Peripheral Vascular Disease NCLEX
Home / Nursing & Allied Health Certifications / NCLEX PN / Peripheral Vascular
Question 1 of 5.
The nurse is demonstrating the use of a blood pressure sphygmomanometer to a client newly diagnosed with hypertension. Which should the nurse teach the client? Select all that apply.
A. Tell the client to make sure the cuff is placed over an artery.
B. Teach the client to notify the health-care provider if the BP is >160/100.
C. Instruct the client about orthostatic hypotension.
D. Encourage the client to keep a record of the blood pressure readings.
E. Explain that even when the blood pressure is within normal limits the medication should still be taken.
Explanation: Cuff over artery (A), notifying HCP for BP >160/100 (B), orthostatic precautions (C), BP log (D), and continuing meds (E) ensure proper BP management. All apply.
Question 2 of 5.
The nurse is teaching the client recently diagnosed with essential hypertension. Which instruction should the nurse provide when discussing heart healthy exercise?
A. Walk at least 30 minutes a day on flat surfaces.
B. Perform light weight lifting three (3) times a week.
C. Recommend high-intensity aerobics daily.
D. Encourage the client to swim laps once a week.
Explanation: Walking 30 minutes daily (A) is aerobic, safe, and effective for hypertension. Light weight lifting (B) is less ideal, high-intensity aerobics (C) is too strenuous, and weekly swimming (D) is insufficient.
Question 3 of 5.
The male client diagnosed with essential hypertension has been prescribed an alpha-adrenergic blocker. Which intervention should the nurse discuss with the client?
A. Eat at least one (1) banana a day to help increase the potassium level.
B. Explain that impotence is an expected side effect of the medication.
C. Take the medication on an empty stomach to increase absorption.
D. Change position slowly when going from a lying to sitting position.
Explanation: Alpha blockers cause orthostatic hypotension; changing positions slowly (D) prevents falls. Bananas (A) are unrelated, impotence (B) is possible but not expected, and empty stomach (C) is not required.
Question 4 of 5.
The nurse is teaching the Dietary Approaches to Stop Hypertension (DASH) diet to a client diagnosed with essential hypertension. Which statement indicates that the client understands teaching concerning the DASH diet?
A. I should eat at least four (4) to five (5) servings of vegetables a day.'
B. I should eat meat that has a lot of white streaks in it.'
C. I should drink no more than two (2) glasses of whole milk a day.'
D. I should decrease my grain intake to no more than twice a week.'
Explanation: The DASH diet emphasizes 4-5 servings of vegetables daily (A) to lower BP. Marbled meat (B) is high-fat, whole milk (C) is limited, and grains (D) are encouraged (6-8 servings daily).
Question 5 of 5.
The intensive care department nurse is calculating the total intake for a client diagnosed with hypertensive crisis. The client has received 880 mL of D5W, IVPB of 100 mL of 0.9% NS, 8 ounces of water, 4 ounces of milk, and 6 ounces of chicken broth. The client has had a urinary output of 1,480 mL. What is the total intake for this client?
Answer: 1180
Explanation: Total intake = IV fluids (880 mL D5W + 100 mL NS) + oral fluids (8 oz water + 4 oz milk + 6 oz broth). 1 oz = 30 mL, so oral = (8+4+6) X 30 = 540 mL. Total = 880 + 100 + 540 = 1,180 mL. Output (1,480 mL) is not included in intake.