NUR 242 Medical-Surgical Nursing Concepts
Exam 4
Question:
Pt. teaching for Raynaud’s disease
Answer:
Stop smoking, avoid cold and stress, wear warm clothing, take vasodilators as prescribed
Question:
Pt. teaching for Burgers Disease
Answer:
Use vasodilators as prescribed, smoking cessation, avoid injury to upper and lower extremities, can cause gangrene
Question:
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 1 / 4
Question:
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.
Question:
Notify the physician immediately if they experience what S/S after a femoral artery graft?
Answer:
Cold, pale, cyanotic skin or decreased pulse
Question:
Amputation complications:
Answer:
infection, phantom limb pain, flexion contractions
- / 4
Question:
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
Question:
Pt with a DVT is at high risk for?
Answer:
PE
Question:
DVT S/S
Answer:
-calf/groin tenderness -sudden unilateral swelling -positive Homans sign
- / 4
Question:
DVT Risk Factors
Answer:
-venous stasis from varicose veins -heart failure -immobility -use of birth control -ulcerative colitis -prolonged bedrest
Question:
DVT interventions:
Answer:
-SCDs -Compression hose -Elevate extremities -IV continuous Heparin
Question:
When a pt. is on IV continuous Heparin, what lab values do you monitor?
Answer:
aPTT Values
- / 4