Htn

Question 1

How would you teach a pt to apply TED hose/ stockings

Answer 1

After elevating leg 10-15 min. Apply ted hose.
Keep ted hose smooth
Change ted hose daily
Do not fold or roll down ted hose at the top

Question 2

What procedure is done for a pt that has buerger’s disease

Answer 2

Sympathectomy

Relieve pain and vasospasms

Question 3

What can cause aneurysm

Answer 3

Arthritis
Syphilis
Trauma to vessels wall

Question 4

What are complications of. Varicose veins

Answer 4

Embolus
Leg ulcers
Stasis dermatitis

Question 5

During vein stripping what occurs

Answer 5

A wire with a claw hook is inserted and the vein is pulled out like a sock inside out

Question 6

What are the initial symptoms of a aneurysm

Answer 6

Asymptomatic/ no symptoms not till leakage occurred

Question 7

If a pt. Presents themselves to facility with BP 200/120 complains of s.o.b, ha, dizziness, n/v what diagnosis and implementation

Answer 7

HTN crisis
IV's 
Admitted to ICU
Antihypertensive meds
Monitor arterial pressure

Question 8

First step to BP treatment

Answer 8

Life style changes
Lose weight
Restrict etch
Exercise
Stop smoking

Question 9

Step two BP treatment

Answer 9

Pt compliance

And start medications

Question 10

Step three BP treatment

Answer 10

Compliance
Increase medication dosage
Add medication
Substitute second drug

Question 11

A BP 140/90 is considered

Answer 11

HTN

Question 12

On assessment of a pt with pvd what questions should the nurse ask dealing with pain

Answer 12

Onset/ causes

What relieves the pain

Question 13

When a pt raises their leg and it turn pale

When the leg is dependent it red you know this is

Answer 13

Arterial

Question 14

When the pt elevates leg and there is no change

And when dependent it’s cyanosis you know this is

Answer 14

Venous

Question 15

If a pt has hard thick nails you know they have their circulation in legs are

Answer 15

Decrease circulation

Question 16

Pt dorsal flex ankle and experience calf pain this is called

Answer 16

Homans sign

Question 17

Pt lays supine and elevates leg 90 degrees for 30 sec. then a tourniquet is placed above the knee, pt stands for 30 sec and tourniquet is released. If vessels fill proximal to distal its positive. This test is called what

Answer 17

Brodie trendelenburg test

Question 18

Pt complians of pain in the palm of their hands and arch of their foot this sign of what disease

Answer 18

Buergers disease

Question 19

What are risk factors for buergers disease

Answer 19

Men age 20-40
Israel, Indian,Asian,oriental decent
Smokers

Question 20

Main treatment for buergers is

Answer 20

To stop smoking/ smoking cessation

Question 21

When should the pt labs be drawn

Answer 21

Draw blood/ get baseline lab
Dr. Orders medication then you hang med
6hr after med is started check lab again
If normal don't have to check till a.m.
If not meds may have be adjusted/ stopped and rechecked in 6 hr

Question 22

If a pt has a pt test >100 what to do

Answer 22

Notify md

Normal pt is 45-80

Question 23

Pt with white coat syndrome is at risk for

Answer 23

Cardiovascular disease

Question 24

What are interventions for thrombophlebitis

Answer 24

Elevate extremities
Don’t cross legs
Don’t sit/stand long periods

Question 25

Main symptom of raynoulds disease

Answer 25

Spasm of the hand and feet

Question 26

What causes secondary Raynauds disease

Answer 26

``` Syphilis Lupus Connective tissue/ collogen disorder Occupational trauma Meds:beta blockers Chemicals: binochloride ```

Question 27

Who are at risk for varicosities( varicose veins)

Answer 27

Obesity Family history Pregnancy

Question 28

Out of the 6 p's which one means the inability to move

Answer 28

Paralysis

Question 29

Out of the 6 p's which one means coolness

Answer 29

Poikiothermia

Question 30

What are s/s of DVT

Answer 30

Edema(swelling) Pain Warmth Positive homans sign

Question 31

A pt with DVT it is important to

Answer 31

Measure the circumference of leg and check pulses

Question 32

What are varicose veins

Answer 32

Protruding veins that are darken and torturous, vein walls harden become loose and lose elasticity

Question 33

Normal platelet count

Answer 33

150,00-400,000

Question 34

When a clot is stationary it is

Answer 34

Thrombus

Question 35

When a clot is moving it is

Answer 35

Embolus

Question 36

Diuretics taken every morning if swelling occur the pt should

Answer 36

Notify dr. Decrease BP causes orthostatic hypotension Have pt sit on sir of bed rise slowly

Question 37

When given diuretic check pt for

Answer 37

Allergies to sulfa

Question 38

Which pt are at risk for clots

Answer 38

Obese immobilized pt Elderly immobilized pt Contraceptive

Question 39

When a vein become infected it is called

Answer 39

Phlebitis | S/s redness warmth pain and streaking

Question 40

Pt is walking and has a history of DVT he becomes S.O.B and have chest pain you suspect this is

Answer 40

Pulmonary embolisms

Question 41

Pt future heparin injection is based on

Answer 41

PTT lab

Question 42

Ca channel blockers what do they do

Answer 42

Prevent reflex calcium which cause contractility/ spasm | Block ca

Question 43

A pt with a DVT has a vena cava filter/ umbrella filter what is this used for

Answer 43

To prevent clots from traveling to legs heart lungs and brain

Question 44

A pt with a massive DVT the dr would order

Answer 44

Thrombolitic/ streptokinase

Question 45

No homans sign

Answer 45

Move clot

Question 46

S/s of vascular occlusion

Answer 46

Cyanosis Edema Pain

Question 47

When will a doctor operate on a aneurysm

Answer 47

Abdominal 6-8cm | Thoracic 5-8

Question 48

What are discharge instructions for a pt going home with a aneurysm

Answer 48

``` Contact md immediately Severe pain Tearing of abdomin Pallor Diaphoresis ```

Question 49

After the pt has had abdominal sx for a aneurysm the nurse would

Answer 49

Monitor pulses,color, warmth of both lower extremities

Question 50

Who's at higher risk for HTN

Answer 50

African Americans

Question 51

95% of HTN unknown is called

Answer 51

Primary/ essential HTN

Question 52

Causes of secodnary HTN

Answer 52

``` Arteriosclerosis Atherosclerosis Hypernatremia Stress Alcohol Sickle cell Pregnancy Occupational ```

Question 53

Why do increase in BP cause MI

Answer 53

Increase workload on the heart

Question 54

With raynaulds disease you want to

Answer 54

Avoid stress Keep warm No repetition hand activity

Question 55

Treatment for raynaulds disease

Answer 55

Ca channel blocker Beta blocker Avoid exposure to vinal chloride Collagen and connective tissue disease can result from it

Question 56

What is the first medication given for HTN

Answer 56

Diuretics

Question 57

How to check a BP

Answer 57

Feet flat on floor 2/3 cuff Arm flat on surface Check both arms

Question 58

When a pt is rushing when will you check their BP

Answer 58

5 min after pt has rested

Question 59

How to control increase BP

Answer 59

Actively participate in treatment

Question 60

Thiazides medications

Answer 60

Hydrochlorothiazide (Esidrix, HydroDIURIL, Dyazide) Metolazone (Zaroxolyn) Indapamide (Lozol)

Question 61

Loop diuretics

Answer 61

Bumetanide (Bumex) Furosemide (Lasix) Torsemide (Demadex)

Question 62

Potassium sparing meds

Answer 62

Amiloride hydrochloride (Midamar) Spironolactone (Aldactone) Triamterene (Dyrenium)

Question 63

Anti hypertension | Beta blockers

Answer 63

``` Atenolol (Tenormin) Propranolol (Inderal) Metoprolol (Lopressor, Toprol XL) Timolol (Apo-Timol) Bisoprolol (Zebeta) Carvedilol (Coreg) ```

Question 64

Ace inhibitors

Answer 64

``` Benazepril (Lotensin) Captopril (Capoten) Enalapril (Vasotec) Fosinopril (Monopril) Lisinopril (Prinivil) Quinapril (Accupril) ```

Question 65

Ca channel blockers

Answer 65

``` Amlodipine besylate (Norvasc, Lotrel) Diltiazem (Cardizem) Nicardipine (Cardene) Nifedipine (Procardia) Verapamil (Calan, Isoptin) ```