NUR 176 Test 2 Hondros 100% Correct Solved

NUR 176 Test 2 Hondros 100% Correct Solved What is the most common cause of renal failure? - Correct Answer ️️ -DM -accounts for more than 40% of new cases Sometime a pt already on a heparin drip may be placed on Coumadin at the same time. Why? - Correct Answer ️️ -Because it takes several days for Coumadin to reach therapeutic level What would you teach a patient at home on Coumadin and hep drip? - Correct Answer ️️ -limited intake of foods high in vitamin K How should we give nitroglycerin tablets? - Correct Answer ️️ -3 tablets sublingual q5mins; after 3rd dose, call 911 What are the side effects of Lasix? - Correct Answer ️️ -Increased HR and increased urine output; should be concerned if pt has decreased urine output What should we monitor while pt is taking Lasix? - Correct Answer ️️ -Potassium What is spironalatone (Aldactone) used for? - Correct Answer ️️ -HTN and edema Do not give to pt with hyperkalemia, could cause fatal cardiac dysrhythmias - Correct Answer ️️ -spironalatone Dilates blood vessels (vasodilator), does not increase cholesterol, blood thinner - Correct Answer ️️ -Aspirin Medication for MI - Correct Answer ️️ -atenolol (Tenormin) Side effects of finasteride (Proscar) - Correct Answer ️️ -Pregnant women should avoid handling crushed pills, may cause impotence, swelling in hands & feet, dizziness and weakness Your patient has orders for digoxin (Lanoxin) and their heart rate is below 60, what should you as the nurse do first? - Correct Answer ️️ -Hold medication, call doctor If a patient has been diagnosed with Celiac disease, can they ever go back on a regular diet - Correct Answer ️️ -No, patient will always be on a gluten-free diet S/S of Angina - Correct Answer ️️ -chest pain, dyspnea, anxiety, apprehension, diaphoresis, nausea Diagnostic tests for Angina - Correct Answer ️️ -Stress test (climbing stairs, treadmill), ECG, EKG What should the nurse do if the pt is unable to perform the stress test for Angina? - Correct Answer ️️ -Assess why pt unable to, then administer Persatine or adenosine (Adenocard) S/S of cardiac output HF - Correct Answer ️️ -fatigue, anginal pain, anxiety, aoliguria, decreased GI motility, pale-cool skin, weight gain, restlessness S/S left side HF (SELECT ALL) - Correct Answer ️️ -dyspnea, paroxysmal noctural dyspnea, cough, frothy-blood-tinged sputum, orthopnea, pulmonary crackles, radiographic evidence of pulmonary vascular congestion with pleural effusion S/S of right side HF (SELECT ALL) - Correct Answer ️️ -distended jugular veins, anorexia, nausea, abdominal distention, liver enlargement, ascites, edema in feet, ankles, sacrum