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Hondros NUR 176 Test 2, Nur 176 Exam
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Hondros NUR 176 Test 2, Nur 176 Exam 2 2024-2025Causes of ARF - ANSWER Hemorrhage, trauma, infection, decreased cardiac output,
medications
ARF S/S - ANSWER mimics dehydration s/s, anorexia, h/a, edema, vomiting, nausea,
lethargy,
Malignan hypertension - ANSWER Is the most severe
S/S of Malignant hypertension - ANSWER - Diastolic >120
- Blurred vision
- Severe h/a
- High cholesterol
- Dyspnea
- History of hypertension
Beta blockers - ANSWER medication used to treat several different types of conditions,
including hypertension (high blood pressure), angina, some abnormal heart rhythms,
heart attack (myocardial infarction)
Beta blockers actions - ANSWER Decreases BP and HR blocking epinephrine and
nonepinephrine
Side effects of Beta blockers - ANSWER SOB (asthma like symptoms)
Weakness
Dry mouth
Dizziness
H/A
Upset stomach
,Common Beta blockers - ANSWER Metoprolol (Lopressor, Toprol-XL)
Propranolol (Inderal LA, InnoPran XL)
Atenolol (Tenormin) - ANSWER Medication for MI
Digoxin (Lanoxin, Digox) - ANSWER medication used for heart failure (hf)
Nursing consideration for Digoxin - ANSWER assess hr, if it's <60 hold the medicine and
call doctor
Nitroglycerin - ANSWER opens blood vessels, is used for chest pain (antiangina)
Administration of glycerin - ANSWER Sublingual, 1 pill q5min, maximum of three pills, if
pain continues call doctor, possible HA
PTCA - ANSWER Percutaneous
Transluminal
Coronary
Angioplastic
Pt teaching prior to PTCA - ANSWER Describe procedure: a balloon is inflated in order
to decrease narrowing of the artery Contrast will be utilized, usually through femoral Pt
will have a sensation of flushing/warmth everywhere when contrast is injected Pt will
need to remain flat Pt will be sedated but awake Pt should sign Informed consent for
PTCA and also for a future CABG (Coronary Artery Bypass Grafting)
S/S of left heart failure - ANSWER Lungs (Respiratory problems)
Dyspnea, paroxysmal nocturnal dyspnea, cough, frothy-blood-tinged sputum,
orthopnea, pulmonary crackles, radiographic evidence of pulmonary vascular
, congestion with pleura effusion
S/S of right heart failure - ANSWER Body (everything not related to lungs)
Distended jugular veins, anorexia, nausea, abdominal distention, liver enlargement,
ascites (peritoneal edema), edema in feet, ankles, sacrum
Test for heart failure - ANSWER - CXR
- BNP (Brain Natriuretic Peptide)
Cardiac rehabilitation orders - ANSWER - Low Na+ diet
- Lifestyle education (all that pt is doing wrong and have to correct)
- Use of medications (Metoprolol -Lopresol
- Exercise
Non-pharmacological treatment for hypertension - ANSWER - Diet (low Na+, low fat,
high K+, CA+, and Mg+) fruits and vegetables
- Moderate aerobic exercises (walk 20 min/day/3 times/wk
High Blood Pressure - ANSWER >140/90, is called the silent killer because it doesn't
show symptoms until is tissue damage
S/S of high blood pressure - ANSWER - Blurred vision
- Unexplained nose bleeding
S/S of MI for males - ANSWER - Heavy severe chest pain, usually radiates to left arm,
neck, jaw
S/S of MI for females - ANSWER Like indigestion symptoms, SOB, weakness
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