NUR 242 Exam 4 Questions and Answers|2025 Update|100% Correct
What symptom should you report right away with ACE Inhibitors? - ANSWER-Dry nagging cough- discontinue immediately and teach about orthostatic HTN in elderly
What is an example of an ACE inhibitor drug? - ANSWER-Lisinopril, Enalapril
What is an example of a Calcium Channel Blocker? - ANSWER-Verapamil, Amlodopine
What is an example of an ARB? - ANSWER-Losartan, Valsartan
What is an example of a Beta Blocker? - ANSWER-Metoprolol, Atenolol
S/S of Malignant HTN - ANSWER-initially asymptomatic, headache upon awakening, blurred vision, dizziness, chest pain, difficult breathing, numbness in face and legs, tinnitus, flushed face, epistaxis
HTN Crisis - ANSWER-acute and life threatening; accelerated HTN requires ER treatment because organ damage can occur quickly
Pharmacological interventions for HTN - ANSWER-ACE Inhibitors, Diuretics, Calcium Channel Blockers, ARBs, and Beta Blockers
Pt. teaching for Raynauds disease - ANSWER-Stop smoking, avoid cold and stress, wear warm clothing, take vasodilators as prescribed
Pt. teaching for Burgers Disease - ANSWER-Use vasodilators as prescribed, smoking cessation, avoid injury to upper and lower extremities, can cause gangrene
S/S of Peripheral Arterial Disease (PAD) - ANSWER-Leg pain, burning, cramping muscle discomfort when walking that stops at rest. As the disease persists the pt can walk shorter distances
Post-OP Care for Femoral Artery Bypass graft? - ANSWER-warmth, redness and edema are expected. Monitor for possible occlusion and continuous aching pain (first sign of occlusion) Throbbing pain is due to increased blood flow to the area.
Notify the physician immediately if they experience what S/S after a femoral artery graft? - ANSWER-Cold, pale, cyanotic skin or decreased pulse 1 / 2
Amputation complications: - ANSWER-infection, phantom limb pain, flexion contractions
Amputation Post-OP care: - ANSWER--DO NOT elevate limb on pillow (can cause
flexion contractures) -1st 24 hours elevate the foot of the bed to decrease edema then keep the bed flat -24-48 hours- place the pt. in prone position to stretch muscles and prevent hip flexion contractures
Pt with a DVT is at high risk for? - ANSWER-PE
DVT S/S - ANSWER--calf/groin tenderness -sudden unilateral swelling -positive Homans sign
DVT Risk Factors - ANSWER--venous stasis from varicose veins -heart failure -immobility -use of birth control -ulcerative colitis -prolonged bedrest
DVT interventions: - ANSWER--SCDs
-Compression hose -Elevate extremities -IV continuous Heparin
Normal BP - ANSWER-Systolic <120 / Diastolic <80
Pre-HTN - ANSWER-Systolic =120-139 / Diastolic=80-89
Stage 1 HTN - ANSWER-Systolic=140-159 / Diastolic=90-99
Stage 2 HTN - ANSWER-Systolic=>160 / Diastolic=>100
Malignant HTN - ANSWER-Extremely high BP >180/110
When a pt. is on IV continuous Heparin, what lab values do you monitor? - ANSWER- aPTT Values
What is the normal aPTT range? - ANSWER-30-40 seconds 1.5-3 times normal control levels *Call the MD if >70 seconds*
Normal PT level: - ANSWER-11-12.5 seconds
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