NUR155 / NUR 155 TEST 2 (LATEST ): FOUNDATIONS OF NURSING –
GALEN
how does atherosclerosis contribute to PAD -
Answer-cholesterol plaques narrow artieries reducing oxygen delivery to tissues
what intervention is important for a pt with venous insufficiency? -
Answer-apply compression stockings twice a day
"elevating my legs will help reduce my symptoms" is a statement made by a
patient who has had sufficient education in which vascular disease? PAD or
PVD? -
Answer-PVD
thin shiny taut skin are associated with which vascular disease? -
Answer-PAD
skin is cool to touch is associated with which vascular disease -
Answer-PAD
edema present in the lower extremity is associated with which vascular diease? -
Answer-PVD
pain relief with dangling extremities is associated with which vascular disease? -
Answer-PAD
absent pulses is associated with which vascular disease -
Answer-PAD
brownish discolored/thickened skin is associated with which vascular disease? -
Answer-PVD
if you are unable to palpate a pts left pedal pulses what should you do first? -
Answer-use a doppler
what pathophysiologic processes leads to clot formation in a DVT -
Answer-localized platelet aggregation and fibrin trapping red blood cells
a pt with a DVT would show what kind of symptoms -
Answer-unilateral leg edema and tenderness
which diagnostic test is most commonly used to confirm the presence of a DVT -
Answer-doppler
a pt with a DVT has a sudden onset of SOB and chest pain that increases with a
deep breath, the nurse should do what first -
,Answer-assess the oxygen saturation
which medication would be used to tx a pt with a DVT for initial inpatient tx -
Answer-heparin
, which intervention is most effective in preventing a DVT in a hospitalized pt? -
Answer-early and frequent ambulation
what is the difference between primary and secondary HTN -
Answer-secondary has a specific cause
why is HTN called the silent killer -
Answer-because it causes damage before symptoms appear
your pts systolic BP is in the 150s and his diastolic BP is in the low to mid 90s,
what stage of HTN is he in? -
Answer-stage 2
what can happen if a pt has prolonged uncontrolled HTN -
Answer-it can lead to kidney injury
a pt with longstanding HTN reports shortness of breath and swollen ankles what
complication would you suspect? and what side? -
Answer-heart failure. right side
which lab value will be most useful to the nurse in determining if the pt with acute
SOB has heart failure -
Answer-B-type natriuretic peptide
BNP
which diagnostic test will be best in determining the pts severity of heart failure -
Answer-echocardiogram
what EF would be concerning -
Answer-30%
which symptoms is most indicative of left sided heart failure -
Answer-crackles in the lungs
which diet would be recommended for a pt with chronic heart failure -
Answer-restrict sodium to 2 grams per day
what amount of weight gain needs to be reported to the HCP in pt with HF? -
Answer-3lbs in a day
5lbs in a week
a pt prescribed lisinopril should be monitored for what side effect? -
Answer-hyperkalemia
normal range of hgb -
Answer-M: 14-18 F: 12-16
GALEN
how does atherosclerosis contribute to PAD -
Answer-cholesterol plaques narrow artieries reducing oxygen delivery to tissues
what intervention is important for a pt with venous insufficiency? -
Answer-apply compression stockings twice a day
"elevating my legs will help reduce my symptoms" is a statement made by a
patient who has had sufficient education in which vascular disease? PAD or
PVD? -
Answer-PVD
thin shiny taut skin are associated with which vascular disease? -
Answer-PAD
skin is cool to touch is associated with which vascular disease -
Answer-PAD
edema present in the lower extremity is associated with which vascular diease? -
Answer-PVD
pain relief with dangling extremities is associated with which vascular disease? -
Answer-PAD
absent pulses is associated with which vascular disease -
Answer-PAD
brownish discolored/thickened skin is associated with which vascular disease? -
Answer-PVD
if you are unable to palpate a pts left pedal pulses what should you do first? -
Answer-use a doppler
what pathophysiologic processes leads to clot formation in a DVT -
Answer-localized platelet aggregation and fibrin trapping red blood cells
a pt with a DVT would show what kind of symptoms -
Answer-unilateral leg edema and tenderness
which diagnostic test is most commonly used to confirm the presence of a DVT -
Answer-doppler
a pt with a DVT has a sudden onset of SOB and chest pain that increases with a
deep breath, the nurse should do what first -
,Answer-assess the oxygen saturation
which medication would be used to tx a pt with a DVT for initial inpatient tx -
Answer-heparin
, which intervention is most effective in preventing a DVT in a hospitalized pt? -
Answer-early and frequent ambulation
what is the difference between primary and secondary HTN -
Answer-secondary has a specific cause
why is HTN called the silent killer -
Answer-because it causes damage before symptoms appear
your pts systolic BP is in the 150s and his diastolic BP is in the low to mid 90s,
what stage of HTN is he in? -
Answer-stage 2
what can happen if a pt has prolonged uncontrolled HTN -
Answer-it can lead to kidney injury
a pt with longstanding HTN reports shortness of breath and swollen ankles what
complication would you suspect? and what side? -
Answer-heart failure. right side
which lab value will be most useful to the nurse in determining if the pt with acute
SOB has heart failure -
Answer-B-type natriuretic peptide
BNP
which diagnostic test will be best in determining the pts severity of heart failure -
Answer-echocardiogram
what EF would be concerning -
Answer-30%
which symptoms is most indicative of left sided heart failure -
Answer-crackles in the lungs
which diet would be recommended for a pt with chronic heart failure -
Answer-restrict sodium to 2 grams per day
what amount of weight gain needs to be reported to the HCP in pt with HF? -
Answer-3lbs in a day
5lbs in a week
a pt prescribed lisinopril should be monitored for what side effect? -
Answer-hyperkalemia
normal range of hgb -
Answer-M: 14-18 F: 12-16
