A patient is having segmental pressure measurements conducted to ...

[Awilson837]

A patient is having segmental pressure measurements conducted to help diagnose peripheral vascular disease. What finding would indicate the presence of this disorder?
 
  1. thigh pressure higher than the arm
  2. calf pressure higher than the arm
  3. calf pressure lower than the arm
  4. no difference between the arm or leg

Question 2

A patient with diabetes is beginning treatment for hypertension. What should the nurse explain as being the blood pressure treatment goal for this patient?
 
  1. 140/90 mmHg
  2. 135/85 mmHg
  3. 130/80 mmHg
  4. 120/80 mmHg

[T4T]

Answer to Question 1

Correct Answer: 3
Noninvasive studies often are sufficient to diagnose peripheral vascular disease. Segmental pressure measurements use sphygmomanometer cuffs and a Doppler device to compare blood pressures between the upper and lower extremities and within different segments of the affected extremity. In peripheral vascular disease (PVD), the blood pressure may be lower in the legs than in the arms.

Answer to Question 2

Correct Answer: 3
Hypertension management focuses on reducing the blood pressure to less than 140 mmHg systolic and 90 mmHg diastolic. The ultimate goal of hypertension management is to reduce cardiovascular and renal morbidity and mortality. The risk of cardiovascular complications decreases when the average blood pressure is less than 140/90; when the patient also has diabetes or renal disease, the treatment goal is a blood pressure less than 130/80.

[Awilson837]

Thank you

[T4T]

Happy to help you