NSG 3130 unit 9: Blood circulation Preparedness baseline Exam knowledge Questions with Expertly written solution 2024/2025
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Course
NSG 3130
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NSG 3130
NSG 3130 unit 9: Blood circulation Preparedness baseline Exam knowledge Questions with Expertly written solution 2024/2025
What is tissue ischemia? - correct answer is a deficiency of blood in a tissue that is caused by constriction or obstruction of local blood vessels and results in a reduced ...
NSG 3130 unit 9: Blood circulation
Preparedness baseline Exam knowledge
Questions with Expertly written solution
2024/2025
What is tissue ischemia? - correct answer is a deficiency of blood in a tissue that is
caused by constriction or obstruction of local blood vessels and results in a reduced
supply of oxygen to the tissue. (mi, stroke, gangrene)
Signs and symptoms of tissue ischemia. - correct answer decreased peripheral pulses,
pain or paresthesia, pale skin, cool extremities, decreased hair distribution.
What causes anemia? - correct answer rbc's lost caused by acute or chronic bleeding.
Diet is deficient in iron or folic acid. Hemoglobin and rbc's are not formed adequately.
Signs and symptoms of anemia. - correct answer chronic fatigue, pallor, shortness of
breath, hypotension (we always see these)
Watch for organ failure.
Eyes-yellowing
Skin-paleness, coldness, yellowing
Respiratory- shortness of breath
Intestinal- change stool color
Central nervous system-fatigue, dizziness, fainting
Blood vessels- low blood pressure
Heart-palpitations, rapid heart rate, chest pain, angina, heart attack
Spleen-enlargement
What labs do we need to look at when the patient has anemia? - correct answer need
to watch for a hemoglobin lower than 8 and the hematocrit
, What does the physical assessment of anemia entitled? - correct answer bp in both
arms (should never differ more than 10 on each side), peripheral pulses, apical pulse,
carotid arteries auscultated for bruits, lung sounds, ankle brachial index.
Cardiac monitoring.
What are the diagnostic studies of circulation? - correct answer blood test-serum lipid
level, electrolytes, hemoglobin, creatinine kinase (ck), troponin.
What is the ankle brachial index? - correct answer a test that compares the blood
pressure in the upper and lower limbs.
How do you calculate the abi? - correct answer systolic pressure of the ankle/systolic
pressure of the arm
1-1.2=normal
0.91-.99= borderline
.41-.90 mild to moderate
<.40 severe peripheral arterial disease.
Nursing process for diagnosing circulation. - correct answer decreased cardiac output,
risk for peripheral neurovascular dysfunction, activity intolerance
Nursing process for planning to circulation. - correct answer maintain or improve
tissues perfusion and maintain or restore an adequate cardiac output.
Nursing process for implementation to circulation. - correct answer vascular- (blood
back to the heart) venous (veins) elevated legs to promote return to the heart. Avoid
pillow under the knees. Encourage leg exercises and promote ambulation. Frequent
position changes. Scd's/anti-embolistocking, heparin
Arterial-(arteries) dangle legs to promote blood flow to distal sites (blood not getting too
the limbs)
Cardiac- high fowler's position decreases preload and reduces pulmonary congestion &
monitor input and output.
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