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NUR 226 EXAM 2 QUESTIONS & ANSWERS

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NUR 226 EXAM 2 QUESTIONS & ANSWERS

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NUR 226 EXAM 2 QUESTIONS & ANSWERS

The nurse understand in most cases of combined systolic and diastolic hypertension
with no known cause would be documented as which type of hypertension?
A. Congenital
B.primary
C.secondary
D.acquired - answer -b.primary
(an unknown cause is primary hypertension)

The nurse is taking an adult client's blood pressure and determine it to be normal.
Which reading would the nurse document?
A. 97/66
B. 140/90
C. 120/80
D.120/90 - answer -a. 97/66
( normal adult bp is below 120/80)

When a client is diagnosed atherosclerosis, the nurse primarily concerned with which
vessels?
A. Lower extremity arteries
B.pulmonary veins
C.lower extremity veins
D. Coronary arteries - answer -d.coronary arteries (atherosclerosis does not affect
veins)

The nurse is teaching a client about atherosclerosis. Which statement would be
included in the teaching?
A. There is no treatment for this condition
B. This disease affects arteries and veins
C. Increased levels of hdl's can lead to this disease
D. This disease begins with an injury to the endothelial cells - answer -d. This disease
begins with an injury to the endothelial cells

A nursing intervention to relieve pain by "closing the gate" would focus on the
stimulation of what?
A. Large diameter nerve fibers
B. Small diameter nerve fibers
C. A-delta and c nerve fibers
D. Peripheral nervous system - answer -a. Large diameter nerve fibers

Acetaminophen has dose restrictions. The maximum dose for this drug in 24 hours for
most adults is?
A. 3 g
B. 6 g

, C. 100 mg
D. 4 g - answer -4 g

Pain that is felt at a distance from the injury is known as what type of pain?
A. Acute
B. Referred
C. Phantom
D. Chronic - answer -b. Referred

The mechanism of action for morphine ( and all opioids) is binding to mu receptors,
similar to endorphins, creating a response.
T/f - answer -true
( they are my agonist. Mimic the action of endorphins creating a euphoric feeling and
block pain)

Nociceptors are not found in which area of the body?
A. Brain
B. Skin
C. Dental pult
D. Meninges - answer -a. Brain
(it does not have pain receptors)

Which of the following is a characteristic of c-fibers?
A. Myelinated
B. Rapid transmission
C.slow transmission
D. Large diameter - answer -c. Slow transmission

A client is taking (oxycodone + acetaminophen) for pain control after surgery. The nurse
is reviewing the client's medications, what other medications would the nurse expect to
find on the mar? (select all)
A. Stool softener
B. Duragesic
C. Fever reducer
D. Anti-emetic - answer -stool softener( constipation), anti-emetic( nausea)

What is neurpathic pain? - answer -poorly localized and involves peripheral nerves

What is reffered pain? - answer -pain felt at a distance from source of actual injury

What is phantom pain? - answer -originates from amputated limb

What is nociceptive pain? - answer -can be somatic or visceral

A 65 y/o client states "as soon as i feel like i have to pee, i leak urine". The nurse knows
that the client is describing which type of urinary incontinence?

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