NU304 EXAM 3 2024-2025 |ACUAL COMPLETE EXAM QUESTI0NS
AND CORRECT ANSWERS (100%VERIFIED ANSWERS ) A GRADED
What three problems does acute coronary syndrome cover? -
ANSWER-STEMI, NSTEMI, and unstable angina
What is the medication treatment for acute coronary syndrome? -
ANSWER-MONABASH
What does MONABASH stand for? - ANSWER-M- morphine sulfate IV
*watch BP/RR*
O- oxygen 2L
N- nitroglycerin spray
A- aspirin 325mg chew it
B- beta blocker *HR decrease to decrease strain- do not admin if HR
less than 60*
A- ACE inhibitor *prevents remodeling of myocardial cells*
S- statins *even if cholesterol is normal, smooths lumen wall/
endothelial lining* H- heparin subcu shots
How long do you have to put on a 12 lead if a pt comes in with chest
pain? - ANSWER-10 minutes
What are some modifiable risk factors for pts with acute coronary
syndrome? - ANSWER-HTN, diet/ exercise, smoking
What is the number one symptom of lower extremity PAD? -
,ANSWER-Intermittent Claudication
Safety for pts with PAD (intermittent claudication) - ANSWER-feet/ toe
nail injury can be as bad as DM pts, neuropathy due to PAD- wont feel
feet sores so inspect feet
How can you tell if a pt has an abdominal aortic aneurysm? -
ANSWER-widened pulsatile mass with bruits *these can be okay if
under 5cm*
What indicated chronic HTN? - ANSWER-BP of 130/90 more than 2
times in a clinical setting
What meds will a person with HTN be on? - ANSWER-ACE, BB, ARBS,
CCB, vasodilators
Chronic HTN can lead to what diseases? - ANSWER-CAD, HF, MI
Pt education for intermittent claudication? - ANSWER-Walk until it
hurts, then rest, then walk again, smoking cessation
PAD S/S in legs - ANSWER--Coldness in the lower leg or foot,
especially when compared with the other side.
-Leg numbness or weakness.
-No pulse or a weak pulse in the legs or feet.
-Painful cramping in one or both of the hips, thighs or calf muscles
after certain activities, such as walking or climbing stairs.
, -Shiny skin on the legs, hairless
-wounds will be dry, deeply defined edges, pale
PVD S/S in the legs - ANSWER--red, warm to touch
-weeping, wet wounds, not defined borders
When would an abdominal aneurysm require surgical fixation? -
ANSWER-anything over 5 cm
What can cause abd aortic dissections? - ANSWER-Drug use, Marfan
Syndrome
What will S/S of an abd aortic dissection look like? - ANSWER-Tearing
pain, intrascapular area
What will education be for an abd aortic dissection pt? – ANSWER-
Keep BP down, even lower than normal so there is not a lot of
pressure on the aorta
Left sided heart failure - ANSWER-1. Dyspnea, SOB, pulm edema
2. Crackles
3. Oliguria/ decreased urine output, pink/ frothy urine
4. Frothy Sputum
5. Displaced Apical Pulse (Hypertrophy)
6. S3 gallop
7. DOE
AND CORRECT ANSWERS (100%VERIFIED ANSWERS ) A GRADED
What three problems does acute coronary syndrome cover? -
ANSWER-STEMI, NSTEMI, and unstable angina
What is the medication treatment for acute coronary syndrome? -
ANSWER-MONABASH
What does MONABASH stand for? - ANSWER-M- morphine sulfate IV
*watch BP/RR*
O- oxygen 2L
N- nitroglycerin spray
A- aspirin 325mg chew it
B- beta blocker *HR decrease to decrease strain- do not admin if HR
less than 60*
A- ACE inhibitor *prevents remodeling of myocardial cells*
S- statins *even if cholesterol is normal, smooths lumen wall/
endothelial lining* H- heparin subcu shots
How long do you have to put on a 12 lead if a pt comes in with chest
pain? - ANSWER-10 minutes
What are some modifiable risk factors for pts with acute coronary
syndrome? - ANSWER-HTN, diet/ exercise, smoking
What is the number one symptom of lower extremity PAD? -
,ANSWER-Intermittent Claudication
Safety for pts with PAD (intermittent claudication) - ANSWER-feet/ toe
nail injury can be as bad as DM pts, neuropathy due to PAD- wont feel
feet sores so inspect feet
How can you tell if a pt has an abdominal aortic aneurysm? -
ANSWER-widened pulsatile mass with bruits *these can be okay if
under 5cm*
What indicated chronic HTN? - ANSWER-BP of 130/90 more than 2
times in a clinical setting
What meds will a person with HTN be on? - ANSWER-ACE, BB, ARBS,
CCB, vasodilators
Chronic HTN can lead to what diseases? - ANSWER-CAD, HF, MI
Pt education for intermittent claudication? - ANSWER-Walk until it
hurts, then rest, then walk again, smoking cessation
PAD S/S in legs - ANSWER--Coldness in the lower leg or foot,
especially when compared with the other side.
-Leg numbness or weakness.
-No pulse or a weak pulse in the legs or feet.
-Painful cramping in one or both of the hips, thighs or calf muscles
after certain activities, such as walking or climbing stairs.
, -Shiny skin on the legs, hairless
-wounds will be dry, deeply defined edges, pale
PVD S/S in the legs - ANSWER--red, warm to touch
-weeping, wet wounds, not defined borders
When would an abdominal aneurysm require surgical fixation? -
ANSWER-anything over 5 cm
What can cause abd aortic dissections? - ANSWER-Drug use, Marfan
Syndrome
What will S/S of an abd aortic dissection look like? - ANSWER-Tearing
pain, intrascapular area
What will education be for an abd aortic dissection pt? – ANSWER-
Keep BP down, even lower than normal so there is not a lot of
pressure on the aorta
Left sided heart failure - ANSWER-1. Dyspnea, SOB, pulm edema
2. Crackles
3. Oliguria/ decreased urine output, pink/ frothy urine
4. Frothy Sputum
5. Displaced Apical Pulse (Hypertrophy)
6. S3 gallop
7. DOE
