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Galen medsurg exam 2| Questions with Complete Solutions
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Galen medsurg exam 2| Questions withComplete Solutions
When suspecting an embolism what interventions should you do? ( selct al that apply)
A) place patient in high fowler
B) provide O2 and reasurrence
C) notify health care provider
D) stay with patient - ANSWER A-D
when should support stockings be worn when a patient has DVT? - ANSWER after the acute
phase
stockings should be replaced how often? - ANSWER 6 months
enalarged and tortous veins that are distorted in shape by accumulations of pooled blood, they
have developed incomplete valves that allow refulx of blood from the deep to the superficial
veins are know as what disease process? - ANSWER Vericrose veins
signs and symptoms of vericrose veins includes? - ANSWER dilated, twisting appearence,
superficial vessels on the legs, swelling of the foot and ankle on the affected leg followed
by aching, legs feel heavy and full when walking or exercise.
How do you treat vericrose veins? - ANSWER elastic hose, exercising the legs and
feet periodically throught the day, and elevating the legs whenever possible
what should be avoided when diagnosed with vericrose veins? - ANSWER prolonged standing,
sitting, or crossing the legs is to be avoided.
,for those that are obeses with vericrose veins what would most likely be recommended? -
ANSWER weight loss reduction
How long are compression stockings worn for a patient that has scleropathy due to
vericrose veins? - ANSWER 1-2 weeks after procedure, patients ambulate immediatley after
the procedure for 30-60minutes, and 1-2 hours per day for 1-2 weeks.
less than 130 (systolic) and less than 85 (diastolic) is calssified as what type of b/p and
how should we treat it? - ANSWER normal BP and monitor if risk factor are present
130-139 (systolic) and 85-89 (diastolic) is classified as what type of b/p and what should we
monitor for? - ANSWER high-normal blood pressure ( interventions to treat modify diet,
increse exercise, lose weight, stop smoking)
140-159 (systolic) and 80-89 (diastolic) is classified as what type of bp and how do we treat it?
- ANSWER Grade 1 hypertension and we treat it with nonpharmocologic interventions + Ace
inhibitor or arb and calcium channel blocker
160 - higher is classifed as what type of bp and how do we treat? - ANSWER Grade 2
hypertension and nonpharmocologic intervention + above drugs + add thiazide like diuretic
race, smoking, obesity, increased cholesterol, family history, sedentary lifestyle is classified
at primary or secondary hypertension? - ANSWER primary
has a direct casue by a preexisting condition - like renal failure, hyperthyroidism, diabetes,
pregnancy, and cushing syndrome is classified as primary or secondary hypertension? -
ANSWER secondary
what are some signs and symptoms of hypertension? - ANSWER asymptomatic, visual changes,
chest, nose bleeds
, teach the patient with hypertension to follow what diet? - ANSWER DASH diet , exercise,
medication ( warn about hypotension) , stop smoking, and stop drinking
Age, Gender, ethnicity/race, and family history are modifiable or nonmodifiable risk factors? -
ANSWER non- modifiable
alcohol, cigeratte smoking, smokeless tobacoo, e-cigarettes, Diabetes, obesity, stress, elevated
serum lipids, excess dietary sodium, decreased kidney function, and decreased physical activity are
considered modifiable or unmodifiable risk factors? - ANSWER modifiable risk factors
Safety measure to prevent falls with patients with orthostatic hypotension? while patient is
lying down. - ANSWER - rise slowly from a lying position, dont hold breath while rising, sit for 1
minute before standing: stnading slowly while holding on to a stable object. stand for 1
minute before walking
Safety measure to prevent falls with patients with orthostatic hypotension? while patient is
seated. - ANSWER flex and rotate the feet several times before attempting to stand; plant
feet firmly on the floor before standing
Safety measure to prevent falls with patients with orthostatic hypotension? while patient
is walking? - ANSWER instruct patient no to turn head or body abruptly
is a cardiac enzyme; best indicater of an acute MI - ANSWER troponin
Lipoproteins if elevated indicates a risk for heart disease and stroke - ANSWER LDL
if elevated helps indicate heart failure and damage in somone with heart failure - ANSWER BNP
if eleveated indicates a blood clot may be present in the body - ANSWER D dimer
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