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NUR 114 Exam 3 Study Questions with Verified Answers Already Graded A+

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NUR 114 Exam 3 Study Questions with Verified Answers Already Graded A+ 1. Clients taking which type of psychotropic medications need close monitoring of their cardiac status? a.Antidepressants b.Antipsychotics c.Mood stabilizers d.Stimulants - ANSWER b.Antipsychotics 2. Identify the drug classification for this medication. _____________________ Clozapine (Clozaril) - ANSWER Atypical antipsychotic 3. Identify the drug classification for this medication. ______________________ Fluoxetine (Prozac) - ANSWER SSRI antidepressant 4. Identify the drug classification for this medication. ______________________ Amitriptyline (Elavil) - ANSWER Tricyclic antidepressant 5. Identify the drug classification for this medication. ______________________ Benztropine (Cogentin) - ANSWER Anticholinergic 6. Identify the drug classification for this medication. ______________________Methylphenidate (Ritalin) - ANSWER Stimulant 7. The signs of lithium toxicity include which? a.Sedation, fever, and restlessness b.Psychomotor agitation, insomnia, and increased thirst c.Elevated WBC count, sweating, and confusion d.Severe vomiting, diarrhea, and weakness - ANSWER d.Severe vomiting, diarrhea, and weakness 8. What is the DASH diet? - ANSWER Diet that assists in lowering BP & LDL cholesterol Adding fruits & veggies, whole grains, fat free/low fat dairy, lean meats, nuts & seeds 9. What are some pharmacological treatments of HTN? - ANSWER Loop diuretics (Furosemide) - SE: hypotension, hypokalemia, tinnitus Thiazide diuretics (Hydrochlorothiazide) - SE: hypotension, hypokalemia Potassium sparing diuretics (Spironolactone) - SE: hypotension, hyperkalemia ACE inhibitors (Lisinopril) - SE: hypotension, dry/non-productive cough, angioedema 10. What are the stages of atherosclerosis? - ANSWER 1. Injury to the endothelial cells that line the walls of the arteries. 2. Inflammation and dysfunction of the endothelial cells 3. Deposit of LDL (foam cells) along the intima of arteries. 4. Foam cells accumulate and progress in to lesions associated with atherosclerosis: Fatty streaks, fibrous plaque, and complicated lesions. 11. What are some non-modifiable risk factors for CAD? - ANSWER age (M: 45y, W: 51y), gender (M & post menopausal W), ethnicity (minorities), family history (parents dx before 55y), genetics (siblings dx prior to 65y), inflammatory proce 12. What are some modifiable risk factors for CAD? - ANSWER HBP, Smoking, Stress, Hyperlipidemia, diet, sedentary lifestyle, Obesity, homocysteine ingestion, metabolic syndrome 13. What is metabolic syndrome? - ANSWER High risk for developing CAD, heart dz, stroke & DM Must have 3/5 for dx: Large waistline (M 40", W 35") High TGL (150) High FBG fasting BG (100) High BP 130/85 (stage 1 HTN) Low HDL (M 40, W 50) 14. Female PT with waistline: 32", BP: 122/70, FBG: 165, HDL: 46, TGL: 140. Is she at risk for metabolic syndrome? - ANSWER No - she has risk factors, but not enough to qualify for metabolic syndrome 15. What are some diagnostic tests for CAD? - ANSWER C-reactive protein (CRP) - high levels indicate CAD Cardiac CT - 3D images to show plaque/abnormalities Exercise or nuclear stress test* - non-invasive, identifies myocardial ischemia Cardiac catheterization* - invasive, visualizes arteries & blood flow Myocardial perfusion imaging - non-invasive visualizes arteries & blood flow 16. What are some medications to treat CAD? - ANSWER Statins -monitor for muscle pain, avoid excess alcohol, no grapefruit, take at bedtime Niacin - GI upset (take w/ food), causes flushing (take Aspirin 30 min pre), avoid alcohol Bile acid sequestrants -binds to bile & exists GI tract, bloating/constipation, avoid taking other meds/vitamins - give around other meds (1hr pre or 3-4 post) Fibric acid agents - GI upset (take w/ food), monitor flu like s/s, do not stop abruptly (rebound TGL elevation) 17. What is angina pectoris? - ANSWER Chest pain caused by inadequate flow of blood and oxygen to the heart.

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Institution
NUR 114
Course
NUR 114

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NUR 210 EXAM 3 Detailed Exam
Questions with Correct Answers |
Latest Edition

1. When reviewing the neural pathways, a group of students identify which of
the following as sensations that travel via the spinothalamic tract. -
ANSWER Pain
Temperature
Light touch


2. As people age, several neurological changes occur. Neurons, brain size, and
neurotransmitters decrease. What are some of the results of aging on the
neurological system? - ANSWER Slower thought processing
Reduced response to stimuli
Delayed reflexes


3. What should the nurse assess to test the function of the frontal lobe? -
ANSWER Communication


4. What would the nurse most likely find when assessing a client diagnosed
with a frontal lobe contusion following a motor vehicle accident? -
ANSWER Difficulty speaking


5. what percentage of our body weight is body water? - ANSWER 60%


6. what are the functions of body fluid in the body? - ANSWER lubricant

,metabolism
transport
regulates body temperature


7. what are electrolytes and what does concentration depend on? - ANSWER -
Na+, Cl-, Mg+, Ca+, K+
-electrically charged when in solution
-influenced by fluid intake and output, acid base balance, hormones, cell
functions
-concentration depends on intake, absorption, distribution, and excretion


8. how is water distributed throughout the body? - ANSWER 1) Intracellular:
Two-thirds of water in body


2)Extracellular:
Remaining third is divided into 2 compartments:
-Interstitial fluid (in between cells and organs)
-Plasma


9. What electrolytes are highest in the intracellular fluid? Extracellular fluid? -
ANSWER ICF: high K+, Mg+, phosphate
ECF: high Na+, Cl-, bicarbonate ions


10.what is hydrostatic pressure? is it higher at arteriole or venous end of
capillary? when does hydrostatic pressure increase? - ANSWER -water
pushing pressure

,-higher at arteriole end (pushing oxygen and nutrients out of capillary to go to
cells)
-increases due to venous obstruction or salt/water retention (due to CHF/kidney
failure), edema occurs


11.what is osmotic pressure? is it higher at arteriole or venous end of capillary?
- ANSWER -water pulling pressure
-high at venous end (want to pull fluid back into capillary from cells to bring
back to heart, and get rid of waste products)


12.what does it mean if a solution is hypertonic? - ANSWER solution with
higher salt concentration that body, pulls water into blood vessels, cells
shrink


13.what does it mean if a solution is hypotonic? - ANSWER solution with
lower salt concentration than body, water moves out of blood vessels into
cell, cell swells


14.what is hypovolemia? what are causes? what are clinical manifestations? -
ANSWER -occurs when there is a decrease in water and Na+
-losing too much water and salt, not getting enough in


causes: diarrhea, edema, burns, hemorrhage, excessive perspiration, emesis
(vomit), gastric drainage, ascites


CM: increased HR, postural hypotension, weight loss, flat neck veins,
prolonged capillary refill, syncope, oliguria (decreased urine), decreased skin
turgor, hard stool, dry mucous membranes, sunken eyes, no tears/sweat, sunken
fontanel

, 15.what is hypervolemia? what are causes? what are clinical manifestations? -
ANSWER -occurs when there is volume excess


causes: excessive infusion of isotonic solutions, renal retention of Na+ and
water (due to heart, liver, kidney issues), increased intake


CM: weight gain, edema, bounding pulses, neck vein distention, crackles (fluid
in lungs), orthopnea, bulging fontanel


16.what are the cations? - ANSWER positively charged ions
sodium, potassium, magnesium, calcium


17.what are the anions? - ANSWER negatively charged ions
phosphorus, chloride, bicarbonate


18.what does sodium do? what is normal level? - ANSWER -high in ECF
-cation
-governs osmolality
-activates muscle and nerve cells
normal: 135-145


19.what is hyponatremia? what are the causes? what are the clinical
manifestations? what is the treatment? - ANSWER -don't have enough Na+,
excess amount of water


causes: tumor is brain that secretes ADH (retain water, not sodium), excessive
water intake, beer potomania, sweating and only replace water (not water and
electrolytes)

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