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NUR 176

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NUR 176NUR 176NUR 176NUR 176NUR 176NUR 176NUR 176NUR 176NUR 176NUR 176NUR 176NUR 176NUR 176NUR 176NUR 176NUR 176NUR 176NUR 176NUR 176

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NUR 176 Exam 3

1. What to monitor for with appendicitis?: Monitoring for s/s of peritonitis WBC
count, RLQ pain, fever, swelling, urinating frequency and urgency
2. What client statement would require immediate nursing intervention with
appendicitis?: The pain seems to be gone(this means the appendix has burst,
sepsis can occur)
3. Management of appendicitis prior to official diagnosis of it: Pain relief
meds(NSAIDs), fasting to minimize stomach contents, and close monitoring of
symptoms
4. What is the point/place of pain classically associated with appendicitis: -
Right Lower quadrant
5. Contributing factors to development of essential (primary) hypertension: -
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
6. What is hypertension, and how do you describe it: high blood pressure, The
pressure in the blood vessels are consistently too high
7. Lifestyle changes for someone with Coronary Artery Disease(Heart Dis-
ease), HTN, and hyperlipidemia: Stop smoking, weight loss, exercise, increase
fiber, decrease saturated fats, limit sodium intake, limit alcohol intake,
8. What is the first lab to elevate with acute myocardial infarction: Troponin
9. Signs and Symptoms of right sided heart failure: Swelling of the legs and
hands, weight gain(2-3 lbs per day), pitting edema, JVD, Ascites(abnormal girth),
Hepatomegaly(enlarged liver from buildup)
10. Signs and symptoms of left sided heart failure: Trouble breathing(dysp-
nea), trouble breathing while laying down(orthopnea), SOB while sleeping(nocturnal
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, NUR 176 Exam 3

paroxysmal dyspnea) crackles in the lungs, constant cough, frothy sputum
11. What is the initial action for a client with heart failure who is having
pulmonary edema due to (d/t)IV fluids: Administer supplemental oxygen via a
face mask
12. What will help for someone with peripheral arterial disease when they have
pain with laying down?: Dangle their legs while sleeping by slightly raising the
head of their bed;
13. Risk factors for peripheral vascular disease: Smoking, diabetes, high choles-
terol, hypertension
14. Difference between primary and secondary hypertension: Primary you don't
know the reason why, secondary has a preexisting condition
15. Triggers/causes of disseminated intravascular coagulation: Sepsis, shock,
cancer, major trauma, burns, pregnancy complication(usually secondary to another
pathological process)




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