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10/11/2024 1:41 PM
Hondros NUR 176 Test 2, Nur 176 Exam 2
Questions 100% Solved.
ARF Causes - 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)
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10/11/2024 1:41 PM
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
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PTCA - answer✔Percutaneous
Transluminal
Coronary
Angioplastic
Pt teaching before PTCA - answer✔- Explain procedure: a balloon is inflated to reduce the
constriction in the artery
- Contrast is used, normally in femoral
- Pt is gonna feel a flush/warm everywhere when contrast is injected
- Pt should lay flat
- Pt will be sedated but awake
- Pt should sign Informed consent for PTCA and 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)
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10/11/2024 1:41 PM
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
