Week 3 Nursing Care: Complex Perfusion Alterations
UPDATED ACTUAL Questions and CORRECT Answers
What subjective data suggests an altered perfusion Dizziness when moving from lying to standing
problem select al that apply. Smokes one pack of cigarettes daily
-Dizziness when moving from lying to standing Shortness of breath when lying flat
-Smokes one pack of cigarettes daily
-2+ pitting edema in lower extremities
-Shortness of breath when lying flat
-Neck vein distention is present
defined as the volume of blood the heart distributes to Cardiac output
the peripheral arterial vascular system
A nurse is providing education to a female client about Heart disease symptoms can be vague and include shortness of breath,
the risks of heart disease. What information should the indigestion, and fatigue.
nurse include?
Preventing Impaired Perfusion Preventing Impaired Perfusion
Hypertension: Maintain systolic blood pressure below
130 mmHg and diastolic below 80 mmHg.
Diabetes mellitus: Prevent hyperglycemia; blood
glucose and A1C should be less than 7%.
Hyperlipidemia: Maintaining cholesterol levels with a
total cholesterol level of less than 200 mg/dL is
recommended.
BNP should be less than 100 pg/ml.
Elevated BNP suggests that atrial fibrillation and rapid heart rate are causing
some degree of heart failure.
Serum potassium should be 3.5-5 mEq/L. After further review of Justine's history, the nurse discovers that
the client is taking furosemide 40 mg/day. This is the likely cause of
hypokalemia and could be a contributing factor to the development of cardiac
dysrhythmia.
HbA1c should be less than 7%Elevated levels of glycosylated hemoglobin indicate that Justine's glucose
control is not well regulated.
Assessment findings of peripheral arterial disease pain or cramping (intermittent claudication)
include: paresthesia (numbness or tingling)
cool to touch
pale or cyanotic
diminished to absent pedal pulses
prolonged capillary refill time
impaired nail growth
decreased hair distributio
UPDATED ACTUAL Questions and CORRECT Answers
What subjective data suggests an altered perfusion Dizziness when moving from lying to standing
problem select al that apply. Smokes one pack of cigarettes daily
-Dizziness when moving from lying to standing Shortness of breath when lying flat
-Smokes one pack of cigarettes daily
-2+ pitting edema in lower extremities
-Shortness of breath when lying flat
-Neck vein distention is present
defined as the volume of blood the heart distributes to Cardiac output
the peripheral arterial vascular system
A nurse is providing education to a female client about Heart disease symptoms can be vague and include shortness of breath,
the risks of heart disease. What information should the indigestion, and fatigue.
nurse include?
Preventing Impaired Perfusion Preventing Impaired Perfusion
Hypertension: Maintain systolic blood pressure below
130 mmHg and diastolic below 80 mmHg.
Diabetes mellitus: Prevent hyperglycemia; blood
glucose and A1C should be less than 7%.
Hyperlipidemia: Maintaining cholesterol levels with a
total cholesterol level of less than 200 mg/dL is
recommended.
BNP should be less than 100 pg/ml.
Elevated BNP suggests that atrial fibrillation and rapid heart rate are causing
some degree of heart failure.
Serum potassium should be 3.5-5 mEq/L. After further review of Justine's history, the nurse discovers that
the client is taking furosemide 40 mg/day. This is the likely cause of
hypokalemia and could be a contributing factor to the development of cardiac
dysrhythmia.
HbA1c should be less than 7%Elevated levels of glycosylated hemoglobin indicate that Justine's glucose
control is not well regulated.
Assessment findings of peripheral arterial disease pain or cramping (intermittent claudication)
include: paresthesia (numbness or tingling)
cool to touch
pale or cyanotic
diminished to absent pedal pulses
prolonged capillary refill time
impaired nail growth
decreased hair distributio
