NURS 143 Exam 3 Questions With Complete Solutions
CPR
No heartbeat, no RR, no BP. ECG is a flat line known as
ventricular asystole. The nurse knows NOT TO SHOCK the
patient during this time; rather to perform ____ (acronym only)
and ACLS protocols.
asystole
We don't shock the patient during ventricular ____.
heart rate
Amiodarone (Class III, antiarrhythmic, prolongs phase 3 of
AP), metoprolol (Class II, beta 1 selective BB), atenolol (beta 1
selective BB), propranolol (Class II, nonselective
BB), diltiazem (Class IV, negative inotropic Ca2+ channel
blocker) and digoxin (Digitalis) are drugs commonly used to
regulate [ clotting / heart rate / cardioversion ] for patients
with A-fib.
OANM
MONA = morphine, oxygen, nitroglycerine and
aspirin. Place the "MONA" letters in the ORDER YOU
WOULD ADMINISTER THEM ____ (ABCD)
intermittent claudication
A patient with peripheral artery disease (PAD) is experiencing
a muscular cramp-like pain that consistently occurs on her
morning walk. It affects only a portion of her left leg below
,the knee. The nurse understands that is may be a sign of ____
(two words).
pain
During intermittent claudication, as the tissues are forced to
complete the energy cycle without adequate nutrients and
oxygen, muscle metabolites and lactic acid are produced.
____ is experienced as the metabolites aggravate the nerve
endings of the surrounding tissue.
absent
When a patient has peripheral vascular disease, the nurse can
determine whether damage is arterial or venous in origin
because the peripheral pulses will likely be [ present /
absent ] with arterial insufficiency.
edema
When a patient has peripheral vascular disease, the nurse can
determine whether damage is arterial or venous in origin
because the peripheral pulses will likely be present but may be
difficult to palpate due to ____ with venous insufficiency.
rest pain
The nurse knows that persistent pain in the forefoot when the
patient is resting indicates a severe degree of arterial
insufficiency and a critical state of ischemia. Known as ____
(two words), this discomfort is often worse at night and may
interfere with sleep. ABI < 0.50.
distal
,The site of arterial disease can be deduced from the location of
claudication, because pain occurs in muscle groups [ distal /
proximal ] to the lesion in diseased vessel.
pressure
When patients are confined to bed, very painful, circular,
black, ulcers due to PAD (peripheral arterial disease) are more
likely to form in the toes, the heels or generally areas
experiencing ____.
ankles
Patients with peripheral venous insufficiency are more likely
to develop beefy red, irregularly bordered, ulcers around their
____.
rubor
A reddish-blue discoloration of the extremities, which may be
observed within 20 seconds to 2 minutes after the limb is placed
in a dependent position is ____. This is indicative of severe
peripheral arterial damage in vessels that remain dilated and
are unable to constrict.
pallor
Upon elevating the limb of a patient with severe
peripheral arterial damage, the extremity exhibits a whiter
more blanched appearance known as ____.
Doppler
, When pulses cannot be reliably palpated, a handheld ____
device with a 5-10-MHz probe may be used to do an ultrasound
to detect blood flow in peripheral arteries.
ABI (ankle-brachial index)
The ____ (acronym only) is a test that measures arterial
perfusion using a Doppler unit. The highest systolic BP of the
ankle is divided by the highest systolic BP of the arm. Patients
with mild-to-moderate claudication usually have 0.90 to 0.50.
Atherosclerosis
An aneurysm is an abnormal dilation of a blood vessel (e.g.
abdominal aorta) most commonly caused by ____ which
damages the media layer of the vessel, creating a weakness in
the vessel wall. Other causes are congenital weakness or a tear
(trauma).
blood pressure
The vast majority of aortic aneurysms (85%) can be treating
by controlling ____ (two words). For decades beta
blockers like atenolol (Tenormin), metoprolol (Lopressor), car
vedilol (Coreg) have been the mainstay of medical treatment for
aneurysms. ARBs like losartan (Cozaar) can also retard aortic
dilation.
Hypertension
Most abdominal aortic aneurysms occur in patients between
60 and 90 years of age. Rupture is likely with coexisting ____
and with aneurisms more than 6cm wide. One-third die from a
rupture.
CPR
No heartbeat, no RR, no BP. ECG is a flat line known as
ventricular asystole. The nurse knows NOT TO SHOCK the
patient during this time; rather to perform ____ (acronym only)
and ACLS protocols.
asystole
We don't shock the patient during ventricular ____.
heart rate
Amiodarone (Class III, antiarrhythmic, prolongs phase 3 of
AP), metoprolol (Class II, beta 1 selective BB), atenolol (beta 1
selective BB), propranolol (Class II, nonselective
BB), diltiazem (Class IV, negative inotropic Ca2+ channel
blocker) and digoxin (Digitalis) are drugs commonly used to
regulate [ clotting / heart rate / cardioversion ] for patients
with A-fib.
OANM
MONA = morphine, oxygen, nitroglycerine and
aspirin. Place the "MONA" letters in the ORDER YOU
WOULD ADMINISTER THEM ____ (ABCD)
intermittent claudication
A patient with peripheral artery disease (PAD) is experiencing
a muscular cramp-like pain that consistently occurs on her
morning walk. It affects only a portion of her left leg below
,the knee. The nurse understands that is may be a sign of ____
(two words).
pain
During intermittent claudication, as the tissues are forced to
complete the energy cycle without adequate nutrients and
oxygen, muscle metabolites and lactic acid are produced.
____ is experienced as the metabolites aggravate the nerve
endings of the surrounding tissue.
absent
When a patient has peripheral vascular disease, the nurse can
determine whether damage is arterial or venous in origin
because the peripheral pulses will likely be [ present /
absent ] with arterial insufficiency.
edema
When a patient has peripheral vascular disease, the nurse can
determine whether damage is arterial or venous in origin
because the peripheral pulses will likely be present but may be
difficult to palpate due to ____ with venous insufficiency.
rest pain
The nurse knows that persistent pain in the forefoot when the
patient is resting indicates a severe degree of arterial
insufficiency and a critical state of ischemia. Known as ____
(two words), this discomfort is often worse at night and may
interfere with sleep. ABI < 0.50.
distal
,The site of arterial disease can be deduced from the location of
claudication, because pain occurs in muscle groups [ distal /
proximal ] to the lesion in diseased vessel.
pressure
When patients are confined to bed, very painful, circular,
black, ulcers due to PAD (peripheral arterial disease) are more
likely to form in the toes, the heels or generally areas
experiencing ____.
ankles
Patients with peripheral venous insufficiency are more likely
to develop beefy red, irregularly bordered, ulcers around their
____.
rubor
A reddish-blue discoloration of the extremities, which may be
observed within 20 seconds to 2 minutes after the limb is placed
in a dependent position is ____. This is indicative of severe
peripheral arterial damage in vessels that remain dilated and
are unable to constrict.
pallor
Upon elevating the limb of a patient with severe
peripheral arterial damage, the extremity exhibits a whiter
more blanched appearance known as ____.
Doppler
, When pulses cannot be reliably palpated, a handheld ____
device with a 5-10-MHz probe may be used to do an ultrasound
to detect blood flow in peripheral arteries.
ABI (ankle-brachial index)
The ____ (acronym only) is a test that measures arterial
perfusion using a Doppler unit. The highest systolic BP of the
ankle is divided by the highest systolic BP of the arm. Patients
with mild-to-moderate claudication usually have 0.90 to 0.50.
Atherosclerosis
An aneurysm is an abnormal dilation of a blood vessel (e.g.
abdominal aorta) most commonly caused by ____ which
damages the media layer of the vessel, creating a weakness in
the vessel wall. Other causes are congenital weakness or a tear
(trauma).
blood pressure
The vast majority of aortic aneurysms (85%) can be treating
by controlling ____ (two words). For decades beta
blockers like atenolol (Tenormin), metoprolol (Lopressor), car
vedilol (Coreg) have been the mainstay of medical treatment for
aneurysms. ARBs like losartan (Cozaar) can also retard aortic
dilation.
Hypertension
Most abdominal aortic aneurysms occur in patients between
60 and 90 years of age. Rupture is likely with coexisting ____
and with aneurisms more than 6cm wide. One-third die from a
rupture.
