Which group of drugs will the nurse plan to include when teaching a patient who has a new diagnosis of peripheral artery disease (PAD)? Select all that apply:
ACE inhibitors
Antibiotics
Statins
Beta-blockers
Antiplatelet agents
Correct Answer : C,E
Choice A reason: ACE inhibitors are primarily used to treat high blood pressure and heart failure, but they are not typically the first line of treatment for peripheral artery disease (PAD). While they may be prescribed to manage underlying conditions that contribute to PAD, they are not specifically targeted at improving blood flow in the affected arteries.
Choice B reason: Antibiotics are used to treat bacterial infections and have no role in the management of peripheral artery disease (PAD). They do not address the underlying causes or symptoms of PAD and are not included in the treatment regimen for this condition.
Choice C reason: Statins are commonly prescribed to patients with peripheral artery disease (PAD) as they help lower cholesterol levels and reduce the risk of plaque buildup in the arteries. By lowering LDL cholesterol and stabilizing plaques, statins can improve blood flow and reduce the progression of PAD.
Choice D reason: Beta-blockers are used to manage high blood pressure and heart conditions, but they are not typically used as a primary treatment for peripheral artery disease (PAD). While they may be prescribed to manage underlying cardiovascular conditions, they do not directly improve blood flow in the affected arteries.
Choice E reason: Antiplatelet agents, such as aspirin and clopidogrel, are commonly prescribed to patients with peripheral artery disease (PAD) to prevent blood clots from forming in the arteries. By inhibiting platelet aggregation, these medications help improve blood flow and reduce the risk of complications associated with PAD.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Assessing for unilateral swelling, redness, and tenderness is important when evaluating for conditions such as deep vein thrombosis (DVT). However, this patient's symptoms of leg cramps and pain that subsides with rest are more indicative of peripheral artery disease (PAD) rather than DVT. Therefore, while this assessment is valuable in certain contexts, it is not the most relevant for this patient's symptoms.
Choice B reason: Asking about skin color changes that occur in response to cold can help identify conditions such as Raynaud's phenomenon, which causes extremities to change color in response to cold or stress. However, this patient's symptoms of intermittent leg cramps and pain with walking are more suggestive of PAD, making this question less relevant in this situation.
Choice C reason: Palpating for the presence of dorsalis pedis and posterior tibial pulses is the most appropriate focused assessment. This patient's symptoms of leg cramps and pain that resolve with rest suggest intermittent claudication, which is a hallmark of PAD. By palpating these pulses, the nurse can assess the adequacy of blood flow to the lower extremities, which is crucial in diagnosing PAD.
Choice D reason: Looking for the presence of tortuous veins bilaterally on the legs is important for identifying varicose veins, which are characterized by enlarged, twisted veins. While varicose veins can cause leg discomfort, they are not typically associated with the type of pain that subsides with rest. This patient's symptoms are more indicative of PAD, making this assessment less relevant.
Correct Answer is ["133"]
Explanation
Step 1: First, we need to determine how many mL per hour the IV is administering. We know that 100 mL is administered over 45 minutes.
Step 2: Convert 45 minutes to hours. 45 minutes ÷ 60 minutes = 0.75 hours
Step 3: Calculate the flow rate in mL per hour. 100 mL ÷ 0.75 hours
Step 4: Perform the division. 100 ÷ 0.75 = 133.33
Step 5: Round to the nearest whole number. 133.33 rounds to 133.
Answer: The flow rate is 133 mL per hour.
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