NUR 242 MED SURG EXAM 3 LATEST 2024-2025
ACTUAL EXAM 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+|
Terms in this set (128)
Normal BP Systolic <120 / Diastolic <80
Pre-HTN Systolic =120-139 / Diastolic=80-89
Stage 1 HTN Systolic=140-159 / Diastolic=90-99
Stage 2 HTN Systolic=>160 / Diastolic=>100
Malignant HTN Extremely high BP >180/110
initially asymptomatic, headache upon awakening,
blurred vision, dizziness, chest pain, difficult breathing,
S/S of Malignant HTN
numbness in face and legs, tinnitus, flushed face,
epistaxis
acute and life threatening; accelerated HTN requires ER
HTN Crisis
treatment because organ damage can occur quickly
Pharmacological ACE Inhibitors, Diuretics, Calcium Channel Blockers,
interventions for HTN ARBs, and Beta Blockers
What symptom should you Dry nagging cough- discontinue immediately and teach
report right away with ACE about orthostatic HTN in elderly
Inhibitors?
What is an example of an Lisinopril, Enalapril
ACE inhibitor drug?
What is an example of a Verapamil, Amlodopine
Calcium Channel Blocker?
, What is an example of an Losartan, Valsartan
ARB?
What is an example of a Metoprolol, Atenolol
Beta Blocker?
Pt. teaching for Raynauds Stop smoking, avoid cold and stress, wear warm
disease clothing, take vasodilators as prescribed
Use vasodilators as prescribed, smoking cessation, avoid
Pt. teaching for Burgers
injury to upper and lower extremities, can cause
Disease
gangrene
Leg pain, burning, cramping muscle discomfort when
S/S of Peripheral Arterial
walking that stops at rest. As the disease persists the pt
Disease (PAD)
can walk shorter distances
warmth, redness and edema are expected. Monitor for
Post-OP Care for Femoral possible occlusion and continuous aching pain (first sign
Artery Bypass graft? of occlusion) Throbbing pain is due to increased blood
flow to the area.
Notify the physician Cold, pale, cyanotic skin or decreased pulse
immediately if they
experience what S/S after a
femoral artery graft?
-DO NOT elevate limb on pillow (can cause flexion
contractures)
-1st 24 hours elevate the foot of the bed to decrease
Amputation Post-OP care:
edema then keep the bed flat
-24-48 hours- place the pt. in prone position to stretch
muscles and prevent hip flexion contractures
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