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NUR 242 Exam 4 Questions And Answers. Updated And Verified. Normal BP - AnswerSystolic <120 / Diastolic <80 Pre-HTN - AnswerSystolic =120-139 / Diastolic=80-89 Stage 1 HTN - AnswerSystolic=140-159 / Diastolic=90-99 Stage 2 HTN - AnswerSystolic=>160 / Diastolic=>100 Malignant HTN -...

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  • January 28, 2025
  • 13
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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NUR 242 Exam 4 Questions And Answers.
Updated And Verified.


Normal BP - Answer✔Systolic <120 / Diastolic <80

Pre-HTN - Answer✔Systolic =120-139 / Diastolic=80-89

Stage 1 HTN - Answer✔Systolic=140-159 / Diastolic=90-99

Stage 2 HTN - Answer✔Systolic=>160 / Diastolic=>100

Malignant HTN - Answer✔Extremely high BP >180/110

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

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

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

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

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

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

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

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

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

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



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, ©BRAINBARTER 2024/2025 ALL RIGHTS RESERVED.

S/S of Peripheral Arterial Disease (PAD) - 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? - 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? -
Answer✔Cold, pale, cyanotic skin or decreased pulse

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

Amputation Post-OP care: - 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? - Answer✔PE

DVT S/S - Answer✔-calf/groin tenderness
-sudden unilateral swelling
-positive Homans sign

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

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

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

What is the normal aPTT range? - Answer✔30-40 seconds
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