PTS 1 DIF Cognitive Level Comprehension REF 419 OBJ 3 clinical TOP PVD Basic

Pts 1 dif cognitive level comprehension ref 419 obj 3

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PTS: 1 DIF: Cognitive Level: Comprehension REF: 419 OBJ: 3 (clinical) TOP: PVD: Basic Care KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance24. Which words compose part of the 5 Psof arterial disease? (Select all that apply.) a. Painb. Paresthesiac. Purulentd. Poolinge. PallorANS: A, B, E Five Ps of arterial disease are pain, pulselessness, pallor, paresthesias, and paralysis.PTS: 1 DIF: Cognitive Level: Knowledge REF: 422 OBJ: 3 (clinical) TOP: 6 Ps of Arterial Disease KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance25. The nurse is caring for an 80-year-old long-resident in a term care facility. Which intervention(s) should the nurse plan to enhance blood flow? (Select all that apply.) Interventions that may enhance blood flow include using light blankets while sitting, elevating legs, encouraging exercise, and maintaining a warm environment. Compression stockings are beneficial.PTS: 1 DIF: Cognitive Level: Application REF: 409 OBJ: 3 (clinical) TOP: PVD: Maintenance KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 26. The nurse is caring for a patient with Raynaud disease who is employed as a construction worker, has hypertension, and smokes one-half to one pack of cigarettes per day. What teaching points should the nurse include in discharge instructions? (Select all that apply.)
The major nursing interventions for Raynaud disease involve teaching the patient to protect extremities and prevent injury. The patient should be taught to dress warmly when in cold environments. Clothing should be layered and nonrestrictive. The patient should wear protective clothing like hats, gloves, and warm socks. The patient should wear protective gloves when reaching into ovens and when handling extremely cold items. The patient should also manage stress and stop tobacco use. Caffeine intake should be limited. The patient should not use a heating pad for warmth due to risk for burns.PTS: 1 DIF: Cognitive Level: Application REF: 412 OBJ: 7 (theory) TOP: Raynaud Disease KEY: Nursing Process Step: Intervention MSC: NCLEX: Health Promotion and MaintenanceCOMPLETION27. The patient who has a history of smoking and alcohol abuse is most likely to develop __________ hypertension.ANS: secondary Secondary hypertension results from other conditions or lifestyle choices. Primary hypertension is idiopathic or familial.PTS: 1 DIF: Cognitive Level: Comprehension REF: 397 OBJ: 1 (theory) TOP: Hypertension KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: Physiological Adaptation

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