Circulatory and Perfusion- HTN and PVD

The RN is the team leader working an experienced unlicensed assistive personnel (UAP), and a senior nursing student to provide nursing care for three patients in a vascular surgery unit. The patients are as follows:

M.R , a 57-year-old man with chronic peripheral arterial disease who reports severe pain due to an arterial ulcer on his left great toe

B.Q, a 69-year-old overweight woman with chronic hypertension whose blood pressure (BP) at the end of the night shift was 208/96 mm Hg

N.A, a 65-year-old woman who is scheduled for a venous dopplar study after concerns of bulging veins with itching and leg fatigue.

The nurse understands that which conditions are at increased risk for development when a patient has hypertension? Select all that apply.

After the change-of-shift report, the RN makes rounds on the patients. List the priority order for assessing these patients.

•M.

R

•B.Q

•N.A

At 8:30 am, the UAP reports that B.Q, with chronic hypertension, has a BP of 198/94 mm Hg. Which is the priority action?

After receiving her morning dose of enalapril, B.Q states that she experienced dizziness when getting out of bed to use the bathroom. What is the RN's priority action?

The RN is preparing a health teaching plan for B.Q. Which key aspects would be included? Select all that apply.

A nursing concern of chronic pain has been identified for M.R, who has chronic peripheral arterial disease (PAD). Which action by the nursing student causes the RN to intervene?

M.R tells the student nurse that when he is sitting in a chair, his feet turn a red-purple color and return to normal when he elevates his feet. What is best way for the student to document this finding?

The RN is teaching the student nurse who is caring for M.R how to differentiate arterial and venous ulcers. Which characteristics would the RN stress are indications of arterial ulcers? Select all that apply.

The RN has assigned the student nurse to teach M.R about foot care related to his PAD. Which teaching points would the RN instruct the student nurse to include?

N.A returns from her venous dopplar study. The provider diagnoses her with venous insuffiency and recommends compression stockings. What statement by the client indicates she understands how to use her compression stockings?

Before the nurse discharges N.A, what other conservative management education for venous insufficiency should she provide? (Select all that apply).

Congratulations! Your shift is now over.