NUR265/ NUR 265 Exam 1: (2024/ 202 5 Update) Advanced Med -Surg Review | Questions and Verified Answers| 100% Correct - Galen Q: encephalopathy diet Answer: low protein Q: cardiomyopathy (dilated) Answer: - CHF - Fluid overload Sxs: - fatigue - syncope - LSHF - dysthymia Tx: - diuretics - vasodilators (morphine, nitro) - digoxin - anticoagulants *chronic* *safety (falls)* Q: AMI Answer: RSHF Sxs: - JVD - peripheral edema - weight gain - dec UOP LSHF Sxs: - crackles - dec 02 - forthy pink sputum (pulm edema) - air hunger Tx: - diuretics (furosemide) - inotropes (dobutamine/dopamine) - oxygen - morphine (vasodilator) Complications: - cardiac tamponade - pericardial effusion Q: Angina Answer: Stable: - treat w/ nitro and rest Unstable: - unpredictable - not relieved w/ nitro and rest Sxs: - squeezing/ pressure - shoulder/back pain - diaphoresis - N/V Q: MI Answer: STEMI: - ST elevation MI NSTEMI - Non ST elevated MI Sxs: - pain not relieved - dyspnea - diaphoresis - N/V/ indigestion -restlessness - inc troponin Tx: - morphine - oxygen - nitro (hypotension - lower HOB, call doc) - aspirin - beta blocker Complications: - cardiac tamponade - pulmonary edema - CHF - dysthymia (AFIB) Q: tPA contraindications Answer: - inter cranial neoplasm - inter cranial bleed - aortic disection - menstural bleeding - active peptic ulcer - varices - recent surgery - stroke in 3 mo Q: CABAG
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