NSG 460 Exam 1 Study Set questions with answers

NSG 460 Exam 1 Study Set questions with
|\ |\ |\ |\ |\ |\ |\ |\




answers

In the neonate, what physiological process causes the closure of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


the ductus arteriosus? - CORRECT ANSWERS ✔✔It closes within
|\ |\ |\ |\ |\ |\ |\ |\ |\


the first 2 days and sometimes 2-3 weeks. If it doesn't close by
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


discharge, you'll need an echo. If hole is big enough, it'll cause
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


perfusion issues due to blood just being circulated within the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


heart.


What expected vascular change causes a patient's blood
|\ |\ |\ |\ |\ |\ |\ |\


pressure to decrease in Pregnancy? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\


✔✔Vasodilation happens due to hormones (progesterone>cause |\ |\ |\ |\ |\ |\


blood vessels to relax). There's also restrictive flow due to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


fetus putting pressure on lower extremities, leading to venous
|\ |\ |\ |\ |\ |\ |\ |\ |\


insufficiency (edema, hemorrhoids, and varicose) |\ |\ |\ |\




The increased stroke volume and cardiac output increases by
|\ |\ |\ |\ |\ |\ |\ |\ |\


30=50%
The shift in hormones, progesterone, causes blood vessels to
|\ |\ |\ |\ |\ |\ |\ |\ |\


relax . |\




The body compensates for extra volume by dilating blood
|\ |\ |\ |\ |\ |\ |\ |\ |\


vessels, this causes the blood pressure to decrease.
|\ |\ |\ |\ |\ |\ |\




What are the risk factors for developing a blood clot? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔Immobility, clotting factors, elderly people (aging),
|\ |\ |\ |\ |\ |\ |\


pregnancy, weight, long periods of sitting and standing|\ |\ |\ |\ |\ |\ |\

, What would you expect to be the cause of unilateral swollen
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


epitrochlear lymph nodes and what symptoms would they likely |\ |\ |\ |\ |\ |\ |\ |\ |\


to have? - CORRECT ANSWERS ✔✔Surgery and Cancer.
|\ |\ |\ |\ |\ |\ |\ |\




Epitrochlear greater than 5 mm (more than 6 mm is worrisome), |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


hard, nonmobile |\




Concerning: Epitrochlear, Supraclavicular, Unilateral inguinal |\ |\ |\ |\




Not Concerning: Neck
|\ |\




Describe the normal findings on examination of the lymphatic
|\ |\ |\ |\ |\ |\ |\ |\ |\


system in a pediatric patient. - CORRECT ANSWERS ✔✔Soft and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


mobile. Sometimes kids can have enlarged neck nodes and that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


will be considered normal.
|\ |\ |\




What happens to the peripheral vasculature as we age and how
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


does this affect blood pressure? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\


✔✔Stiffening & Calcification (Arteriosclerosis/Atherosclerosis) |\ |\ |\




Can cause Peripheral Arterial Disease >> HTN
|\ |\ |\ |\ |\ |\




PAD is increasingly prevalent over age of 85
|\ |\ |\ |\ |\ |\ |\




Can cause poor perfusion
|\ |\ |\




What is claudication and how would you assess for it? What
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


disease is this finding often associated with? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔A condition in which cramping pain in the leg is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


induced by exercise, typically caused by obstruction of the
|\ |\ |\ |\ |\ |\ |\ |\ |\


arteries. You assess it by having them walk, if it hurts when they
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\