NUR176 Exam 3
NUR 176 Exam 3 Questions and
Answers UPDATED 2025 With Complete
Solutions!!
What to monitor for with appendicitis?
Monitoring for s/s of peritonitis WBC count, RLQ pain, fever, swelling, urinating
frequency and urgency
What client statement would require immediate nursing intervention with appendicitis?
The pain seems to be gone(this means the appendix has burst, sepsis can occur)
Management of appendicitis prior to official diagnosis of it
Pain relief meds(NSAIDs), fasting to minimize stomach contents, and close monitoring of
symptoms
What is the point/place of pain classically associated with appendicitis
Right Lower quadrant
Contributing factors to development of essential (primary) hypertension
race, Intake of sodium/alcohol, smoking, low potassium and vitamin D levels, family
history, age, high cholesterol, too much caffeine, obesity, restricted activity, sleep apnea
What is hypertension, and how do you describe it
high blood pressure, The pressure in the blood vessels are consistently too high
Lifestyle changes for someone with Coronary Artery Disease(Heart Disease), HTN, and
hyperlipidemia
Stop smoking, weight loss, exercise, increase fiber, decrease saturated fats, limit sodium
intake, limit alcohol intake,
What is the first lab to elevate with acute myocardial infarction
Troponin
Signs and Symptoms of right sided heart failure
NUR176 Exam 3
, NUR176 Exam 3
Swelling of the legs and hands, weight gain(2-3 lbs per day), pitting edema, JVD,
Ascites(abnormal girth), Hepatomegaly(enlarged liver from buildup)
Signs and symptoms of left sided heart failure
Trouble breathing(dyspnea), trouble breathing while laying down(orthopnea), SOB while
sleeping(nocturnal paroxysmal dyspnea) crackles in the lungs, constant cough, frothy
sputum
What is the initial action for a client with heart failure who is having pulmonary edema
due to (d/t)IV fluids
Administer supplemental oxygen via a face mask
What will help for someone with peripheral arterial disease when they have pain with
laying down?
Dangle their legs while sleeping by slightly raising the head of their bed;
Risk factors for peripheral vascular disease
Smoking, diabetes, high cholesterol, hypertension
Difference between primary and secondary hypertension
Primary you don't know the reason why, secondary has a preexisting condition
Triggers/causes of disseminated intravascular coagulation
Sepsis, shock, cancer, major trauma, burns, pregnancy complication(usually secondary to
another pathological process)
What two things are going on with DIC
Pt is bleeding but clotting
Hemophilia is more common in who
More common in males; females are the carriers
Nitroglycerin purpose
Help increase the amount of oxygenated blood that we're getting to our heart tissue,our
myocardium. Which then will decrease chest pain
What to check before administering the 2nd dose of nitroglycerin
B/P, (make sure the systolic B/P is above 100)
NUR176 Exam 3
