C HAPTER 25: D RUGS U SED TO T REAT
P ERIPHERAL V ASCULAR D ISEASE
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Which statement by patient that has recentl y been prescri bed cilostazol
(Pletal) indicates this medication is effective?
a. “I have less leg cramping when I walk. ”
b. “M y pulse rate is more regular. ”
c. “I have had fewer episodes of angina. ”
d. “M y blood pressure has decreased. ”
ANS: A
The primary therapeutic outcome exp ected from cilostazol is improved tissue
perfusion, with a reduced frequency of pain, improved tolerance to exercise,
and improved peripheral pulses. A more regular pulse, decreased episodes of
angina, and decreased blood pressure are not expected outcomes of cilostazol
administration.
DIF: Cognitive Level: Comprehension REF: p. 413 OBJ: 4
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Evaluation
CON: Clinical Judgment | Perfusion
, 2. The nurse has completed teaching to a patient recentl y prescribed cilostazol
(Pletal). Which statement by the patient indicates a need for further
teaching?
a. “I will sit down if I feel lightheaded or faint. ”
b. “Because this medication helps m y circulation, I will try to quit
smoking.”
c. “Grapefruit juice will increase the effects of this medication. ”
d. “Diarrhea may occur but likel y will stop with continued therapy. ”
ANS: C
Grapefruit juice inhibits the metabolism of cilostazol and would decrease the
effects of the medication. Sitting down when f eeling lightheaded is an
appropriate patient action. Smoking may limit the benefits of taking
cilostazol. Diarrhea is usuall y mild and tends to resolve with continued
therapy.
DIF: Cognitive Level: Comprehension REF: p. 414 OBJ: 4
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Evaluation
CON: Clinical Judgment | Communication | Patient Education
3. Which action will the nurse take when providing foot care to a patient
diagnosed with peripheral vascular disease?
a. Assist the patient to a supine position.
b. Keep feet moistened with lotion.
c. Trim toenails dail y.
d. Change socks dail y.
ANS: D
To avoid skin breakdown, the patient should change socks daily. Blood flow
is improved when the head of the bed is elevated 12 to 16 in ches. Supine
P ERIPHERAL V ASCULAR D ISEASE
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Which statement by patient that has recentl y been prescri bed cilostazol
(Pletal) indicates this medication is effective?
a. “I have less leg cramping when I walk. ”
b. “M y pulse rate is more regular. ”
c. “I have had fewer episodes of angina. ”
d. “M y blood pressure has decreased. ”
ANS: A
The primary therapeutic outcome exp ected from cilostazol is improved tissue
perfusion, with a reduced frequency of pain, improved tolerance to exercise,
and improved peripheral pulses. A more regular pulse, decreased episodes of
angina, and decreased blood pressure are not expected outcomes of cilostazol
administration.
DIF: Cognitive Level: Comprehension REF: p. 413 OBJ: 4
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Evaluation
CON: Clinical Judgment | Perfusion
, 2. The nurse has completed teaching to a patient recentl y prescribed cilostazol
(Pletal). Which statement by the patient indicates a need for further
teaching?
a. “I will sit down if I feel lightheaded or faint. ”
b. “Because this medication helps m y circulation, I will try to quit
smoking.”
c. “Grapefruit juice will increase the effects of this medication. ”
d. “Diarrhea may occur but likel y will stop with continued therapy. ”
ANS: C
Grapefruit juice inhibits the metabolism of cilostazol and would decrease the
effects of the medication. Sitting down when f eeling lightheaded is an
appropriate patient action. Smoking may limit the benefits of taking
cilostazol. Diarrhea is usuall y mild and tends to resolve with continued
therapy.
DIF: Cognitive Level: Comprehension REF: p. 414 OBJ: 4
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Evaluation
CON: Clinical Judgment | Communication | Patient Education
3. Which action will the nurse take when providing foot care to a patient
diagnosed with peripheral vascular disease?
a. Assist the patient to a supine position.
b. Keep feet moistened with lotion.
c. Trim toenails dail y.
d. Change socks dail y.
ANS: D
To avoid skin breakdown, the patient should change socks daily. Blood flow
is improved when the head of the bed is elevated 12 to 16 in ches. Supine
