The nurse has admitted a resident with the diagnosis of PVD to a ...

[krzymel]

The nurse has admitted a resident with the diagnosis of PVD to a long-term care facility. When providing care to this patient, the nurse will (Select all that apply.)
 
  a. initiate elevation of lower extremities.
  b. implement pain management as ordered.
  c. assess skin temperature.
  d. vigorously dry feet after washing.
  e. palpate pedal pulses.

Question 2

A trauma patient arrives in the emergency department via EMS. He is bleeding profusely. A medical alert bracelet indicates that he is on heparin therapy.
 
  The nurse will most likely administer which medication that counteracts the action of heparin?
  a. Warfarin sodium (Coumadin)
  b. Enoxaparin (Lovenox)
  c. Protamine sulfate
  d. Vitamin K

[eliasc0401]

Answer to Question 1

ANS: B, C, E
Pain management, assessment of skin temperature, and palpation of pedal pulses are indicated with the care of a patient with PVD. The nurse needs to check with the health care provider before initiating elevation of the extremities. It is contraindicated in patients with arterial insufficiency. After bathing, feet should be gently dried. Vigorous rubbing is contraindicated.

Answer to Question 2

ANS: C
Protamine sulfate is the antidote to heparin. With the patient's risk of fluid volume deficit as a result of trauma, the primary intervention would be to counteract the effects of heparin to prevent hemorrhage. Warfarin is an anticoagulant and would not counteract hemorrhage. Lovenox is chemically related to heparin and would not counteract hemorrhage. Vitamin K is used to control the bleeding that results from use of warfarin (Coumadin), not heparin.