Author Question: The nurse completes an assessment with a patient and begins planning care for a venous leg ulcer. ... (Read 72 times)

fagboi · **on:** Jun 25, 2018

The nurse completes an assessment with a patient and begins planning care for a venous leg ulcer. What manifestations did the nurse use to make this clinical decision?

Select all that apply.

1. There is an ulcer located on the toe.
2. The ulcer is superficial and pink.
3. Pulses in the foot are decreased.
4. Skin over the leg is discolored brown.
5. The patient rates pain as 8 on a scale from 0 to 10.

Question 2

A patient is diagnosed with an aortic dissection. Which medications should the nurse expect to be prescribed for this patient?

Select all that apply.

1. verapamil (Isoptin)
2. esmolol (Brevibloc)
3. diltiazem (Cardizem)
4. hydralazine (Apresoline)
5. sodium nitroprusside (Nipride)

sokh · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2, 4
Manifestations of a venous ulcer include superficial wound that is pink and brown skin discoloration. Arterial ulcers are located on the toe. Pulses are decreased with an arterial ulcer. Severe pain is associated with an arterial ulcer.

Answer to Question 2

Correct Answer: 1, 2, 3, 5
Patients with aortic dissection are initially treated with intravenous beta-blockers such as esmolol (Brevibloc) to reduce the heart rate to about 60 bpm. Sodium nitroprusside (Nipride) infusion is started concurrently to reduce the systolic pressure to 120 mmHg or less. Calcium channel blockers such as verapamil (Isoptin) or diltiazem (Cardizem) also may be used. Direct vasodilators such as hydralazine (Apresoline) are avoided because they may actually worsen the dissection.