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Exam (elaborations)

NURS 384 - Exam 2 Study Guide Solutions

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  • NURS 2024/2025
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  • NURS 2024/2025

NURS 384 - Exam 2 Study Guide Solutions Cholesterol - Ans:-<200 mg/dL HDL - Ans:->40 mg/dL LDL - Ans:-<130 mg/dL triglycerides - Ans:-<150 mg/dL hematocrit - Ans:-36% - 50% hemoglobin - Ans:-12 - 18 atorvastatin (Lipitor) - Ans:-- lowers cholesterol - Do not give with grapefrui...

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  • October 24, 2024
  • 61
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 2024/2025
  • NURS 2024/2025
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GraceAmelia
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FIRST PUBLISH OCTOBER 2024




NURS 384 - Exam 2 Study Guide
Solutions


Cholesterol - Ans:✔✔-<200 mg/dL


HDL - Ans:✔✔->40 mg/dL


LDL - Ans:✔✔-<130 mg/dL


triglycerides - Ans:✔✔-<150 mg/dL


hematocrit - Ans:✔✔-36% - 50%


hemoglobin - Ans:✔✔-12 - 18


atorvastatin (Lipitor) - Ans:✔✔-- lowers cholesterol


- Do not give with grapefruit, check liver function prior to giving; these can cause toxicity.


- Observe for signs of toxicity; muscle pain, and rhabdomyolysis.


- Nausea, flatulence, and constipation are adverse effects. This is the most important class of lipid

lowering medications, and most frequently prescribed.

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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




- Cholesterol is synthesized at night so instruct patient to take at night for best efficacy.


MAP - Ans:✔✔-(SBP + 2 DBP) / 3


Diagnosis of diabetes - Ans:✔✔-A1C >6.5%


Most common problem of CAD - Ans:✔✔-atherosclerosis


CAD non-modifiable risk factors - Ans:✔✔-age, gender, ethnicity, family history, genetics


CAD modifiable risk factors - Ans:✔✔-- cholesterol > 200


- HDL < 40 mg/dL


- LDL > 130 mg/dL


- Triglycerides > 150 mg/dL


- Tobacco use


- BP


MI locations of radiation - Ans:✔✔-back, neck, jaw, shoulder, arm


chronic stable angina - Ans:✔✔-only ischemia


unstable angina - Ans:✔✔-partial thrombus occlusion


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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




non-STEMI - Ans:✔✔-occluding thrombus causes tissue necrosis, elevated cardiac enzymes - may see

ECG changes but not ST elevation


STEMI - Ans:✔✔-Complete thrombus occlusion causing infarction of the tissue, will see ST elevation or

LBBB


Treatment for stable angina - Ans:✔✔-A Antiplatelet, antianginal, anticoagulant, ace arb


B Beta blocker BP control


C Cigarette smoking, cholesterol mgmt., CCB, cardiac rehab


D diet, diabetes mgmt., depression screening, vaso dilator (nitroglycerin)


E education, exercise


F flu vaccination


MI s/s - Ans:✔✔-- pain: tightness, crushing, substernal, unrelieved by nitro


- dyspnea


- nausea


- vomiting


- diaphoresis


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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




- denial


- increased HR


- decreased BP


ST elevation - Ans:✔✔->1mm in two contiguous limb leads or >2mm in two contiguous chest leads


MI lab test - Ans:✔✔-- Troponin I & T


- Creatine kinase -MB


- Myoglobin


- C-reactive protein


MI nursing intervention - Ans:✔✔-- ABCs


- Aspirin


- O2 if low


- monitor ECG


- repeat 12-lead ECG & blood work


- pain relief with nitrate first then opioid if needed



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