A patient with peripheral vascular disease has been on pentoxifylline (Trental) for 2 weeks.

Which statements by the patient indicate no need for further patient teaching about the disease? Select all that apply.

"I should quit smoking to improve blood flow.".

"I need to avoid prolonged sitting or standing.".

"I should take my pentoxifylline with meals.".

"I need to limit my physical activity to avoid worsening symptoms.".

Answer and Explanation

Correct Answer : A,B

Pentoxifylline is a medication that improves blood flow and oxygen delivery to the tissues in patients with peripheral vascular disease (PVD), a condition that causes narrowing of the arteries in the legs. Pentoxifylline can help reduce the symptoms of intermittent claudication, which is cramping pain in the legs that occurs with walking and improves with rest.

Choice A is correct because smoking is a major risk factor for PVD and quitting smoking can improve blood flow and prevent further damage to the arteries.

Choice B is correct because prolonged sitting or standing can reduce blood flow to the legs and worsen symptoms of PVD.

Patients should avoid crossing their legs, wearing tight clothing, or exposing their legs to cold temperatures. They should also elevate their legs when resting and move them frequently.

Choice C is wrong because pentoxifylline should be taken on an empty stomach, at least one hour before or two hours after meals, to increase its absorption and effectiveness.

Choice D is wrong because physical activity is beneficial for patients with PVD and intermittent claudication.

Exercise can improve blood circulation, increase muscle strength, reduce pain, and lower cardiovascular risk factors. Patients should be encouraged to walk regularly, as tolerated, and follow a supervised exercise program if available.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Nitroglycerin is a medication that dilates the blood vessels and improves blood flow to the heart. It is used to treat angina, a condition that causes chest pain due to reduced oxygen supply to the heart. However, nitroglycerin can lose its effectiveness over time if it is used continuously. This is called tolerance, and it means that the patient will need higher doses of the medication to achieve the same relief. To avoid tolerance, patients who use transdermal nitroglycerin patches are instructed to remove the patch at bedtime and apply a new one in the morning. This creates a nitrate-free interval of about 8 to 12 hours, which allows the body to restore its sensitivity to nitroglycerin.

Choice A is wrong because an allergic response is not a common side effect of nitroglycerin. Some patients may experience skin irritation or rash at the site of application, but this is usually mild and does not require discontinuation of the medication.

Choice C is wrong because overdosage is unlikely with transdermal nitroglycerin patches. The patches deliver a controlled amount of nitroglycerin through the skin over a period of time. The risk of overdosage is higher with other forms of nitroglycerin, such as tablets or sprays, which are taken as needed for acute angina attacks.

Choice D is wrong because forgetting to remove the patch in the morning is not a serious problem. The patch will continue to deliver nitroglycerin until it is removed, but it will not cause harm to the patient. However, it may reduce the effectiveness of the next patch if there is no nitrate-free interval between them.

A. To dissolve the existing clots. B. To transport platelets. C. To prevent the formation of new clots. D. To increase blood viscosity.

Correct Answer is C

Explanation

Anticoagulants are medicines that increase the time it takes for blood to clot.They do not dissolve existing clots, but they can stop them from getting bigger or prevent new clots from forming.Anticoagulants work by interfering with different steps of the blood coagulation pathway, which is a complex process that involves many clotting factors.

Choice A is wrong because anticoagulants do not dissolve existing clots.To dissolve clots, you need medicines called thrombolytics or fibrinolytics, which break down the fibrin that holds the clots together.

Choice B is wrong because anticoagulants do not transport platelets.

Platelets are blood cells that help with clotting by sticking together and forming a plug at the site of an injury.Anticoagulants may affect the function of platelets, but they do not move them around.

Choice D is wrong because anticoagulants do not increase blood viscosity.

Viscosity is a measure of how thick and sticky a fluid is.

Anticoagulants are sometimes called blood thinners, but they do not actually change the viscosity of blood.They just make it less likely to clot.

Normal ranges for blood clotting tests vary depending on the type of test and the laboratory that performs it.

Some common tests and their normal ranges are:

• Prothrombin time (PT): 11 to 13.5 seconds

• International normalized ratio (INR): 0.8 to 1.2

• Activated partial thromboplastin time (aPTT): 25 to 35 seconds

• Anti-factor Xa: 0.3 to 0.7 units/mL

• D-dimer: less than 0.5 mcg/mL

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A patient with peripheral vascular disease has been on pentoxifylline (Trental) for 2 weeks. Which statements by the patient indicate no need for further patient teaching about the disease? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Why is a patient who is using a transdermal nitroglycerin patch instructed to remove the patch at bedtime and apply a new one in the morning?

Correct Answer is B

Explanation

What is the main action of anticoagulant drugs?

Correct Answer is C

Explanation

A nurse in a provider’s office is monitoring blood electrolytes for four clients who take digoxin. Which of the following electrolyte values increases a client’s risk for digoxin toxicity?

To decrease the risk of cardiovascular disease in patients, which measure is recommended by health care professionals?

Which administration strategy can a patient implement to reduce flushing, the most common adverse effect of niacin therapy?

A patient is diagnosed with hypertension. What is the initial recommendation for this patient likely to be?

The antagonistic agent to digoxin toxicity is what?

Which of the following anti-lipidemic drugs are the most potent antilipidemic agents and have proven to lower the risk of Myocardial Infarction?

Choose the group that is correct. Select all that apply.

The prescriber orders furosemide 80 mg for a patient who has been retaining extra fluid after surgery. The nurse notes the following: BP of 142/88 (lying) and 108/60 (sitting); daily weight of 154 lb, a 1-lb drop from day before; serum potassium of 2.8 mEq/L. What should the nurse do?

A patient with peripheral vascular disease has been on pentoxifylline (Trental) for 2 weeks.

Which statements by the patient indicate no need for further patient teaching about the disease? Select all that apply.