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NSG4046 MEDICAL SURGICAL EXAM ELABORATIONS

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lOMoARcPSD|52690394




Med Surg 1,
Exam with
correct
answers.
Medical Surgical

, lOMoARcPSD|52690394




Exam 3 med surg 1

1.A patient with history of hypertension treated with a diuretic and an angiotensin-converting
enzyme ACE inhibitor arrive in the emergency Department complaining of a severe headache
pressure (BP) of mm HG. which question should the nurse ask first? c. Have you
been consistently taking your medication.


4. The nurse is assessing a client who has been admitted to the intensive care unit ICU with a
hypertensive emergency which finding is most important to report to the provider? a. urine
output over 8 hours in 250ML less than the fluid intake
b. the patient cannot move the left arm and leg when asked to do so
c. the patient complained of a headache with pain at level 6 of 10 (0 to 10 scale)
d. tremors are noted in the finger when the patient extend the arm


5. the client receive an antihypertensive medication report feeling dizzy and … when…from a
a. Heart rhythm B. Blood pressure
c. Pulse oximetry
d. Breath sounds

11. The nurse obtained the following information from a client newly diagnosed with
hypertensive which finding is most important to address with the client a. low
dietary fiber intake
b. wait is £5 above ideal weight
c. drink a beer with dinner every night
d. no regular physical exercise

25. the charge nurse observe a new registered nurse (RN) doing discharge teaching for a patient
with hypertension who has a new prescription for (Vasotec) the charge nurse will need to
intervene if the new RN tell the patient to.
a. Make an appointment with the dietician for teaching
b .Check your blood pressure at home at least once daily
c. Increase the dietary intake of high potassium food
d. Monitor slowly when going from a lying to standing position

26. the health care provider prescribes an angiotensin converting enzyme ACE inhibitor for the
client diagnosed with essential hypertension. What statement is the most appropriate for
administering this medication?
a. ACE inhibitor block alpha receptor in the vascular smooth muscle
b. ACE inhibitors prevent vasoconstriction and sodium water retention
c. ACE inhibitors prevent beta stimulation in the heart muscle

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