NUR 229 Exam 4 Study Questions and Correct Answers
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Course
NUR 229
Institution
NUR 229
What is the normal BP range? <120/80
What is the range for prehypertension? 120-139/80-89
What is the range for hypertension? 140-159/90-99
When do you become diagnosed with hypertension? When your blood pressure is read at 140/90 (or more) more than once in a six month period
What is primar...
NUR 229 Exam 4 Study Questions and
Correct Answers
What is the normal BP range? ✅<120/80
What is the range for prehypertension? ✅120-139/80-89
What is the range for hypertension? ✅140-159/90-99
When do you become diagnosed with hypertension? ✅When your blood pressure is
read at 140/90 (or more) more than once in a six month period
What is primary hypertension? ✅High blood pressure from an unknown cause
What is secondary hypertension? ✅High BP with an identified cause (ex. renal
disease)
What is isolated systolic hypertension? ✅Hypertension found in older adults; happens
because blood vessels become stiffer
How does hypertension affect the eyes? ✅There are continual spots, accumulation of
fluid in the eyes (exudates)
If a patient experiences increased BUN and creatinine from HTN, what might the pt
have as a symptom? ✅Nocturia
What is a hypertensive emergency? ✅There is target organ damage, very high BP,
present with symptoms, often on a drip to not suddenly bring BP down too low
What is hypertensive urgency? ✅Elevate BP with no evidence of organ damage.
Associated with nosebleeds, headaches, and anxiety.
What are some risk factors for HTN? ✅Dyslipidemia, obesity, diabetes, metabolic
syndrome, sedentary lifestyle, CAD, and history of stroke.
A DASH diet is a diet rich in ________, ____________, and _____________. ✅Fruits,
vegetables, and low fat dairy products
A DASH diet has a reduced content of _________. ✅Fat
How long does it take for taste bud to adapt to dietary changes? ✅2 - 3 months
, What is monotherapy? ✅Treatment with the use of only one med
What is Virchow triad? ✅Endothelial damage, venous stasis, and altered coagulation
What are signs of a deep vein thrombosis? ✅Edema, swelling of the extremity,
tenderness and heat
What are signs of a superficial vein thrombosis? ✅Pain, tenderness, weakness
How is a superficial vein thrombosis treated? ✅At home with bed rest, elevation of the
leg.
Anticoagulants cannot do what? ✅Dissolve a fragment that has already formed
What labs should be monitored for a patient on an anticoagulant? ✅PTT, INR,
hemoglobin, and hematocrit
What are some signs of the anticoagulant thinning the blood too much? ✅Nosebleeds,
gums bleeding, bruises, bleeding from IV site
How should you prevent DVTs? ✅Active ROM exercises, getting pt up and moving,
TED hose
What meds are given to prevent a DVT? ✅LMW Lovenox and Heparin SC
What labs should be drawn for a pt with a DVT about to be treated with heparin gtt?
✅PTT (partial thromboplastin time)
What is a normal PTT? ✅Blood clotting in 30 to 45 seconds
What is the reversal drug for heparin gtt? ✅Protamine sulfate
When giving coumadin what labs should be evaluated? ✅PT (prothrombin time) and
INR (international normalized ratio)
What is a normal PT? ✅10 - 12 seconds
What is a normal INR? ✅A ratio of 1 or less
When is a pt adequately medicated on an anticoagulant? ✅When their labs are 1 1/2
to 2 x their normals
What is the reversal for Coumadin? ✅Vitamin K
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