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NUR 176 Test 2 Hondros Exam|90 Questions and Answers
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NUR 176 Test 2 Hondros Exam|90 Questions and Answers
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NUR 176 Test 2 Hondros Exam|90Questions and Answers
What is the most common cause of renal failure? - -DM -accounts for more
than 40% of new cases
-Sometime a pt already on a heparin drip may be placed on Coumadin at the
same time. Why? - -Because it takes several days for Coumadin to reach
therapeutic level
-What would you teach a patient at home on Coumadin and hep drip? - -
limited intake of foods high in vitamin K
-How should we give nitroglycerin tablets? - -3 tablets sublingual q5mins;
after 3rd dose, call 911
-What are the side effects of Lasix? - -Increased HR and increased urine
output; should be concerned if pt has decreased urine output
-What should we monitor while pt is taking Lasix? - -Potassium
-What is spironalatone (Aldactone) used for? - -HTN and edema
-Do not give to pt with hyperkalemia, could cause fatal cardiac dysrhythmias
- -spironalatone
-Dilates blood vessels (vasodilator), does not increase cholesterol, blood
thinner - -Aspirin
-Medication for MI - -atenolol (Tenormin)
-Side effects of finasteride (Proscar) - -Pregnant women should avoid
handling crushed pills, may cause impotence, swelling in hands & feet,
dizziness and weakness
-Your patient has orders for digoxin (Lanoxin) and their heart rate is below
60, what should you as the nurse do first? - -Hold medication, call doctor
-If a patient has been diagnosed with Celiac disease, can they ever go back
on a regular diet - -No, patient will always be on a gluten-free diet
-S/S of Angina - -chest pain, dyspnea, anxiety, apprehension, diaphoresis,
nausea
, -Diagnostic tests for Angina - -Stress test (climbing stairs, treadmill), ECG,
EKG
-What should the nurse do if the pt is unable to perform the stress test for
Angina? - -Assess why pt unable to, then administer Persatine or adenosine
(Adenocard)
-S/S of cardiac output HF - -fatigue, anginal pain, anxiety, aoliguria,
decreased GI motility, pale-cool skin, weight gain, restlessness
-S/S left side HF (SELECT ALL) - -dyspnea, paroxysmal noctural dyspnea,
cough, frothy-blood-tinged sputum, orthopnea, pulmonary crackles,
radiographic evidence of pulmonary vascular congestion with pleural effusion
-S/S of right side HF (SELECT ALL) - -distended jugular veins, anorexia,
nausea, abdominal distention, liver enlargement, ascites, edema in feet,
ankles, sacrum
-A pt has just entered the ER with complaints that mimic the s/s of CHF,
what is your next step? - -Assess the patient
-HF tests - -Chest x-ray, ECG, echcogardiogram, stress test, MUGA, monitor
levels of electrolytes, sodium, calcium, magnesium, potassium, BUN,
creatinine
-HF risk factors - -MI, prolonged HTN, DM, valvular or inflammatory heart
disease, infection, stress, hyperthyroidism, anemia and fluid replacement
therapy
-Where do we take BP if pt has a fistula for dialysis? - -the opposite arm;
check q 30-60 mins along with VS
-Where is PTCA done? - -Cath lab
-What do we need from the patient for a PTCA to be done? - -Informed
consent
-Is the pt awake or asleep for a PTCA? - -usually awake, but mildly sedated
-True or False: During the PTCA a balloon is inflated once it is positioned and
the outward push of the balloon reduces the constriction in the artery. - -
True
-What is hemathrosis? - -Bleeding in the joints - signs of hemophillia
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