S.P.'s ABI results showed 0.43 right (R) leg and 0.59 left (L) leg. His primary care provider discusses these results with him and decides to wait 2 months to see whether his symptoms improve with medication changes
and risk factor modification before deciding about surgical intervention. S.P. receives a prescription
for clopidogrel (Plavix) 75 mg daily and is told to discontinue the daily aspirin. In addition, S.P. receives
a consultation for physical therapy.
What do these ABI results indicate?
The ABI is a ratio that is derived by dividing the ankle BP by the brachial BP. An ABI of less than 0.9 in
either leg is diagnostic of PAD. S.P.'s right leg shows a lower ABI, which means the disease is worse in
his right leg. His results indicate moderate PAD.
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The nurse is reinforcing teaching for a patient with open-angle glaucoma. Which of the following statements is most important to include in the patient teaching?
a. Compliance with drug therapy is essential to prevent loss of vision. b. Damage to the eye caused by glaucoma is reversible in early stages. c. Regardless of treatment, peripheral vision will be eventually lost. d. Eye pain is experienced until the optic nerve atrophies, causing blindness.
The health care organization uses a barcoding system for the distribution of medications to clients. This system:
a. confirms the right client, drug, and dosage. b. produces data when stimulated by radio frequency energy. c. is not widely used. d. analyzes data to facilitate decision making.
The nurse is caring for a 25-year-old soldier on the day following an enucleation due to traumatic injury. The soldier states, "My girlfriend probably won't have anything to do with me since I'll never look the same!"
What is an appropriate response by the nurse? 1. "You'll probably get your temporary prosthesis in a week and your permanent one in 1 or 2 months. Most people won't know which eye is which." 2. "I wouldn't worry; your girlfriend is not going to give up on you." 3. "Your hearing aid will be nearly invisible; no one will know you have one." 4. "Why don't you tell a couple of your friends to bring you a pizza? That will cheer you up."
A patient who is prescribed sucralfate asks the nurse how this drug will help treat his gastric ulcer. What is the nurse's best response?
a. "Sucralfate decreases secretion of gastric acids to help your ulcer heal." b. "Sucralfate completely blocks the secretion of gastric acids so your ulcer can heal." c. "Sucralfate treats the infection with H. pylori that is the major cause of gastric ulcers." d. "Sucralfate forms a thick coating to cover the ulcer, protect from further damage, and allow healing."