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Exam 3: NU185/ NU 185 (Latest 2025/ 2026 Update) Medical-Surgical Nursing II Review| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen

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Exam 3: NU185/ NU 185 (Latest 2025/ 2026 Update) Medical-Surgical Nursing II Review| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen QUESTION common therapeutic measures- diet Answer: increased fiber will lower cholesterol (need 35g) restrict foods high in transfat and sodium QUESTION common therapeutic measures- oxygen Answer: any pt experiencing chest pain is started on low-dose oxygen be alert for signs of changing oxygen needs (increased pulse rate, irritability, confusion and disorientation) QUESTION common therapeutic measures- pacemaker Answer: used to manage chronic and life-threatening dysrhythmias are used to support heart rate when bradycardia occurs pace atria or ventricles permanent pacemaker is implanted for SA node dysfunction, heart block or treatment of chronic HF QUESTION common therapeutic measures- cardioversion Answer: mild electrical shock delivered to the heart to interrupt the abnormal rhythm to begin a new, normal rhythm of impulses and contraction done emergently, but can be done scheduled to convert a-fib to normal rhythm pt is given sedative before resuscitation equipment must be at hand, monitor heart rate, rhythm and blood pressure QUESTION common therapeutic measures- defibrillator, Answer: pts who have an episode of a dysrhythmia, can also be used in pts with cardiomyopathy and decreased ejection fraction that are at an increased risk of lethal dysrhythmias monitor heartbeat and provide electrical shock similar to cardioversion when life-threatening rhythm is detected a magnetic field will temporarily inactivate the device QUESTION infective endocarditis patho Answer: inflamed tissues of the heart become rough and swollen, traps organisms, vegetations grow QUESTION infective endocarditis s/s Answer: fatigue, chills, sweats, malaise, anorexia, muscle aches and HA CRP and leukocytes are elevated low grade fever- intermittent spleen enlarged blood cultures will be positive splinter hemorrhages can occur and have petechiae inside mouth, conjunctivae and above clavicles cardiac dysrhythmias may appear, can have sharp, stabbing chest pain QUESTION infective endocarditis- diagnostics Answer: TEE confirms diagnosis QUESTION treatment infective endocarditis Answer: ATB for 4-6 weeks, NSAIDS for inflammation, pain meds, medications for dysrhythmias and HF- as needed QUESTION pericarditis- patho Answer: inflammation of the pericardium, serous fluids that typically are produced by inflammation may cause an effusion in the pericardium, if the effusion becomes large, it presses on the ventricle, restricting filling which can affect cardiac output

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Examl 3:l NU185/l NUl 185l (Latestl 2025/l
2026l Update)l Medical-Surgicall Nursingl IIl
Review|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Galen

Q:l commonl therapeuticl measures-l diet

Answer:
increasedl fiberl willl lowerl cholesteroll (needl 35g)
restrictl foodsl highl inl transfatl andl sodium




Q:l commonl therapeuticl measures-l oxygen

Answer:
anyl ptl experiencingl chestl painl isl startedl onl low-dosel oxygen
bel alertl forl signsl ofl changingl oxygenl needsl (increasedl pulsel rate,l irritability,l confusionl
andl disorientation)




Q:l commonl therapeuticl measures-l pacemaker

Answer:
usedl tol managel chronicl andl life-threateningl dysrhythmiasl arel usedl tol supportl heartl ratel
whenl bradycardial occurs
pacel atrial orl ventricles
permanentl pacemakerl isl implantedl forl SAl nodel dysfunction,l heartl blockl orl treatmentl ofl
chronicl HF

,Q:l commonl therapeuticl measures-l cardioversion

Answer:
mildl electricall shockl deliveredl tol thel heartl tol interruptl thel abnormall rhythml tol beginl al
new,l normall rhythml ofl impulsesl andl contraction
donel emergently,l butl canl bel donel scheduledl tol convertl a-fibl tol normall rhythm
ptl isl givenl sedativel before
resuscitationl equipmentl mustl bel atl hand,l monitorl heartl rate,l rhythml andl bloodl pressure




Q:l commonl therapeuticl measures-l defibrillator,

Answer:
ptsl whol havel anl episodel ofl al dysrhythmia,l canl alsol bel usedl inl ptsl withl
cardiomyopathyl andl decreasedl ejectionl fractionl thatl arel atl anl increasedl riskl ofl lethall
dysrhythmias
monitorl heartbeatl andl providel electricall shockl similarl tol cardioversionl whenl life-
threateningl rhythml isl detected
al magneticl fieldl willl temporarilyl inactivatel thel device




Q:l infectivel endocarditisl patho

Answer:
inflamedl tissuesl ofl thel heartl becomel roughl andl swollen,l trapsl organisms,l vegetationsl
grow




Q:l infectivel endocarditisl s/s

Answer:
fatigue,l chills,l sweats,l malaise,l anorexia,l musclel achesl andl HA
CRPl andl leukocytesl arel elevated
lowl gradel fever-l intermittent

, spleenl enlarged
bloodl culturesl willl bel positive
splinterl hemorrhagesl canl occurl andl havel petechiael insidel mouth,l conjunctivael andl
abovel clavicles
cardiacl dysrhythmiasl mayl appear,l canl havel sharp,l stabbingl chestl pain




Q:l infectivel endocarditis-l diagnostics

Answer:
TEEl confirmsl diagnosis




Q:l treatmentl infectivel endocarditis

Answer:
ATBl forl 4-6l weeks,l NSAIDSl forl inflammation,l painl meds,l medicationsl forl
dysrhythmiasl andl HF-l asl needed




Q:l pericarditis-l patho

Answer:
inflammationl ofl thel pericardium,l serousl fluidsl thatl typicallyl arel producedl byl
inflammationl mayl causel anl effusionl inl thel pericardium,l ifl thel effusionl becomesl large,l
itl pressesl onl thel ventricle,l restrictingl fillingl whichl canl affectl cardiacl output




Q:l pericarditisl s/s

Answer:
fever,l tachy,l chestl painl easedl byl sittingl upl andl leaningl forward,l dyspnea,l pericardiall
frictionl rub

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