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NURS 480 Final Exam Questions And 100% Correct Answers
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NURS 480 Final Exam Questions And100% Correct Answers
left-sided heart failure-ANSWER pulmonary congestion occurs when the left ventricle
cannot effectively pump into the aorta
manifestations of left-sided heart failure-ANSWER dyspnea
cough
crackles
low O2 sats
S3 (ventricular gallop)
right-sided heart failure-ANSER congestion in peripheral tissue and viscera
manifestations of right-sided heart failure-ANSWER JVD
dependent edema
pitting edema
hepatomegaly (tenderness in RUQ)
ascites
congestive heart failure-ANSWER a fluid overload condition associated with heart
failure
abdominal aortic aneurysm (AAA) - ANSWER usually due to congenital weakness,
trauma or diseae
risk factors:
,- genetic predisposition
- nicotine use
- hypertension
AAA manifestations - ANSWER complaint of heart beating in abdomen when lying down
abdominal mass or abdominal throbbing
cyanosis and mottling of toes
AAA - signs of impending rupture - ANSWER severe back or abdominal pain
- localized pain in middle or lower abdomen
- intense back pain
falling BP
decreasing hematocrit
Diagnostics for AAA - ANSWER pulsatile mass in middle and upper abdomen
ultrasound
CTA
Management of AAA - ANSWER Pharmacologic:
- manage hypertension
Endovascular/surgical:
- open surgical repair
- endovascular grafting
Manifestations of pulmonary edema - ANSWER anxiety
inability to sleep
, persistent cough
- pink, frothy sputum
tachypnea
hypoxemia
cyanosis
crackles
tachycardia
reduced urine output
confusion
S3
Health promotion - pulmonary edema - ANSWER physical activity
low sodium
refrain from tobacco
Nursing care for pulmonary edema - ANSWER High Fowler's
- feet and legs dependent or sitting on side of bed
high flow O2
monitor vitals every 15 minutes
monitor I&Os
check ABGs, electrolytes, SaO2
secure airway
limit fluid intake
hourly urine output
meds for pulmonary edema - ANSWER rapid acting diuretics
morphine
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