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NUR 402 Exam 2 Final Review Questions And 100% Correct Answers.

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  • CNUR 402
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  • CNUR 402

For a patient admitted to the ED with chest pain,what should be done FIRST? - Answer ECG The nurse obtains the following data when assessing a patient who experienced an ST-segment-elevation myocardial infarction (STEMI) 2 days previously. Which information is most important to report to the ...

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  • August 20, 2024
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  • 2024/2025
  • Exam (elaborations)
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  • CNUR 402
  • CNUR 402
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COCOSOLUTIONS
NUR 402 Exam 2 Final Review Questions
And 100% Correct Answers.
For a patient admitted to the ED with chest pain,what should be done FIRST? - Answer ECG



The nurse obtains the following data when assessing a patient who experienced an ST-segment-elevation
myocardial infarction (STEMI) 2 days previously. Which information is most important to report to the
health care provider? - Answer bilateral crackles in the lungs

(indicative of developing heart failure secondary to an MI)



When evaluating the discharge teaching for a patient with chronic peripheral artery disease (PAD), the
nurse determines a need for further instruction when the patient says, "I will - Answer use a heating
pad on my feet at night to increase the circulation."



Because the patient has impaired circulation and sensation to the feet, the use of a heating pad could
lead to burns



An older patient with a history of an abdominal aortic aneurysm arrives at the emergency department
(ED) with severe back pain and absent pedal pulses. Which action should the nurse take first? - Answer
check the blood pressure



because the patient appears to be having an aortic dissection the first action should be to determine the
hemodynamic status with BP



patients taking viagra cannot be given _______ due to hypotension from vasodilation - Answer
nitroglycerin



Which nursing intervention is likely to be most effective when assisting the patient with coronary artery
disease to make appropriate dietary changes? - Answer help the patient modify favorite high-fat
recipes by using monounsaturated oils

, The highest percentage of calories from fat should come from monounsaturated or polyunsaturated fats



A patient who has recently started taking pravastatin (Pravachol) and niacin reports several symptoms to
the nurse. Which information is most important to communicate to the health care provider? - Answer
Generalized muscle aches and pains



Muscle aches and pains may indicate myopathy and rhabdomyolysis, which have caused acute kidney
injury and death in some patients who have taken the statin medications. These symptoms indicate that
the pravastatin may need to be discontinued.



The nurse is caring for a patient who was admitted to the coronary care unit following an acute
myocardial infarction (AMI) and percutaneous coronary intervention the previous day. Teaching for this
patient would include - Answer when cardiac rehabilitation will begin



An older patient with chronic atrial fibrillation develops sudden severe pain, pulselessness, pallor, and
coolness in the right leg. The nurse should notify the health care provider and immediately - Answer
keep the patient in bed in the supine position.



The patient's history and clinical manifestations are consistent with acute arterial occlusion, and resting
the leg will decrease the O2 demand of the tissues and minimize ischemic damage until circulation can
be restored



Which electrocardiographic (ECG) change is most important for the nurse to report to the health care
provider when caring for a patient with chest pain? - Answer ST segment elevation



Decreased or absent pulses together with a cool and mottled extremity may indicate - Answer
embolization or graft occlusion



These findings should be reported to the surgeon immediately because this is an emergency situation.
Because pulses are marked before surgery, the nurse would know whether pulses were present before
surgery before notifying the health care providers about the absent pulses.



_________ is essential for slowing the progression of PAD to critical limb ischemia and reducing the risk
of myocardial infarction and death - Answer smoking cessation

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