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Exam (elaborations)

Nur 114 Unit 2 Study Set with Questions and Correct Answers

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  • Course
  • NUR 114
  • Institution
  • NUR 114

As a second-year student nurse you are reviewing the pathologic factors associated with thrombophlebitis. You recall something called "Virchow's triad" and remember it includes the following components: Select all that apply. A. Stasis of blood B. Vessel Damage C. Hypertension D. Increased bloo...

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  • September 9, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 114
  • NUR 114
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Nur 114 Unit 2 Study Set with Questions
and Correct Answers
As a second-year student nurse you are reviewing the pathologic factors associated
with thrombophlebitis. You recall something called "Virchow's triad" and remember it
includes the following components: Select all that apply.

A. Stasis of blood

B. Vessel Damage

C. Hypertension

D. Increased blood coagulability ✅A B D

You are providing discharge instructions for your patient who is postoperative from a
TURP (transurethral resection of the prostate). Which of the following instructions
should the nurse include? Select all that apply.

A. Avoid sexual intercourse for 3 months after surgery.

B. If urine appears bloody, stop activity and rest

C. Avoid drinking caffeinated beverages.

D. Take a stool softener once a day.

E. Treat pain with ibuprofen (Motrin) ✅B C D

Identify 5 signs and symptoms associated with Left sided heart failure. ✅1. Fatigue

2. Activity intolerance

3. Dizziness or syncope

4. Dyspnea, SOB, Cough

5. Orthopnea

6. Cyanosis

7. Crackles, inspiratory rales, wheezes

, Your patient in the clinic is a 60 year old African American Male wh0 complains of
nocturia. While completing your nursing history you wish to further assess your patient
for potential signs of Benign Prostatic Hypertrophy (BPH). Identify other signs and
symptoms you may find during your assessment which would support this suspected
diagnosis. ✅Weak urinary stream
Urinary hesitancy
Incomplete bladder emptying
Post-voiding dribbling
Bladder pain
Dysuria
Incontinence

You are providing discharge information for your patient who is post-op laparoscopic
cholecystectomy with placement of a T-tube. It has been 12 hours since their surgery.
What d/c instructions would you include regarding T-tube drain? Select all that apply.

A. There should be no drainage from the T-tube after 2 days

B. Drainage may be up to 500 ml the first 24 hours

C. The tube should be kept below the surgical wound

D. Patient should avoid pulling or tugging of the drain

E. Drainage which is green-brown color is to be expected ✅B C D E

The doctor has prescribed low dose Aspirin for the patient with atherosclerosis. You
identify which of the following as contraindications to Aspirin therapy? Select all that
apply.

A. Aspirin Sensitivity

B. Bleeding Disorders

C. History of peptic ulcer disease

d. Hypertension ✅A, and B.

C is incorrect: active peptic ulcer disease is a contraindication, not a history of peptic
ulcer disease.

D. is incorrect: patients with hypertension are prescribed ASA therapy to decrease the
risk of MI associated with atherosclerosis.

The patient presents to the Emergency Department with complaints of 10 bloody mucus
diarrhea stools over the past 24 hours. In addition to the diarrhea he complains of left

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