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Exam (elaborations)

Rnsg 1341 Cc Exam 3 Blueprint Questions With 100% Correct Answers

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RNSG 1341 CC EXAM 3 BLUEPRINT QUESTIONS WITH 100% CORRECT ANSWERS

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Contraindications for Nitroglycerin


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, - known drug allergy
- severe anemia
- closed-angle glaucoma
- hypotension
- severe head injury
- concurrent use of sildenafil (Viagra), tadalafil (Cialis), and vardenafil
(Levitra)
--- these patients could bottom out and die lol




Clinical Manifestations of Varicose Veins


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- discomfort
- heavy, achy feeling or pain after prolonged standing or sitting
--- this is relieved by walking or limb elevation
- pressure, itchy, burning, throbbing sensation
- swelling
- nocturnal leg cramps




pt education about TB


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- Most treatment failures occur because the patient (1) does not take the
drug, (2) stops taking it too soon, or (3) takes it irregularly.
- TB can relapse; teach pt the symptoms and have them seek care ASAP
- cancer, immunosuppressive therapy, and prolonged illness can cause
relapse
- STOP smoking

,Nitrates


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- vasodilators!!
- predominantly affects venous vascular beds
- potent on coronary arteries
--- causes redistribution of blood and oxygen to previously ischemic
myocardial tissue and reduction of anginal symptoms.
- used to treat stable, unstable, and vasospastic (Prinzmetal) angina




Interprofessional Care for COPD


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- smoking cessation
- drug therapy (bronchodilators)
- surgery
- oxygen therapy




Why are ACE Inhibitors popular with diabetic patients?


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ACE Inhibitors reduce glomerular filtration pressure which is a kidney
protective effect
- they slow the progression of diabetic nephropathy!

, Allergic Reactions to Insulin


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- local inflammatory reaction to insulin injection site
- itching, erythema, and burning
- may be self-limiting within 1-3 months or may be treated with a low dose
of antihistamine
- true allergic reaction is rare!! (hives and anaphylaxis)
--- it's more often associated with preservatives used or the latex stoppers
on the vials than the insulin




Clinical Manifestations of HTN


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- pts are often asymptomatic until target organ disease occurs
- variety of symptoms secondary to the effects on blood vessels in the
various organs and tissues or to the increased workload of the heart
(fatigue, dizziness, palpitations, angina, dyspnea)




**** Clinical Manifestations of Pneumonia


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- cough (may or may not be productive)
--- sputum may be green, yellow, rust-colored (bloody)
- fever
- chills
- dyspnea
- tachypnea
- pleuritic chest pain

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