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Exam 3 Nurs 309 (Part 2) Questions With Complete Solutions
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Exam 3 Nurs 309 (Part 2) Questions With Complete Solutions
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Exam 3 Nurs 309 (Part 2) Questions With CompleteSolutions
Are there genetic links to cancer? Correct Answers Yes
-Alterations in BRCA 1 and BRCA 2 increase risk of breast or
ovarian cancer
-Mutations in p53 tumor suppressor gene found in many cancers
Atypical presentation of a UTI? Correct Answers -Absence of
dysuria
-Confusion
-Incontinence
-Anorexia
Atypical presentation of Myocardial Infarction? Correct
Answers -Mild or no chest pain
-Confusion
-Dyspnea
-Anxiety
-Weakness
-Dizziness
Atypical presentation of Pneumonia? Correct Answers -
Absence of usual symptoms (cough, shortness of breath,
productive cough)
-Confusion
-Malaise
-Anorexia
-Tachycardia
,Besides blood glucose what other lab value is most important in
patients with diabetes? Correct Answers A1C
- should be between 70-99
Beta Blockers (Hypotension and HF) Correct Answers -end in
"lol"
-Given for blood pressure. Lowers blood pressure and pulse
-Adverse affects: can cause bronchospasm & masks
signs/symptoms of hypoglycemia
-Side effects: hypotension/ bradycardia
-What to check before giving: check BP and pulse, if systolic is
less than 100 and if pulse is less than 60, hold
-What to teach patient: given for stage fright and keep the
patient calm, do not stop abrubtly, may cause orthostatic
hypotension
-Should not be given to patients with asthma
-Given to non African Americans with heart failure
-May mask hypoglycemia
Blood glucose Correct Answers -Normal is 70-99 mg/dL
-Can be assessed with a glucometer
Bone Marrow Suppression Correct Answers Pancytopenia
(everything goes down):
-Most common effect of chemotherapy
-Anemia
-Leukopenia-especially neutrophils
-Thrombocytopenia
BP cuff too big? Correct Answers BP will run low
,BP cuff too loose? Correct Answers BP will run high
BP cuff too small? Correct Answers BP will run high
BP cuff too tight? Correct Answers BP will run low
Calcium Channel Blockers (Hypotension) Correct Answers
Amlidopine, Verapamil, Nicardipine, Diltiazem
-Intended effects: hypertension (lowers blood pressure and
pulse)
-Adverse effects: super low BP and low HR
-Side effects: orthostatic hypertension
-What to check: check pulse, <60 hold med, BP<100 call
provider
-What to teach patient? May given multiple doses at smaller
amounts
Can a patient be on both Warfarin PO & Heparin IV? Correct
Answers Yes
Can delirium occur in patients with dementia? Correct Answers
Yes
Does delirium last forever? Correct Answers No, it does not
Does the prevalence of hypertension increase with age? Correct
Answers Yes
Drug Administration in Chemotherapy? Correct Answers -
Most drugs absorbed thru the skin and mucous membranes
-heath care workers are at risk for absorbing drugs
, -Follow policy: wear protective clothing, handling the drug,
patient's waste products
-Don't touch IV tubing or IV bag
-Dispose of body waste (flush toliet twice)
First thing to do for a patient with HF that has dyspnea? Correct
Answers Raise the HOB
Glucagon Correct Answers Given to treat severe hypoglycemia
in unconscious patients, NPO patients, combative patients, and
sedative patients
- Injection into the abdomen, thigh, or upper arm
Heart Failure Medication-Digoxin Correct Answers -Cardiac
glycoside
-Must take a full 1 minute apical pulse before giving
-If apical pulse is under 60, you must hold
-Used for heart failure and AFIB
-Narrow therapeutic window
-greater risk for toxicity
-Therapeutic level: 0.8 to 2 ng/mL
-Toxic level: greater then 2 ng/mL
-Antidote: Digibind
-Slows down heart rate/makes beats more forceful
-Watch potassium
How are pouches selected for an ostomy? Correct Answers -
The wound nurse will help determine what the patient needs
-Pouches changed every 3-7 days (drainage amount and
preference)
-Reusable pouches are an option
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