NUR 176 EXAM 3 QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTION.
What to monitor for with appendicitis? ~CORRECT
ANSWER~Monitoring for s/s of peritonitis WBC count, RLQ pain, fever,
swelling, urinating frequency and urgency
What client statement would require immediate nursing intervention with
appendicitis? ~CORRECT ANSWER~The pain seems to be gone(this
means the appendix has burst, sepsis can occur)
Management of appendicitis prior to official diagnosis of it ~CORRECT
ANSWER~Pain relief meds(NSAIDs), fasting to minimize stomach
contents, and close monitoring of symptoms
What is the point/place of pain classically associated with appendicitis
~CORRECT ANSWER~Right Lower quadrant
Contributing factors to development of essential (primary) hypertension
~CORRECT ANSWER~race, Intake of sodium/alcohol, smoking, low
potassium and vitamin D levels, family history, age, high cholesterol, too
much caffeine, obesity, restricted activity, sleep apnea
,What is hypertension, and how do you describe it ~CORRECT
ANSWER~high blood pressure, The pressure in the blood vessels are
consistently too high
Lifestyle changes for someone with Coronary Artery Disease(Heart
Disease), HTN, and hyperlipidemia ~CORRECT ANSWER~Stop smoking,
weight loss, exercise, increase fiber, decrease saturated fats, limit sodium
intake, limit alcohol intake,
What is the first lab to elevate with acute myocardial infarction
~CORRECT ANSWER~Troponin
Signs and Symptoms of right sided heart failure ~CORRECT
ANSWER~Swelling of the legs and hands, weight gain(2-3 lbs per day),
pitting edema, JVD, Ascites(abnormal girth), Hepatomegaly(enlarged liver
from buildup)
Signs and symptoms of left sided heart failure ~CORRECT
ANSWER~Trouble breathing(dyspnea), trouble breathing while laying
down(orthopnea), SOB while sleeping(nocturnal paroxysmal dyspnea)
crackles in the lungs, constant cough, frothy sputum
What is the initial action for a client with heart failure who is having
pulmonary edema due to (d/t)IV fluids ~CORRECT
ANSWER~Administer supplemental oxygen via a face mask
, What will help for someone with peripheral arterial disease when they
have pain with laying down? ~CORRECT ANSWER~Dangle their legs
while sleeping by slightly raising the head of their bed;
Risk factors for peripheral vascular disease ~CORRECT
ANSWER~Smoking, diabetes, high cholesterol, hypertension
Difference between primary and secondary hypertension ~CORRECT
ANSWER~Primary you don't know the reason why, secondary has a
preexisting condition
Triggers/causes of disseminated intravascular coagulation ~CORRECT
ANSWER~Sepsis, shock, cancer, major trauma, burns, pregnancy
complication(usually secondary to another pathological process)
What two things are going on with DIC ~CORRECT ANSWER~Pt is
bleeding but clotting
Hemophilia is more common in who ~CORRECT ANSWER~More
common in males; females are the carriers
SOLUTION.
What to monitor for with appendicitis? ~CORRECT
ANSWER~Monitoring for s/s of peritonitis WBC count, RLQ pain, fever,
swelling, urinating frequency and urgency
What client statement would require immediate nursing intervention with
appendicitis? ~CORRECT ANSWER~The pain seems to be gone(this
means the appendix has burst, sepsis can occur)
Management of appendicitis prior to official diagnosis of it ~CORRECT
ANSWER~Pain relief meds(NSAIDs), fasting to minimize stomach
contents, and close monitoring of symptoms
What is the point/place of pain classically associated with appendicitis
~CORRECT ANSWER~Right Lower quadrant
Contributing factors to development of essential (primary) hypertension
~CORRECT ANSWER~race, Intake of sodium/alcohol, smoking, low
potassium and vitamin D levels, family history, age, high cholesterol, too
much caffeine, obesity, restricted activity, sleep apnea
,What is hypertension, and how do you describe it ~CORRECT
ANSWER~high blood pressure, The pressure in the blood vessels are
consistently too high
Lifestyle changes for someone with Coronary Artery Disease(Heart
Disease), HTN, and hyperlipidemia ~CORRECT ANSWER~Stop smoking,
weight loss, exercise, increase fiber, decrease saturated fats, limit sodium
intake, limit alcohol intake,
What is the first lab to elevate with acute myocardial infarction
~CORRECT ANSWER~Troponin
Signs and Symptoms of right sided heart failure ~CORRECT
ANSWER~Swelling of the legs and hands, weight gain(2-3 lbs per day),
pitting edema, JVD, Ascites(abnormal girth), Hepatomegaly(enlarged liver
from buildup)
Signs and symptoms of left sided heart failure ~CORRECT
ANSWER~Trouble breathing(dyspnea), trouble breathing while laying
down(orthopnea), SOB while sleeping(nocturnal paroxysmal dyspnea)
crackles in the lungs, constant cough, frothy sputum
What is the initial action for a client with heart failure who is having
pulmonary edema due to (d/t)IV fluids ~CORRECT
ANSWER~Administer supplemental oxygen via a face mask
, What will help for someone with peripheral arterial disease when they
have pain with laying down? ~CORRECT ANSWER~Dangle their legs
while sleeping by slightly raising the head of their bed;
Risk factors for peripheral vascular disease ~CORRECT
ANSWER~Smoking, diabetes, high cholesterol, hypertension
Difference between primary and secondary hypertension ~CORRECT
ANSWER~Primary you don't know the reason why, secondary has a
preexisting condition
Triggers/causes of disseminated intravascular coagulation ~CORRECT
ANSWER~Sepsis, shock, cancer, major trauma, burns, pregnancy
complication(usually secondary to another pathological process)
What two things are going on with DIC ~CORRECT ANSWER~Pt is
bleeding but clotting
Hemophilia is more common in who ~CORRECT ANSWER~More
common in males; females are the carriers
