©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM
NURS 480 Final Exam Questions With
Correct Answers
Left-sided heart failure - answer✔pulmonary congestion occurs when the left ventricle cannot
effectively pump into the aorta
manifestations of left-sided heart failure - answer✔dyspnea
cough
crackles
low O2 sats
S3 (ventricular gallop)
right-sided heart failure - answer✔congestion in peripheral tissue and viscera
manifestations of right-sided heart failure - answer✔JVD
dependent edema
pitting edema
hepatomegaly (tenderness in RUQ)
ascites
congestive heart failure - answer✔a fluid overload condition associated with heart failure
abdominal aortic aneurysm (AAA) - answer✔typically caused by congenital weakness, trauma
or diseae
risk factors:
- genetic predisposition
- nicotine use
- hypertension
, ©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM
AAA manifestations - answer✔complaint of heart beating in abdomen when lying down
abdominal mass or abdominal throbbing
cyanosis and mottling of toes
AAA - signs of impending rupture - answer✔severe back or abdominal pain
- localized pain in middle or lower abdomen
- intense back pain
falling BP
decreasing hematocrit
diagnostics for AAA - answer✔pulsatile mass in middle and upper abdomen
ultrasound
CTA
management of AAA - answer✔pharmacologic:
- manage hypertension
endovascular/surgical:
- open surgical repair
- endovascular grafting
manifestations of pulmonary edema - answer✔anxiety
inability to sleep
persistent cough
- pink, frothy sputum
tachypnea
hypoxemia
cyanosis
crackles
, ©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM
tachycardia
reduced urine output
confusion
S3
health promotion - pulmonary edema - answer✔physical activity
low sodium
refrain from tobacco
nursing care for pulmonary edema - answer✔high Fowler's
- feet and legs dependent or sitting on side of bed
high flow O2
monitor vitals every 15 minutes
monitor I&Os
check ABGs, electrolytes, SaO2
maintain airway
restrict fluid intake
monitor hourly urine output
medications for pulmonary edema - answer✔rapid acting diuretics
morphine
vasodilators
digoxin
decompensated heart failure - answer✔failing myocardium is no longer able to propel sufficient
blood to meet the needs of the body, even at rest
central venous pressure (CVP) - answer✔measurement of the pressure in vena cava or right
atrium
reflects the filing pressure of the right ventricle
normal range is 2-6
10/10/2024 11:44 AM
NURS 480 Final Exam Questions With
Correct Answers
Left-sided heart failure - answer✔pulmonary congestion occurs when the left ventricle cannot
effectively pump into the aorta
manifestations of left-sided heart failure - answer✔dyspnea
cough
crackles
low O2 sats
S3 (ventricular gallop)
right-sided heart failure - answer✔congestion in peripheral tissue and viscera
manifestations of right-sided heart failure - answer✔JVD
dependent edema
pitting edema
hepatomegaly (tenderness in RUQ)
ascites
congestive heart failure - answer✔a fluid overload condition associated with heart failure
abdominal aortic aneurysm (AAA) - answer✔typically caused by congenital weakness, trauma
or diseae
risk factors:
- genetic predisposition
- nicotine use
- hypertension
, ©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM
AAA manifestations - answer✔complaint of heart beating in abdomen when lying down
abdominal mass or abdominal throbbing
cyanosis and mottling of toes
AAA - signs of impending rupture - answer✔severe back or abdominal pain
- localized pain in middle or lower abdomen
- intense back pain
falling BP
decreasing hematocrit
diagnostics for AAA - answer✔pulsatile mass in middle and upper abdomen
ultrasound
CTA
management of AAA - answer✔pharmacologic:
- manage hypertension
endovascular/surgical:
- open surgical repair
- endovascular grafting
manifestations of pulmonary edema - answer✔anxiety
inability to sleep
persistent cough
- pink, frothy sputum
tachypnea
hypoxemia
cyanosis
crackles
, ©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM
tachycardia
reduced urine output
confusion
S3
health promotion - pulmonary edema - answer✔physical activity
low sodium
refrain from tobacco
nursing care for pulmonary edema - answer✔high Fowler's
- feet and legs dependent or sitting on side of bed
high flow O2
monitor vitals every 15 minutes
monitor I&Os
check ABGs, electrolytes, SaO2
maintain airway
restrict fluid intake
monitor hourly urine output
medications for pulmonary edema - answer✔rapid acting diuretics
morphine
vasodilators
digoxin
decompensated heart failure - answer✔failing myocardium is no longer able to propel sufficient
blood to meet the needs of the body, even at rest
central venous pressure (CVP) - answer✔measurement of the pressure in vena cava or right
atrium
reflects the filing pressure of the right ventricle
normal range is 2-6
