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NUR176 EXAM 2 REVIEW - QUESTIONS AND ANSWERS
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NUR176 EXAM 2 REVIEW - QUESTIONS AND ANSWERS
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NUR176 EXAM 2 REVIEWNUR 176 -Exam
QUESTIONS AND ANSWERS
2 Review
Recording #1:
1. If a patient is overweight, smokes and has a history of coronary
artery disease, what are you going to recommend?
● Stop smoking.
● Weight managing regime. If they are overweight
2. If a pt tells you they cannot walk on a Treadmill for a stress test.
What are you going to do?
● Ask the patient why they cannot walk on the treadmill
3. What is the discharge teaching on coumadin?
● Avoid Vitamin K foods (broccoli & asparagus)
● Dose depends on PT value
● Teach them what a therapeutic INR is (2-3)
● And chose 1 other
4. Pt comes in the ER with cool clammy skin, shortness of breath,
indigestion and pain. What do we do?
● MONA. Start with Nitro, Morphine, baby aspirin and oxygen.
See if it helps.
● Connect to heart monitor
5. If you have a patient stating they have heavy pressure in the middle
of their chest:
● This is an EMERGENCY
● They are probably having an MI
6. Signs and Symptoms for right sided Heart failure (peripheral):
, ● Peripheral edema - these are the only 2 she mentioned at the
very end when answering it again but she was all over the place
so the other 2 could be possible answers too.
● Weight gain
● Poor circulation
● Slow cap refill
7. Left Side heart failure (pulmonary/ lungs/ respiratory):
● Wheezes
● Crackles
● Pink frothy sputum
● Pulmonary edema
● Shortness of breath
8. When a patient has Angina. We give 81 mg baby aspirin. Why?
● It allows blood to flow easier. It makes the blood thin.
Recording # 2:
1. What is a PTCA?
● Percutaneous transluminal coronary angioplasty
● The patient goes in and the doctor will do a heart cath through
the femoral up to the heart and they will put a stent in that
spreads the vessel out and then when they take the stent out,
the vessel stays open. (it opens up a blocked coronary artery)
2. What should you educate the patient on if they have a PTCA?
Further education question.
● Tell the pt that they will not be asleep for the procedure but they
will be consciously sedated. (they will be in a twilight sleep)
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