Exam 2: NUR209 NUR 209 Latest Update Medical-

Exam 2: NUR209 / NUR 209 (Latest

2024 / 2025 Update) Medical- Surgical Nursing II | Questions and Verified Answers | 100% Correct - Fortis

Question:

What is nitroglycerin and how is it available for patients?

Answer:

vasodilator that acts on coronary and peripheral vessels. Sublingual tablets and spray are available for PRN use. It can be taken shortly before strenuous activities to control symptoms. Patches, ointments, and sustained-release tablets are used to prevent angina episodes and must be carried at all times.

Question:

Nitroglycerin medication rules

Answer:

- patches: no rn bare hands; remove at bedtime to avoid hypotension

• fresh tablets sting under tounge: place at first pain, note time, second tablet

after 5 min, third after 5 min --> call 911 if no resolution

• side effects - hemagglutinin (influenza A) and flushing are normal after us 1 / 2

Question:

Myocardial Infarction labs

Answer:

- troponin T and I: serum levels rise 1hr and 2wks

- myoglobin: levels rise 1-2 hrs peak in 6hrs

- CPK-MB: dramatic rise in first hr, peak in 24hrs

- LDH1 higher than LDH2: levels rise/peak 2-3 days

- BNP: B-type natriuretic peptide

• SGOT/AST evaluation 8-12 hours after infarction

peak levels are reached 24-48 hours after the MI

WBCs: increase the second day

Question:

Myocardial Infarction complications

Answer:

• Dysrhythmias - common
• congestive heart failure (IVF must be monitored closely to avoid fluid

volume overload)

• cardiogenic shock - r/t extensive left vent. damage
• thromboembolism
• ventricular rupture
• 40% fatality rate
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