Galen College of Nursing – NURS 242 – Fully Solved
Quizzes, Lab Prep, and Assignments | Exam-Quality
Med-Surg Nursing Materials
Normal BP - Systolic <120 / Diastolic <80
Pre-HTN - Systolic =120-139 / Diastolic=80-89
Stage 1 HTN - Systolic=140-159 / Diastolic=90-99
Stage 2 HTN - Systolic=>160 / Diastolic=>100
Malignant HTN - Extremely high BP >180/110
S/S of Malignant HTN - initially asymptomatic, headache upon awakening, blurred vision,
dizziness, chest pain, difficult breathing, numbness in face and legs, tinnitus, flushed face,
epistaxis
HTN Crisis - acute and life threatening; accelerated HTN requires ER treatment because
organ damage can occur quickly
Pharmacological interventions for HTN - ACE Inhibitors, Diuretics, Calcium Channel
Blockers, ARBs, and Beta Blockers
What symptom should you report right away with ACE Inhibitors? - Dry nagging cough-
discontinue immediately and teach about orthostatic HTN in elderly
What is an example of an ACE inhibitor drug? - Lisinopril, Enalapril
What is an example of a Calcium Channel Blocker? - Verapamil, Amlodopine
What is an example of an ARB? - Losartan, Valsartan
What is an example of a Beta Blocker? - Metoprolol, Atenolol
Pt. teaching for Raynauds disease - Stop smoking, avoid cold and stress, wear warm
clothing, take vasodilators as prescribed
Pt. teaching for Burgers Disease - Use vasodilators as prescribed, smoking cessation,
avoid injury to upper and lower extremities, can cause gangrene
, S/S of Peripheral Arterial Disease (PAD) - Leg pain, burning, cramping muscle discomfort
when walking that stops at rest. As the disease persists the pt can walk shorter distances
Post-OP Care for Femoral Artery Bypass graft? - 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.
Notify the physician immediately if they experience what S/S after a femoral artery graft? -
Cold, pale, cyanotic skin or decreased pulse
Amputation complications: - infection, phantom limb pain, flexion contractions
Amputation Post-OP care: - -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
Pt with a DVT is at high risk for? - PE
DVT S/S - -calf/groin tenderness
-sudden unilateral swelling
-positive Homans sign
DVT Risk Factors - -venous stasis from varicose veins
-heart failure
-immobility
-use of birth control
-ulcerative colitis
-prolonged bedrest
DVT interventions: - -SCDs
-Compression hose
-Elevate extremities
-IV continuous Heparin
Quizzes, Lab Prep, and Assignments | Exam-Quality
Med-Surg Nursing Materials
Normal BP - Systolic <120 / Diastolic <80
Pre-HTN - Systolic =120-139 / Diastolic=80-89
Stage 1 HTN - Systolic=140-159 / Diastolic=90-99
Stage 2 HTN - Systolic=>160 / Diastolic=>100
Malignant HTN - Extremely high BP >180/110
S/S of Malignant HTN - initially asymptomatic, headache upon awakening, blurred vision,
dizziness, chest pain, difficult breathing, numbness in face and legs, tinnitus, flushed face,
epistaxis
HTN Crisis - acute and life threatening; accelerated HTN requires ER treatment because
organ damage can occur quickly
Pharmacological interventions for HTN - ACE Inhibitors, Diuretics, Calcium Channel
Blockers, ARBs, and Beta Blockers
What symptom should you report right away with ACE Inhibitors? - Dry nagging cough-
discontinue immediately and teach about orthostatic HTN in elderly
What is an example of an ACE inhibitor drug? - Lisinopril, Enalapril
What is an example of a Calcium Channel Blocker? - Verapamil, Amlodopine
What is an example of an ARB? - Losartan, Valsartan
What is an example of a Beta Blocker? - Metoprolol, Atenolol
Pt. teaching for Raynauds disease - Stop smoking, avoid cold and stress, wear warm
clothing, take vasodilators as prescribed
Pt. teaching for Burgers Disease - Use vasodilators as prescribed, smoking cessation,
avoid injury to upper and lower extremities, can cause gangrene
, S/S of Peripheral Arterial Disease (PAD) - Leg pain, burning, cramping muscle discomfort
when walking that stops at rest. As the disease persists the pt can walk shorter distances
Post-OP Care for Femoral Artery Bypass graft? - 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.
Notify the physician immediately if they experience what S/S after a femoral artery graft? -
Cold, pale, cyanotic skin or decreased pulse
Amputation complications: - infection, phantom limb pain, flexion contractions
Amputation Post-OP care: - -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
Pt with a DVT is at high risk for? - PE
DVT S/S - -calf/groin tenderness
-sudden unilateral swelling
-positive Homans sign
DVT Risk Factors - -venous stasis from varicose veins
-heart failure
-immobility
-use of birth control
-ulcerative colitis
-prolonged bedrest
DVT interventions: - -SCDs
-Compression hose
-Elevate extremities
-IV continuous Heparin
