NUR242 / NUR 242 Exam 4 (Latest 2024 / 2025): Medical-Surgical Nursing Concepts | Complete Guide with Questions and Verified Answers | 100% Correct - Galen

Exam 4: NUR242 / NUR 242 (Latest 2024 / 2025) Medical-Surgical Nursing Concepts Exam Review | Complete Guide with Questions and Verified Answers | 100% Correct - Galen Q: Pt. teaching for Raynauds disease Answer: Stop smoking, avoid cold and stress, wear warm clothing, take vasodilators as prescribed Q: Pt. teaching for Burgers Disease Answer: Use vasodilators as prescribed, smoking cessation, avoid injury to upper and lower extremities, can cause gangrene Q: S/S of Peripheral Arterial Disease (PAD) Answer: Leg pain, burning, cramping muscle discomfort when walking that stops at rest. As the disease persists the pt can walk shorter distances Q: Post-OP Care for Femoral Artery Bypass graft? Answer: warmth, redness and edema are expected. Monitor for possible occlusion and continuous aching pain (first sign of occlusion) Throbbing pain is due to increased blood flow to the area. Q: Notify the physician immediately if they experience what S/S after a femoral artery graft? Answer: Cold, pale, cyanotic skin or decreased pulse Q: Amputation complications: Answer: infection, phantom limb pain, flexion contractions Q: Amputation Post-OP care: Answer: -DO NOT elevate limb on pillow (can cause flexion contractures) -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 Q: Pt with a DVT is at high risk for? Answer: PE Q: DVT S/S Answer: -calf/groin tenderness -sudden unilateral swelling -positive Homans sign Q: DVT Risk Factors Answer: -venous stasis from varicose veins -heart failure -immobility -use of birth control -ulcerative colitis -prolonged bedrest Q: DVT interventions: Answer: -SCDs -Compression hose -Elevate extremities -IV continuous Heparin Q: When a pt. is on IV continuous Heparin, what lab values do you monitor? Answer: aPTT Values Q: What is the normal aPTT range? Answer: 30-40 seconds 1.5-3 times normal control levels *Call the MD if >70 seconds* Q: Normal PT level: