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NUR 280 ( LATEST 2024 / 2025 ) EXAM 3 | COMPLETE ANSWERS 100% CORRECT
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NUR 280 ( LATEST 2024 / 2025 ) EXAM 3 | COMPLETE ANSWERS 100% CORRECT
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NUR 280 EXAM 31. What do we hear when blood does not flow correctly through the artery?
Answer
-
bruit
2. What causes a bruit?
Answer
Endothelial Injury (inflammation, atherosclerosis) Arterial stenosis (narrowing of artery)
3. What are our clients at risk for with sluggish, stagnant, or turbulent blood flow?
Answer
thrombus formation
4. What are our endothelial lining destroyers?
Answer
Lipids Lipoproteins
Glucose
Free Radicals Nicotine Homocysteine
5. hyperlipidemia and hypertension lead to
Answer
,atherosclerosis (plaque build up)
6. Extrinsic Pathway of Coagulation
Answer
When tissue is cut (skin, mucous mem- branes, vessels)
Activation of Factor 7
Contacts tissue factor to form TF-Factor 7 Leading to Factor 10
Measured by lab tests
Answer
PT and INR review recording
7. Intrinsic Pathway of Coagulation
Answer
Injury to a vessel (ex. AFIB) Activation of Factor 12
Eventually activates Factor 10 Measured by lab test
Answer
aPTT
8. Fibrinolysis
Answer
dissolution of a clot
,9. alteplase (rtPA)
Answer
a drug used to therapeutically break down clots
10. Arteries
Answer
- carry blood away from the heart 6 P's
Answer
Pain Paraesthesia Pulseless Pallor
Cool Paralysis
- bigger than veins
- high pressure
- thick muscle
- distribute oxygen, nutrients, hormones
11. Veins
Answer
- blood back to the heart
- stretches more than arteries
- thin-walled
- rely on skeletal muscle
- superficial vs deep
- no pulse
- hold most of the blood in the body
- elevate edema
, 12. Endothelial Lining Destroyers
Answer
- trama
- smoking
- physical inactivity
- diabetes
- extrinsic and intrinsic pathway
- free radicals
- homocysteine (vitamin 12 deficiency making it acidic)
13. Hypertension
Answer
- high blood pressure
- silent killer
- causes strain on the heart
- greater than 130/80
- raises the rate
- high risk
Answer
smokers, alcoholics, African Americans, obesity
- primary and secondary
- 2 or more BP readings of systolic greater than 130 and diastolic greater than 80
- shearing force
- diagnosis
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