NURS 325 Health Assessment FINAL Exam 104 Approved Solutions.
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Course
Health assessment
Institution
Health Assessment
NURS 325 Health Assessment FINAL Exam 104 Approved Solutions.
NURS 325 Health Assessment FINAL Exam 104 Approved Solutions.
NURS 325 Health Assessment FINAL Exam 104 Approved Solutions.
NURS 325 Health Assessment FINAL Exam 104 Approved Solutions.
NURS 325 Health Assessment FINAL Exam 104 Appro...
PAD medical care - ANSWER-*Administer vasodilators/anticoagulants
*IR - percutaneous transluminal balloon angioplasty w/ stent placement
*Sx - peripheral artery bypass (to bypass blood around lesion)
*CVD risk factor modification
*Treat claudication symptoms (exercise)
PAD pt teaching - ANSWER-*Teach pts methods to promote vasodilation
*Teach to avoid raising their legs above the level of the heart UNLESS venous stasis is
also present
*Provide written and oral instructions on foot care & methods to prevent injury and ulcer
development
*Encourage smoking cessation
*Limit dietary intake of fat and drink adequate fluids to prevent dehydration
PAD nursing management - ANSWER-After Sx - frequently monitor skin color/temp,
capillary refill, peripheral pulses distal to op-site, sensation and movement of extremity
Ambulatory/At home - manage risk factors, meticulous foot care, inspect feet daily,
gradually increase physical activity after sx
Focus on: -tissue perfusion
-pain relief
, NURS 325 Health Assessment FINAL
Exam 104 Approved Solutions.
-exercise tolerance
-intact/healthy skin
-pt knowledge of disease and treatment plan
Aspirin and Clopridogrel for PAD - ANSWER-low dose aspirin therapy
clopidogrel for aspirin-intolerant patients
high risk pt may take combination aspirin-clopidogrel
VTE clinical manifestations - ANSWER-unilateral leg edema, pain, sense of fullness,
paresthesias, warm, erythema, fever
**can be asymptomatic
VTE nursing care - ANSWER--teach preventative measures and lifestyle modifications
-administer prescribed anticoagulants
-asses for PE and venous insufficiency
-assess pt diet/nutritional needs
-assess pt mobility status
VTE medical care - ANSWER--encourage primary prevention
-early and aggressive mobilization
-drug therapy (anticoagulants {vitamin K antagonists; thrombin inhibitors; factor Xa
inhibitors})
VTE pt teaching - ANSWER--increase mobility
-compression stockings
-medication use
-manifestations of PE and chronic venous insufficiency
-diet changes
-fall precautions
-smoking cessation
-avoid oral contraceptives/hormone replacement therapy
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