NUR 176 Test 2 Hondros | 100% Correct
Answers | Verified | Latest 2024 Version
What is the most common cause of renal failure? - ✔✔DM -accounts for more than 40% of new cases
Sometime a pt already on a heparin drip may be placed on Coumadin at the same time. Why? -
✔✔Because it takes several days for Coumadin to reach therapeutic level
What would you teach a patient at home on Coumadin and hep drip? - ✔✔limited intake of foods high in
vitamin K
How should we give nitroglycerin tablets? - ✔✔3 tablets sublingual q5mins; after 3rd dose, call 911
What are the side effects of Lasix? - ✔✔Increased HR and increased urine output; should be concerned if
pt has decreased urine output
What should we monitor while pt is taking Lasix? - ✔✔Potassium
What is spironalatone (Aldactone) used for? - ✔✔HTN and edema
Do not give to pt with hyperkalemia, could cause fatal cardiac dysrhythmias - ✔✔spironalatone
Dilates blood vessels (vasodilator), does not increase cholesterol, blood thinner - ✔✔Aspirin
Medication for MI - ✔✔atenolol (Tenormin)
Side effects of finasteride (Proscar) - ✔✔Pregnant women should avoid handling crushed pills, may cause
impotence, swelling in hands & feet, dizziness and weakness
, Your patient has orders for digoxin (Lanoxin) and their heart rate is below 60, what should you as the
nurse do first? - ✔✔Hold medication, call doctor
If a patient has been diagnosed with Celiac disease, can they ever go back on a regular diet - ✔✔No,
patient will always be on a gluten-free diet
S/S of Angina - ✔✔chest pain, dyspnea, anxiety, apprehension, diaphoresis, nausea
Diagnostic tests for Angina - ✔✔Stress test (climbing stairs, treadmill), ECG, EKG
What should the nurse do if the pt is unable to perform the stress test for Angina? - ✔✔Assess why pt
unable to, then administer Persatine or adenosine (Adenocard)
S/S of cardiac output HF - ✔✔fatigue, anginal pain, anxiety, aoliguria, decreased GI motility, pale-cool
skin, weight gain, restlessness
S/S left side HF (SELECT ALL) - ✔✔dyspnea, paroxysmal noctural dyspnea, cough, frothy-blood-tinged
sputum, orthopnea, pulmonary crackles, radiographic evidence of pulmonary vascular congestion with
pleural effusion
S/S of right side HF (SELECT ALL) - ✔✔distended jugular veins, anorexia, nausea, abdominal distention,
liver enlargement, ascites, edema in feet, ankles, sacrum
A pt has just entered the ER with complaints that mimic the s/s of CHF, what is your next step? -
✔✔Assess the patient
HF tests - ✔✔Chest x-ray, ECG, echcogardiogram, stress test, MUGA, monitor levels of electrolytes,
sodium, calcium, magnesium, potassium, BUN, creatinine
HF risk factors - ✔✔MI, prolonged HTN, DM, valvular or inflammatory heart disease, infection, stress,
hyperthyroidism, anemia and fluid replacement therapy
Answers | Verified | Latest 2024 Version
What is the most common cause of renal failure? - ✔✔DM -accounts for more than 40% of new cases
Sometime a pt already on a heparin drip may be placed on Coumadin at the same time. Why? -
✔✔Because it takes several days for Coumadin to reach therapeutic level
What would you teach a patient at home on Coumadin and hep drip? - ✔✔limited intake of foods high in
vitamin K
How should we give nitroglycerin tablets? - ✔✔3 tablets sublingual q5mins; after 3rd dose, call 911
What are the side effects of Lasix? - ✔✔Increased HR and increased urine output; should be concerned if
pt has decreased urine output
What should we monitor while pt is taking Lasix? - ✔✔Potassium
What is spironalatone (Aldactone) used for? - ✔✔HTN and edema
Do not give to pt with hyperkalemia, could cause fatal cardiac dysrhythmias - ✔✔spironalatone
Dilates blood vessels (vasodilator), does not increase cholesterol, blood thinner - ✔✔Aspirin
Medication for MI - ✔✔atenolol (Tenormin)
Side effects of finasteride (Proscar) - ✔✔Pregnant women should avoid handling crushed pills, may cause
impotence, swelling in hands & feet, dizziness and weakness
, Your patient has orders for digoxin (Lanoxin) and their heart rate is below 60, what should you as the
nurse do first? - ✔✔Hold medication, call doctor
If a patient has been diagnosed with Celiac disease, can they ever go back on a regular diet - ✔✔No,
patient will always be on a gluten-free diet
S/S of Angina - ✔✔chest pain, dyspnea, anxiety, apprehension, diaphoresis, nausea
Diagnostic tests for Angina - ✔✔Stress test (climbing stairs, treadmill), ECG, EKG
What should the nurse do if the pt is unable to perform the stress test for Angina? - ✔✔Assess why pt
unable to, then administer Persatine or adenosine (Adenocard)
S/S of cardiac output HF - ✔✔fatigue, anginal pain, anxiety, aoliguria, decreased GI motility, pale-cool
skin, weight gain, restlessness
S/S left side HF (SELECT ALL) - ✔✔dyspnea, paroxysmal noctural dyspnea, cough, frothy-blood-tinged
sputum, orthopnea, pulmonary crackles, radiographic evidence of pulmonary vascular congestion with
pleural effusion
S/S of right side HF (SELECT ALL) - ✔✔distended jugular veins, anorexia, nausea, abdominal distention,
liver enlargement, ascites, edema in feet, ankles, sacrum
A pt has just entered the ER with complaints that mimic the s/s of CHF, what is your next step? -
✔✔Assess the patient
HF tests - ✔✔Chest x-ray, ECG, echcogardiogram, stress test, MUGA, monitor levels of electrolytes,
sodium, calcium, magnesium, potassium, BUN, creatinine
HF risk factors - ✔✔MI, prolonged HTN, DM, valvular or inflammatory heart disease, infection, stress,
hyperthyroidism, anemia and fluid replacement therapy
