NUR 242 Exam 4
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1. Normal BP Systolic <120 / Diastolic <80
2. Pre-HTN Systolic =120-139 / Diastolic=80-89
3. Stage 1 HTN Systolic=140-159 / Diastolic=90-99
4. Stage 2 HTN Systolic=>160 / Diastolic=>100
5. Malignant HTN Extremely high BP >180/110
6. S/S of Malignant HTN initially asymptomatic, headache upon awakening, blurred vision, dizzi-
ness, chest pain, difficult breathing, numbness in face and legs, tinnitus,
flushed face, epistaxis
7. HTN Crisis acute and life threatening; accelerated HTN requires ER treatment be-
cause organ damage can occur quickly
8. Pharmacological inter- ACE Inhibitors, Diuretics, Calcium Channel Blockers, ARBs, and Beta
ventions for HTN Blockers
9. What symptom should Dry nagging cough- discontinue immediately and teach about orthosta-
you report right away tic HTN in elderly
with ACE Inhibitors?
10. What is an example of Lisinopril, Enalapril
an ACE inhibitor drug?
11. What is an example Verapamil, Amlodopine
of a Calcium Channel
Blocker?
12. What is an example of Losartan, Valsartan
an ARB?
13. Metoprolol, Atenolol
, NUR 242 Exam 4
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What is an example of
a Beta Blocker?
14. Pt. teaching for Ray- Stop smoking, avoid cold and stress, wear warm clothing, take vasodila-
nauds disease tors as prescribed
15. Pt. teaching for Burg- Use vasodilators as prescribed, smoking cessation, avoid injury to upper
ers Disease and lower extremities, can cause gangrene
16. S/S of Peripheral Arter- Leg pain, burning, cramping muscle discomfort when walking that stops
ial Disease (PAD) at rest. As the disease persists the pt can walk shorter distances
17. Post-OP Care for warmth, redness and edema are expected. Monitor for possible occlu-
Femoral Artery Bypass sion and continuous aching pain (first sign of occlusion) Throbbing pain
graft? is due to increased blood flow to the area.
18. Notify the physician Cold, pale, cyanotic skin or decreased pulse
immediately if they ex-
perience what S/S after
a femoral artery graft?
19. Amputation complica- infection, phantom limb pain, flexion contractions
tions:
20. Amputation Post-OP -DO NOT elevate limb on pillow (can cause flexion contractures)
care: -1st 24 hours elevate the foot of the bed to decrease edema then keep
the bed flat
-24-48 hours- place the pt. in prone position to stretch muscles and
prevent hip flexion contractures
21. Pt with a DVT is at high PE
risk for?
22. DVT S/S
, NUR 242 Exam 4
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-calf/groin tenderness
-sudden unilateral swelling
-positive Homans sign
23. DVT Risk Factors -venous stasis from varicose veins
-heart failure
-immobility
-use of birth control
-ulcerative colitis
-prolonged bedrest
24. DVT interventions: -SCDs
-Compression hose
-Elevate extremities
-IV continuous Heparin
25. When a pt. is on IV con- aPTT Values
tinuous Heparin, what
lab values do you mon-
itor?
26. What is the normal 30-40 seconds
aPTT range? 1.5-3 times normal control levels
*Call the MD if >70 seconds*
27. Normal PT level: 11-12.5 seconds
-1.5-2.5 times normal control level when on Coumadin
28. Normal PTT level: 60-70 seconds
-1.5-2.5 times the normal control on Heparin
29. Normal INR level:
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1. Normal BP Systolic <120 / Diastolic <80
2. Pre-HTN Systolic =120-139 / Diastolic=80-89
3. Stage 1 HTN Systolic=140-159 / Diastolic=90-99
4. Stage 2 HTN Systolic=>160 / Diastolic=>100
5. Malignant HTN Extremely high BP >180/110
6. S/S of Malignant HTN initially asymptomatic, headache upon awakening, blurred vision, dizzi-
ness, chest pain, difficult breathing, numbness in face and legs, tinnitus,
flushed face, epistaxis
7. HTN Crisis acute and life threatening; accelerated HTN requires ER treatment be-
cause organ damage can occur quickly
8. Pharmacological inter- ACE Inhibitors, Diuretics, Calcium Channel Blockers, ARBs, and Beta
ventions for HTN Blockers
9. What symptom should Dry nagging cough- discontinue immediately and teach about orthosta-
you report right away tic HTN in elderly
with ACE Inhibitors?
10. What is an example of Lisinopril, Enalapril
an ACE inhibitor drug?
11. What is an example Verapamil, Amlodopine
of a Calcium Channel
Blocker?
12. What is an example of Losartan, Valsartan
an ARB?
13. Metoprolol, Atenolol
, NUR 242 Exam 4
Study online at https://quizlet.com/_2cyk95
What is an example of
a Beta Blocker?
14. Pt. teaching for Ray- Stop smoking, avoid cold and stress, wear warm clothing, take vasodila-
nauds disease tors as prescribed
15. Pt. teaching for Burg- Use vasodilators as prescribed, smoking cessation, avoid injury to upper
ers Disease and lower extremities, can cause gangrene
16. S/S of Peripheral Arter- Leg pain, burning, cramping muscle discomfort when walking that stops
ial Disease (PAD) at rest. As the disease persists the pt can walk shorter distances
17. Post-OP Care for warmth, redness and edema are expected. Monitor for possible occlu-
Femoral Artery Bypass sion and continuous aching pain (first sign of occlusion) Throbbing pain
graft? is due to increased blood flow to the area.
18. Notify the physician Cold, pale, cyanotic skin or decreased pulse
immediately if they ex-
perience what S/S after
a femoral artery graft?
19. Amputation complica- infection, phantom limb pain, flexion contractions
tions:
20. Amputation Post-OP -DO NOT elevate limb on pillow (can cause flexion contractures)
care: -1st 24 hours elevate the foot of the bed to decrease edema then keep
the bed flat
-24-48 hours- place the pt. in prone position to stretch muscles and
prevent hip flexion contractures
21. Pt with a DVT is at high PE
risk for?
22. DVT S/S
, NUR 242 Exam 4
Study online at https://quizlet.com/_2cyk95
-calf/groin tenderness
-sudden unilateral swelling
-positive Homans sign
23. DVT Risk Factors -venous stasis from varicose veins
-heart failure
-immobility
-use of birth control
-ulcerative colitis
-prolonged bedrest
24. DVT interventions: -SCDs
-Compression hose
-Elevate extremities
-IV continuous Heparin
25. When a pt. is on IV con- aPTT Values
tinuous Heparin, what
lab values do you mon-
itor?
26. What is the normal 30-40 seconds
aPTT range? 1.5-3 times normal control levels
*Call the MD if >70 seconds*
27. Normal PT level: 11-12.5 seconds
-1.5-2.5 times normal control level when on Coumadin
28. Normal PTT level: 60-70 seconds
-1.5-2.5 times the normal control on Heparin
29. Normal INR level:
