NU 155 Exams 3 Study Questions with Correct Answers

NU 155 Exams 3 Study Questions with Correct Answers 1. What does digoxin do? - ANSWER increases cardiac contractibility 2. Troponin - ANSWER -protein found in cells od heart muscle -used in serial studies to determine extent of heart damage after MI 3. Left-sided HF s/s - ANSWER -anxiety/tachycardia -adventitious lung sounds -pallor; dyspnea; cough 4. right-sided HF s/s - ANSWER -abdominal angorgement/dependent edema -wgt gain -fatigue/decreased urinary output 5. HTN s/s - ANSWER -chest pain -headaches/fatigue -blurred vision -nosebleeds 6. arterial ulcer s/s - ANSWER -sharp pain -pallor/pulselessness -parashesia/paralysis 7. therapeutic interventions for arterial ulcers - ANSWER -avoid elevating legs -no elastic stockings 8. Buerger's disease - ANSWER -Thromboangiitis obliterans -BV in hands & feet get clots that cause tissue ischemia & necrosis -smoking is related to progression 9. Buerger's disease s/s - ANSWER -pale/red/or blue fingers & toes -intermittent claudication (lower muscle pain) -ulcers on fingers & toes -acute pain/parasthesias in hand & feet -gets worse in cold ers disease: Tx - ANSWER -avoid cold & anything that restricts blood flow -manage s/s & prevent progression to gangrene/amputation -smoking cessation 11.Reynaud's Disease - ANSWER -characterized by venous spasms in the hands, feet, tip of nose -causes discoloration 12.What is the patient teaching for peptic ulcer disease? - ANSWER -eat small meals, no caffeine, no alcohol, no aspirin 13.What is primary hypertension? How is it treated? - ANSWER It is from an unknown cause and is treated with supportive care such as antihypertensive medicine. 14.What is secondary hypertension? How is it treated? - ANSWER Secondary hypertension is from an underlying cause such as renal, endocrine or neuro disorders, stress, alcoholism, arteriosclerosis. It is treated by treating the underlying cause. 15.-What are the s/s of Burger's disease? -Treatment? - ANSWER -fingers/toes are pale, red, blue and cold to the touch, small/painful ulcers, hands/feet have acute pain, numbness/tingling/burning -aspirin, vasodilators, warmth & gentle exercise can increase circulation, avoid tobacco, avoid cold temps 16.-What are the s/s of Raynaud's disease? -Treatment? - ANSWER -cold fingers and toes, numbness/tingling, pins & needles sensation when re warming, color change in skin (white, blue, red) -calcium channel blockers, transdermal nitroglycerin, phosphodiesterase inhibitors, IV prostaglandins 17.What is digoxin used to treat? What side effects should you watch for? - ANSWER -treats heart failure by making heart pump stronger -monitor VS and apical pulse, hold if pulse is less that 60 bpm 18.This hepatitis is blood born - ANSWER Hep B & C hepatitis is fecal oral route - ANSWER Hep A & E hepatitis happens w/ confection of Hep B - ANSWER Hep D ic disease can lead to - ANSWER -hemorrhage -fluid volume excess 22.Upper GI bleeds will have what kind of stool? - ANSWER Melena GI bleeds have what kinda pg stool ? - ANSWER bloody 24.Varicose veins - ANSWER -weak vessel walls -affects BLE (both legs) -vessels dilate & get engorged w/ blood ud's disease: Tx - ANSWER -Ca Channel blcokers *** -phosphodiesterase inhibitors -possible amputation if gangrene & severe ischemia -transdermal nitro *** -IV prostaglandins ** -avoid cold; stress; smoking *** ose veins: tx - ANSWER -weight reduction/lifestyle management -laser or sclerotherapy -avoid prolonged sitting/standing; dont cross legs -support stockings/avoid restrictive clothing