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NUR 242 Exam 4 Galen College Of Nursing - Question and answers correctly solved NUR 242 Exam 4 Malignant HTN - correct answer Extremely high BP >180/110 S/S of Malignant HTN - correct answer initially asymptomatic, headache upon awakening, blurred vision, dizziness, chest pain, dif...

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NUR 242 Exam 4
Malignant HTN - correct answer ✔Extremely high BP >180/110

S/S of Malignant HTN - correct answer ✔initially asymptomatic, headache
upon awakening, blurred vision, dizziness, chest pain, difficult breathing,
numbness in face and legs, tinnitus, flushed face, epistaxis

HTN Crisis - correct answer ✔acute and life threatening; accelerated HTN
requires ER treatment because organ damage can occur quickly

Pharmacological interventions for HTN - correct answer ✔ACE Inhibitors,
Diuretics, Calcium Channel Blockers, ARBs, and Beta Blockers

What symptom should you report right away with ACE Inhibitors? - correct
answer ✔Dry nagging cough- discontinue immediately and teach about
orthostatic HTN in elderly

What is an example of an ACE inhibitor drug? - correct answer ✔Lisinopril,
Enalapril

What is an example of a Calcium Channel Blocker? - correct answer
✔Verapamil, Amlodopine

What is an example of an ARB? - correct answer ✔Losartan, Valsartan

What is an example of a Beta Blocker? - correct answer ✔Metoprolol,
Atenolol

,Pt. teaching for Raynauds disease - correct answer ✔Stop smoking, avoid
cold and stress, wear warm clothing, take vasodilators as prescribed

Pt. teaching for Burgers Disease - correct answer ✔Use vasodilators as
prescribed, smoking cessation, avoid injury to upper and lower extremities,
can cause gangrene

S/S of Peripheral Arterial Disease (PAD) - correct answer ✔Leg pain,
burning, cramping muscle discomfort when walking that stops at rest. As the
disease persists the pt can walk shorter distances

Post-OP Care for Femoral Artery Bypass graft? - correct answer ✔warmth,
redness and edema are expected. Monitor for possible occlusion and
continuous aching pain (first sign of occlusion) Throbbing pain is due to
increased blood flow to the area.

Notify the physician immediately if they experience what S/S after a femoral
artery graft? - correct answer ✔Cold, pale, cyanotic skin or decreased pulse

Amputation complications: - correct answer ✔infection, phantom limb pain,
flexion contractions

Amputation Post-OP care: - correct answer ✔-DO NOT elevate limb on
pillow (can cause flexion contractures)
-1st 24 hours elevate the foot of the bed to decrease edema then keep the
bed flat
-24-48 hours- place the pt. in prone position to stretch muscles and prevent
hip flexion contractures

Pt with a DVT is at high risk for? - correct answer ✔PE

, DVT S/S - correct answer ✔-calf/groin tenderness
-sudden unilateral swelling
-positive Homans sign

DVT Risk Factors - correct answer ✔-venous stasis from varicose veins
-heart failure
-immobility
-use of birth control
-ulcerative colitis
-prolonged bedrest

DVT interventions: - correct answer ✔-SCDs
-Compression hose
-Elevate extremities
-IV continuous Heparin

When a pt. is on IV continuous Heparin, what lab values do you monitor? -
correct answer ✔aPTT Values

What is the normal aPTT range? - correct answer ✔30-40 seconds
1.5-3 times normal control levels
*Call the MD if >70 seconds*

Normal PT level: - correct answer ✔11-12.5 seconds

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