Exam 1: NUR265/ NUR 265 (New 2024/ 202 5 Update) Advanced Med -Surg Review | Questions and Verified Answers| 100% Correct - Galen QUESTION aortic abdominal aneurysm Answer: risk: - age >60 - smoking - male - atherosclerosis Sxs: - bruit auscultated - pulsation in abd - DO NOT PALPATE Rupture: - flank pain - groin pain Tx: - maintain BP - avoid rupture QUESTION thoracic aortic aneurysm Answer: Sxs: - abd pain/ back pain left side/ flank pain - gnawing pain - SOB - dysarthria (difficulty speaking) Rupture: - new consistent back pain/ jaw - hypovolemic shock Tx: - maintain BP - assess peripheral pulses - surgery >5cm (women), >5.5cm (men) QUESTION post op aneurysm Answer: - BP/ circulation check (Q15 min - then hourly) - hourly UOP (AKI) - respiratory assessment - monitor bowel sound (paralytic ileus) QUESTION Aortic Dissection Answer: Sudden tear Sxs: - sharp/ ripping/ stabbing - back/ neck/ throat/ jaw pain 10/10 - diaphoresis - absent peripheral pulses - murmur NI: - monitor BP (Q15mins) - bed rest (semi fowler) - dec stress - 2 lg IV, morphine, beta blocker - foley Cath - nitroprusside Complications: - cardiac tamponade - hemorrhage QUESTION infective endocarditis Answer: Infection in the endocardium Sxs: - new murmur - petechaie - splinter hemorrhage - peripheral edema - SOB/ crackles - weight gain Tx: - Abx - fluids - avoid anticoagulants (cause clots) - Abx before dental procedure - proper hygiene, soft toothbrush, do not floss QUESTION Pericarditis Answer: inflammation of the pericardial sac Sxs: - pain worse on inspiration - pericardial friction rub Complications: - pericardial effusion - cardiac tamponade Tx:
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