of Medical-Surgical Nursing | Questions and Verified
Answers | 100% Correct | Grade A - Galen
NUR 170 Concepts of Medical-Surgical Nursing
Exam 3
Question:
Do ACE inhibitors decrease preload, afterload, or both?
Correct Answer:
Both
Question:
What lab values should be periodically monitored in a patient taking an
ACE1 or ARB?
Correct Answer:
Renal function needs to be monitored because in some patients these meds
can induce renal failure. They also need potassium levels monitored because
hyperkalemia can occur
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Question:
What is Buerger's Disease?
Correct Answer:
Claudication in feet and lower extremities worse at night; increase sensitivity
to cold; ulcerations and gangrene on digits; cause unknown but associated
with male smokers. Leads to ischemia which leads to autoamputation
Question:
Treatment of Buerger Disease
Correct Answer:
Cessation of smoking
Question:
S/S of Peripheral Arterial Disease (PAD)
Correct Answer:
numbness, non-healing ulcers, diminished/absent peripheral pulses, delayed
cap refill, cool and pale extremities, less hair growth on affected extremity.
Question:
Stage 1 of peripheral arterial disease
Correct Answer:
Asymptomatic
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Question:
Stage 2 of peripheral arterial disease
Correct Answer:
Intermittent claudication: pain occurs with exercise and does not go away
with rest.
Question:
Stage 3 of peripheral arterial disease
Correct Answer:
1. Ischemic rest pain: pain does not go away with rest and is relieved by
putting the leg in a dependent position
Question:
Stage 4 of peripheral arterial disease
Correct Answer:
Necrosis and gangrene
Question:
MAWDS Teaching for HF
Correct Answer:
Medications- take meds as directed and avoid NSAIDS because they cause
salt and water retention. Activity- walk at least 3 days a week. Weight- weigh
yourself at the same time every day wearing the same thing on the same
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
scale. Diet- Low sodium diet (2-3g/day), fluid restriction as prescribed.
Symptoms to report- overnight weight gain, nocturia, dyspnea at rest, cold
sx lasting more than a few days, exercise intolerance, increased swelling,
angina.
Question:
When is a heparin gtt indicated?
Correct Answer:
A-fib, DVT, & pulmonary embolism.
Question:
What baseline labs should be obtained prior to initiating a heparin gtt?
Correct Answer:
PT, INR, PTT, baseline PLT
Question:
What monitoring is required during a heparin infusion?
Correct Answer:
PTT Q4-6H, needs to lie b/w 50-70 , daily PLT count to make sure it is not
trending down.