs crossed. d. walk to the point of pain, rest, and walk again until the pain returns for at least 30 minutes 3 times a week.

use a heating pad on my feet at night to increase the circulation and warmth in my feet