Download Exam 3: NUR201/ NUR 201 (New 2024/ 2025 Update) Medical Surgical Nursing I Review | Q&A and more Exams Nursing in PDF only on Docsity! Exam 3: NUR201/ NUR 201 (New 2024/ 2025 Update) Medical Surgical Nursing I Review | Questions and Verified Answers| 100% Correct| A Grade – Fortis QUESTION patient education regarding self-care for venous/arterial disease Answer: wear compression stockings QUESTION what would a patient with varicose veins complain of? Answer: tired legs on movement and their legs feel better with elevation QUESTION patient teaching for varicose veins Answer: -rest with limb elevation -compression stockings -leg-strenghting exercises -weight loss QUESTION what is an adverse effect of Ace inhibitors? -prils Answer: angioedema QUESTION what is an adverse effect of calcium channel blockers? Answer: decreased peristalsis (constipation) and muscle cramping QUESTION nursing consideration for the drug captopril? Answer: do not use with potassium sparing diuretics QUESTION what is the main assessment to do prior to heart Cath? Answer: any allergies to contrast dye QUESTION what is the assessment to check for after a cardiac Cath? Answer: check distal femoral pulses first -make sure the pt lays in bed for at least 6 hours with their legs extended and check vitals frequently QUESTION QUESTION patient education about new onset hypertension Answer: pt needs to have ongoing monitoring to make sure it goes away -teach pt bp is the silent killer and is very serious QUESTION patient educations for white coat HTN Answer: have patient monitor bp at home to make sure its not always high QUESTION what should the nurse be considering regarding HTN meds? Answer: be aware of patient safety (worry about falls) QUESTION what can LPN's not do? Answer: they cannot do initial assessments, teach, or hang heparin QUESTION what does the silent killer mean? Answer: bc HTN is asymptomatic until severe, it causes end organ damage QUESTION if a patient is having a hypertensive crisis and they cannot move their arm/leg, what do you think the problem is? is this an emergency? Answer: they probably had or are having a stroke, this is an emergency QUESTION what is the reaction between ibuprofen (NSAIDS) and BP meds? Answer: NSAIDS can interfere with BP control QUESTION pt teaching for lifestyle modifications for HTN Answer: -manage BP -control cholesterol -reduce blood sugar -get active -eat better -lose weight -stop smoking QUESTION what is the most common sign of PAD? Answer: diminished pulses QUESTION signs of an AAA rupture Answer: excruciating back pain is the main symptom QUESTION should HDL or LDL be higher? Answer: HDL should be higher QUESTION if a patient with COPD is out of breath, what position should you recommend they are in? Answer: go into tripod position QUESTION when a patient has audible wheezing and then the wheezing stops, what should the nurse do? what is this called? Answer: the nurse should make sure the patient is breathing and notify the provider bc the patient has silent chest QUESTION what should the nurse check after an EGD? Answer: where would you hear a systolic murmur? Answer: at the PMI QUESTION how should you palpate the carotid arteries? Answer: one at a time QUESTION what is sclerotherapy? Answer: injecting a solution (usually saline) into varicose veins QUESTION what to do when you notice pt has low bp and a patient is due for BP meds? Answer: -hold any bp medications -document -call the doctor -give saline (verify order with doc) -worry about safety (falling) for the pt QUESTION how is the CV system affected by aging? Answer: older adults don't have a good cardiac reserve, it takes them longer to recover QUESTION what should you educate a patient about with Raynauds disease? Answer: -avoid temperature extremes (wear appropriate clothing) -no tobacco or caffeine -no vasoconstrictor drugs -drug therapy
