NUR 155 MEDSURG EXAM 1 (2026/2027)
QUESTIONS AND CORRECT ANSWERS GRADED
A+ GALEN
When should nitroglycern be taken: before or after completing a heavy physical
activity known to cause an attack?
before
what type of temeperature should we avoid with angina?
cold (due to vasoconstriction)
Whats the most important thing we should stop doing pertaining to sedentary
lifestyle
smoking cessation
What is the proper way to take a nitroglycern tablet?
sublingually; take 1st dose then lie down, if pain persists take before taking second
dose call 911; can be repeated 2 or more times with 5 minute intervals for a total of
3 tabs
when taking a calcium channel blocker what VS should be assessed prior to
administration?
,pulse rate
Due to postural hypotension at what speed should the patient rise?
slowly
Nitrates can causes what s/s?
hypotension and headaches
What is the main reason why buergers disease is caused ?
smoking
what does buergers disease do?
it causes little clots that cut off circulation
what gender is buergers disease more prevelent in?
males
What natives does buergers disease effect more?
inida, japan, korea, and ashkenazic jewish people
,intermittent claudification, coldness, numbness and tingling of the toes and fingers,
cyanosis, and impaired peripheral vessels are s/s of what disease process
buergers disease
What patient teaching is vital for a patient with buergers disease?
avoid precipitating factors like cold, stress, caffeine, and any form of nicotine ( all
of theses can cause vasoconstriction)
spasms that cause the disruption in blood flow is a part of what disease process?
raynauds
what gender is most at risk for raynauds disease?
young female
With raynauds disease what parts of the body are mostly affected?
fingers and toes
The raynauds phenomen occurs on both sides or one side of the body?
only one side of the body
, When a patient has raynauds what should they avoid?
anything that causes vasoconstriction like cold, stress, caffeine and nicotine
How is raynauds treated?
increasing warmth, calcium channel blockers (vasodilation), stress releif and
analagesics for pain relief
what is a major nursing intervention for raynauds disease?
- teaching the patient to protect extremities and prevent injury
What should we teach the patient that has raynauds disease? (select all that apply)
A) dress warmly in cold enviornments
B) clothing should be layered and non restrictive
C) hats, gloves, and socks should be worn
D) where protective gloves when reaching into ovens and when handling
extremely cold items
E) Avoid cold temps as much to manage stress
F) Stop tobacoo and limit caffeine
A-F
QUESTIONS AND CORRECT ANSWERS GRADED
A+ GALEN
When should nitroglycern be taken: before or after completing a heavy physical
activity known to cause an attack?
before
what type of temeperature should we avoid with angina?
cold (due to vasoconstriction)
Whats the most important thing we should stop doing pertaining to sedentary
lifestyle
smoking cessation
What is the proper way to take a nitroglycern tablet?
sublingually; take 1st dose then lie down, if pain persists take before taking second
dose call 911; can be repeated 2 or more times with 5 minute intervals for a total of
3 tabs
when taking a calcium channel blocker what VS should be assessed prior to
administration?
,pulse rate
Due to postural hypotension at what speed should the patient rise?
slowly
Nitrates can causes what s/s?
hypotension and headaches
What is the main reason why buergers disease is caused ?
smoking
what does buergers disease do?
it causes little clots that cut off circulation
what gender is buergers disease more prevelent in?
males
What natives does buergers disease effect more?
inida, japan, korea, and ashkenazic jewish people
,intermittent claudification, coldness, numbness and tingling of the toes and fingers,
cyanosis, and impaired peripheral vessels are s/s of what disease process
buergers disease
What patient teaching is vital for a patient with buergers disease?
avoid precipitating factors like cold, stress, caffeine, and any form of nicotine ( all
of theses can cause vasoconstriction)
spasms that cause the disruption in blood flow is a part of what disease process?
raynauds
what gender is most at risk for raynauds disease?
young female
With raynauds disease what parts of the body are mostly affected?
fingers and toes
The raynauds phenomen occurs on both sides or one side of the body?
only one side of the body
, When a patient has raynauds what should they avoid?
anything that causes vasoconstriction like cold, stress, caffeine and nicotine
How is raynauds treated?
increasing warmth, calcium channel blockers (vasodilation), stress releif and
analagesics for pain relief
what is a major nursing intervention for raynauds disease?
- teaching the patient to protect extremities and prevent injury
What should we teach the patient that has raynauds disease? (select all that apply)
A) dress warmly in cold enviornments
B) clothing should be layered and non restrictive
C) hats, gloves, and socks should be worn
D) where protective gloves when reaching into ovens and when handling
extremely cold items
E) Avoid cold temps as much to manage stress
F) Stop tobacoo and limit caffeine
A-F
