A patient who has just been diagnosed with peripheral arterial disease (PAD) asks what "intermittent claudication" means. How should the nurse describe this condition?
1. Leg pain that occurs at rest
2. Leg pain that occurs with exercise
3. A tingling feeling in the hands
4. Pain that can occur anywhere in the body with exercise
2
Rationale 1: Intermittent claudication is typically relieved by rest.
Rationale 2: Intermittent claudication is exercise-induced leg pain that can occur in different locations throughout the leg/hip area.
Rationale 3: Intermittent claudication does not occur in the hands.
Rationale 4: The pain is unique to the lower extremities.
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Upon auscultation, the cardiologist graded the patient's heart murmur as a grade 2 . You know that this indicates a/an
A) soft murmur. B) audible murmur without a stethoscope. C) murmur associated with a thrill. D) audible murmur but not palpable.
As part of a written standard protocol for the unit, a nurse adds that irrigation of an occluded cannula is not recommended. What is the rationale against performing this procedure?
a. It may damage a venous valve. b. It may introduce an air embolus into the line. c. It may cause the patient pain. d. It may force blood clots into the main bloodstream.
The nurse accidentally administers 15 mg of morphine IM to a client who had been given another dose of morphine 15 mg IM about 30 minutes earlier. What action should the nurse be prepared to take?
A. Administration of oxygen B. Administration of naloxone (Narcan) C. Administration of protamine sulfate D. Assistance with endotracheal intubation
For which patient is drug therapy with nicotinic acid contraindicated?
a. 28-year-old who has familial hyperlipidemia b. 38-year-old who had hyperthyroidism and lactose intolerance c. 58-year-old who has an actively bleeding duodenal ulcer d. 78-year-old who takes an oral drug for type 2 diabetes