NUR 104 Exam 4 UPDATED Exam
Questions and CORRECT Answers
How are Heparin levels monitored? - CORRECT ANSWER - By PTT
How are Warfarin levels monitored? - CORRECT ANSWER - By INR
What is a normal INR value? - CORRECT ANSWER - 1 for patient NOT on a coagulant,
2-3 for patients with a DVT or A-fib, 2.5-3.5 for patients with mechanical heart valves.
What about the values for patients on other oral anticoagulants? (Eliquis, Pradaxa, Xarelto) -
CORRECT ANSWER - No monitoring, and the dosing is based upon weight.
Arterial Ulcers - CORRECT ANSWER - Blackened tissue occurs on toes or heel,
gangrenous odor present, claudication, cool foot/decreased pulses, rubor(red flushing of skin.
Venous Ulcers - CORRECT ANSWER - no claudication, moderate ulcer discomfort and
usually presents on the ankle, ankle/foot swelling, pedal pulses present.
Diabetic Ulcers - CORRECT ANSWER - No claudication, peripheral neuropathy/little to
no pain, usually presents on the bottom of the foot, ulcer pale with even edges, pedal pulses
present.
Causes of anurysms - CORRECT ANSWER - Atherosclerosis is the most common cause,
it creates a permanent localized dilation of an artery.
Causes of anemia - CORRECT ANSWER - GI BLEED IS THE #1 CAUSE OF ANEMIA
IN ADULTS. Menstrual cycles can also lead to anemia
dietary problems, genetic disorders, bone marrow disease.
, Complications following AAA repair - CORRECT ANSWER - Graft leak= ecchymosis or
hematomas in back, abdominal or perineal regions, increased abdominal distention/girth.
Hypertension is the number 1 risk factor that can cause a graft leak to occur.
Complications from hypertension - CORRECT ANSWER - stroke, heart attack, kidney
failure, death
Diagnosis of Hodgkin's Lymphoma - CORRECT ANSWER - lymph node biopsy that
indicates the presence of Reed-Sternberg cells in the lymph node.
Hypertensive urgency - CORRECT ANSWER - Diagnosis: BP over 180 systolic, greater
than 120 diastolic.
Asymptomatic
Start or restart medications and follow up with provider
Hypertensive Emergency - CORRECT ANSWER - Symptomatic and can include
headache, blurred vision, stroke, seizure, retinopathy, acute aortic dissection, acute MI, acute
heart failure/acute pulmonary edema, acute renal failure, eclampsia
Treatment for Hypertensive Emergency - CORRECT ANSWER - Immediate treatment
(ER) may need IV medications or monitoring while starting medications. Goal is to reduce MAP
by 25% within the first hour and <160/<110 in 2-6 hours.
Interventions for DVT - CORRECT ANSWER - 1. Elevate leg to promote venous return
2. Ambulate but avoid strenuous activity until fully anticoagulated.
3. Wear compression stockings to promote blood flow.
4,. Warm compresses
5. Anticoagulants
6. Inferior Vena Cava filter
7. DO NOT massage affected limb
Questions and CORRECT Answers
How are Heparin levels monitored? - CORRECT ANSWER - By PTT
How are Warfarin levels monitored? - CORRECT ANSWER - By INR
What is a normal INR value? - CORRECT ANSWER - 1 for patient NOT on a coagulant,
2-3 for patients with a DVT or A-fib, 2.5-3.5 for patients with mechanical heart valves.
What about the values for patients on other oral anticoagulants? (Eliquis, Pradaxa, Xarelto) -
CORRECT ANSWER - No monitoring, and the dosing is based upon weight.
Arterial Ulcers - CORRECT ANSWER - Blackened tissue occurs on toes or heel,
gangrenous odor present, claudication, cool foot/decreased pulses, rubor(red flushing of skin.
Venous Ulcers - CORRECT ANSWER - no claudication, moderate ulcer discomfort and
usually presents on the ankle, ankle/foot swelling, pedal pulses present.
Diabetic Ulcers - CORRECT ANSWER - No claudication, peripheral neuropathy/little to
no pain, usually presents on the bottom of the foot, ulcer pale with even edges, pedal pulses
present.
Causes of anurysms - CORRECT ANSWER - Atherosclerosis is the most common cause,
it creates a permanent localized dilation of an artery.
Causes of anemia - CORRECT ANSWER - GI BLEED IS THE #1 CAUSE OF ANEMIA
IN ADULTS. Menstrual cycles can also lead to anemia
dietary problems, genetic disorders, bone marrow disease.
, Complications following AAA repair - CORRECT ANSWER - Graft leak= ecchymosis or
hematomas in back, abdominal or perineal regions, increased abdominal distention/girth.
Hypertension is the number 1 risk factor that can cause a graft leak to occur.
Complications from hypertension - CORRECT ANSWER - stroke, heart attack, kidney
failure, death
Diagnosis of Hodgkin's Lymphoma - CORRECT ANSWER - lymph node biopsy that
indicates the presence of Reed-Sternberg cells in the lymph node.
Hypertensive urgency - CORRECT ANSWER - Diagnosis: BP over 180 systolic, greater
than 120 diastolic.
Asymptomatic
Start or restart medications and follow up with provider
Hypertensive Emergency - CORRECT ANSWER - Symptomatic and can include
headache, blurred vision, stroke, seizure, retinopathy, acute aortic dissection, acute MI, acute
heart failure/acute pulmonary edema, acute renal failure, eclampsia
Treatment for Hypertensive Emergency - CORRECT ANSWER - Immediate treatment
(ER) may need IV medications or monitoring while starting medications. Goal is to reduce MAP
by 25% within the first hour and <160/<110 in 2-6 hours.
Interventions for DVT - CORRECT ANSWER - 1. Elevate leg to promote venous return
2. Ambulate but avoid strenuous activity until fully anticoagulated.
3. Wear compression stockings to promote blood flow.
4,. Warm compresses
5. Anticoagulants
6. Inferior Vena Cava filter
7. DO NOT massage affected limb
