NUR 170 Exam 3 (Latest Update): Concepts of Medical -Surgical Nursing | Questions and Verified Answers 100% Correct | Grade A - Galen NUR 170 Concepts of Medical -Surgical Nursing Exam 3 Question: Do ACE inhibitors decrease preload, afterload, or both? Answer: Both Question: What lab values should be periodically monitored in a patient taking an ACE1 or ARB? Answer: Renal function needs to be monitored because in some patients these meds can induce renal failure. They also need potassium levels monitored because hyperkalemia can occur Question: What is Buerger's Disease? Answer: Claudication in feet and lower extremities worse at night; increase sensitivity to cold; ulcerations and gangrene on digits; cause unknown but associated with male smokers. Leads to ischemia which leads to autoamputation Question: Treatment of Buerger Disease Answer: Cessation of smoking Question: S/S of Peripheral Arterial Disease (PAD) Answer: numbness, non -healing ulcers, diminished/absent peripheral pulses, delayed cap refill, cool and pale extremities, less hair growth on affected extremity. Question: Stage 1 of peripheral arterial disease Answer: Asymptomatic Stage 2 of peripheral arterial disease Answer: Intermittent claudication: pain occurs with exercise and does not go away with rest. Question: Stage 3 of peripheral arterial disease Answer: 1. Ischemic rest pain: pain does not go away with rest and is relieved by putting the leg in a dependent position Question: Stage 4 of peripheral arterial disease Answer: Necrosis and gangrene Question: MAWDS Teaching for HF Answer: Medication s- take meds as directed and avoid NSAIDS because they cause salt and water retention. Activity - walk at least 3 days a week. Weight - weigh yourself at the same time every day wearing the same thing on the same scale. Diet- Low sodium diet (2 -3g/day), flui d restriction as prescribed. Symptoms to report - overnight weight gain, nocturia, dyspnea at rest, cold sx lasting more than a few days, exercise intolerance, increased swelling, angina. Question: When is a heparin gtt indicated? Answer: A-fib, DVT, & pulmonary embolism. Question: What baseline labs should be obtained prior to initiating a heparin gtt? Answer: PT, INR, PTT, baseline PLT Question: What monitoring is required during a heparin infusion? Answer: PTT Q4 -6H, needs to lie b/w 50 -70 , daily PLT count to make sure it is not trending down. A 74 year old female presents to the ER with complaints of dyspnea, persistent cough, and unable to sleep at night due to difficulty breathing. On assessment, you note crackles t hroughout the lung fields, respiratory rate of 25, and an oxygen saturation of 90% on room air. Is the client in the scenario experiencing signs of left sided HF, right sided HF, or both? Please explain your response. Answer: Left-sided heart failure. Fl uid is backing up from the left side of the heart to the lungs. Can also cause sx of low output (confusion, AMS, cool/pale extremities) Question:
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