Deck 26: Drugs Used to Treat Peripheral Vascular Disease

Question 1

Which are necessary steps in the assessment of the patient preparing for treatment PVD with pentoxifylline (Trental)? (Select all that apply.)

A)Check for intolerance to caffeine.
B)Obtain baseline data on pain that may be present.
C)Obtain test results for PT and aPTT.
D)Perform baseline gastrointestinal assessment to determine if the patient has nausea, vomiting, or dyspepsia.
E)Ask specifically if the patient has any cardiac symptoms or dizziness.
F)Schedule the patient for an exercise stress test.

Answer 1

Check for intolerance to caffeine.
Obtain baseline data on pain that may be present.
Perform baseline gastrointestinal assessment to determine if the patient has nausea, vomiting, or dyspepsia.
Ask specifically if the patient has any cardiac symptoms or dizziness.

Question 2

The nurse is preparing to provide personal care to a patient with peripheral vascular disease.When providing foot care, the nurse will:

A)assist the patient to a supine position.
B)keep feet moistened with lotion.
C)trim toenails daily.
D)change socks daily.

Answer 2

change socks daily.

Question 3

The nurse advises a patient taking papaverine to consult the health care provider or pharmacist before taking which over the counter (OTC) medication?

A)Laxatives
B)Cough and cold remedies
C)Vitamin supplements
D)Acetaminophen

Answer 3

Cough and cold remedies

Question 4

Which are included in the baseline assessment of PVD? (Select all that apply.)

A)History of heart disease
B)Smoking and dietary habits
C)Current medications
D)Weight
E)Limb pain
F)Mental status

Question 5

Which assessment verifies increased blood perfusion to the lower extremities?

A)Toes cool to the touch
B)Decreased sensation below the knees
C)Increased amplitude of pedal pulses
D)Paleness of the foot

Question 6

When assessing a client recently prescribed pentoxifylline (Trental), which medication will alert the nurse to monitor closely for adverse effects?

A)Antilipemic
B)Antihypertensive
C)Antibiotic
D)Antipsychotic

Question 7

The nurse has completed teaching to a patient recently prescribed cilostazol (Pletal).Which statement by the patient indicates a need for further teaching?

A)"I will sit down if I feel lightheaded or faint."
B)"Because this medication helps my circulation, I will try to quit smoking."
C)"Grapefruit juice will increase the effects of this medication."
D)"Diarrhea may occur but likely will stop with continued therapy."

Question 8

The nurse is assessing the patient's leg for peripheral vascular disease (PVD) and is unable to palpate the pedal pulse in either foot.Which action will the nurse take first?

A)Contact the health care provider for further orders.
B)Request x-ray studies of the lower extremities.
C)Request that the patient lie flat.
D)Obtain a Doppler ultrasound device for auscultation.

Question 9

What will the nurse include in the discharge teaching plan for a patient with PVD? (Select all that apply.)

A)Intermittent cold applications to the extremities
B)Heat therapy
C)Stress reduction techniques
D)An exercise program
E)Bed positioning techniques

Question 10

Which patient statement indicates to the nurse that the patient has a good understanding of PVD?

A)"Symptoms are warning signs of the increased potential to develop diseases."
B)"Pharmacologic treatments can reverse the disease process."
C)"Surgical interventions will cure the disease."
D)"Controlling contributing factors may affect the progression of the disease."

Question 11

The nurse is assessing a patient on papaverine therapy and notes tachycardia, which is a compensatory effect of which condition?

A)Hypoventilation
B)Hypotension
C)Excessive sympathetic stimulation
D)Adrenergic suppression

Question 12

The nurse has admitted a resident with the diagnosis of PVD to a long term care facility.When providing care to this patient, the nurse will: (Select all that apply.)

A)initiate elevation of lower extremities.
B)implement pain management as ordered.
C)assess skin temperature.
D)vigorously dry feet after washing.
E)palpate pedal pulses.

Question 13

What is the action of pentoxifylline (Trental), a hemorheologic agent used to treat chronic occlusive arteriole disease?

A)Vasodilates the peripheral arteries
B)Potentiates the blood clotting mechanism
C)Increases erythrocyte flexibility
D)Increases blood viscosity

Question 14

A patient has recently been prescribed cilostazol (Pletal).Which statement by the patient indicates that this medication is effective?

A)"I have less leg cramping when I walk."
B)"My pulse rate is more regular."
C)"I have had fewer episodes of angina."
D)"My blood pressure has decreased."

Question 15

The nurse observes a patient taking papaverine hydrochloride to be flushed and diaphoretic following the initial dose.The nurse's best response is to:

A)hold the next dose.
B)assess blood glucose.
C)provide comfort measures.
D)immediately notify the physician.

Question 16

The nurse is preparing a teaching plan for a patient with Raynaud's disease who is soon to be discharged.What information will be included to improve circulation and prevent complications of this disease? (Select all that apply.)

A)Begin a daily exercise program.
B)Keep hands and feet warm.
C)Surgery is often the most effective treatment.
D)Elevate the lower extremities when reclining.
E)Smoking cessation will improve outcomes.