NURl 265/l NUR265l Examl 1l –l (Newl
2026/l 2027l Update)l Advancedl Conceptsl
ofl Medical-Surgicall Nursingl Guidel |l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Galen
QUESTION
Acutel Cardiogenicl Pulmonaryl Edema
Answer:
PATIENT'Sl CONDITIONl CANl DETERIORATEl RAPIDLYl -l LIKEl 15l MINUTES!!
•Fluidl inl andl aroundl thel alveoli
•Interferesl withl gasl exchange
Mightl seel pinkl frothyl sputuml orl crackles.
QUESTION
Pulmonaryl edemal treatment
Answer:
Highl Fowlerl withl legsl down
NTGl sublingual
Diuretics
Morphinel tol decreasel oxygenl demand
VSl ql 30-60l minutes
QUESTION
infectivel endocarditis
Answer:
,inflammationl ofl thel innerl layerl ofl heartl tissuel asl al resultl ofl anl infectiousl
microorganisml (staph)
Plateletsl andl fibrinl adherel tol thel areal (vegetation)
Risks:l IVl drugl users,l valvel replacements,l geneticl anomalies,l dentall procedures,l
hemodialysis
QUESTION
infectivel endocarditis
Answer:
Slenomegaly,l fever,l anorexia,l pallor,l petechiae,l perforationl ofl valvel leaflet,l rupturel ofl
chordatel tendineae,l developmentl ofl functionall stenosis.
Anyl ascultationl ofl al murmurl that'sl increasedl isl priority!l HFl canl develop!
QUESTION
endocarditis
Answer:
Dentall problemsl isl al riskl factor
QUESTION
Endocarditisl treatment
Answer:
Prophylaxisl antibioticsl beforel dentall orl respiratoryl procedure.l Neededl longl terml (4-6l
weeks)
QUESTION
Endocarditisl manifestations
Answer:
Lowl gradel fever,l Murmur,l Anorexia,l Chills,l drowsiness
Givel IVl antibioticsl longl terml 4-6l weeks.
,QUESTION
Mechanicall heartl valve
Answer:
Lastsl >20l years,l clickl heardl onl auscultation.
Lifelongl onl warfarinl (anticoagulant)
Avoidl weightliftingl forl 3-6l months.l Shouldl utilizel electricl razorl forl shaving.l Reportl
excessivel bruising.
QUESTION
biologicl heartl valve
Answer:
Lastsl 8-10l years
Nol clickl onl auscultation
Nol anticoagulationl needed
Healthyl diet,l informl dentistl ofl valve,l reportl increasedl palpitations.
QUESTION
Abdominall aorticl aneurysml care
Answer:
Monitorl forl hematomasl onl thel flanks,l Gnawingl painl lastingl hours/days,l monitorl forl
absencel ofl pedall pulses.
QUESTION
Mitrall Valvel Stenosis
Answer:
Resultsl froml rheumaticl heartl disease.l Valvel becomesl "still",l openingl narrows,l Ll atriall
pressurel rises,l leftl atriuml dilates,l PAPl increases.
, QUESTION
Mitrall stenosisl nursing
Answer:
SOBl leftl side,l peripherall edemal Rl side,l atriall fibrillation,l hemoptysis,l thrombil canl
occurl withl afib.
QUESTION
Mitrall regurgitation
Answer:
Refluxl ofl bloodl froml leftl ventriclel intol leftl atriuml duringl systolel becausel valvel doesn'tl
close.l Leftl sidedl hypertrophy.
QUESTION
aorticl stenosis
Answer:
Valvel surfacel areal isl 1cml orl lessl youl needl surgeryl immediately!
QUESTION
aorticl regurgitation
Answer:
incompetentl aorticl valvel thatl allowsl backwardl flowl ofl bloodl intol leftl ventriclel duringl
diastole
QUESTION
Valvel care
Answer:
CARE
Prostheticl (metal)
2026/l 2027l Update)l Advancedl Conceptsl
ofl Medical-Surgicall Nursingl Guidel |l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Galen
QUESTION
Acutel Cardiogenicl Pulmonaryl Edema
Answer:
PATIENT'Sl CONDITIONl CANl DETERIORATEl RAPIDLYl -l LIKEl 15l MINUTES!!
•Fluidl inl andl aroundl thel alveoli
•Interferesl withl gasl exchange
Mightl seel pinkl frothyl sputuml orl crackles.
QUESTION
Pulmonaryl edemal treatment
Answer:
Highl Fowlerl withl legsl down
NTGl sublingual
Diuretics
Morphinel tol decreasel oxygenl demand
VSl ql 30-60l minutes
QUESTION
infectivel endocarditis
Answer:
,inflammationl ofl thel innerl layerl ofl heartl tissuel asl al resultl ofl anl infectiousl
microorganisml (staph)
Plateletsl andl fibrinl adherel tol thel areal (vegetation)
Risks:l IVl drugl users,l valvel replacements,l geneticl anomalies,l dentall procedures,l
hemodialysis
QUESTION
infectivel endocarditis
Answer:
Slenomegaly,l fever,l anorexia,l pallor,l petechiae,l perforationl ofl valvel leaflet,l rupturel ofl
chordatel tendineae,l developmentl ofl functionall stenosis.
Anyl ascultationl ofl al murmurl that'sl increasedl isl priority!l HFl canl develop!
QUESTION
endocarditis
Answer:
Dentall problemsl isl al riskl factor
QUESTION
Endocarditisl treatment
Answer:
Prophylaxisl antibioticsl beforel dentall orl respiratoryl procedure.l Neededl longl terml (4-6l
weeks)
QUESTION
Endocarditisl manifestations
Answer:
Lowl gradel fever,l Murmur,l Anorexia,l Chills,l drowsiness
Givel IVl antibioticsl longl terml 4-6l weeks.
,QUESTION
Mechanicall heartl valve
Answer:
Lastsl >20l years,l clickl heardl onl auscultation.
Lifelongl onl warfarinl (anticoagulant)
Avoidl weightliftingl forl 3-6l months.l Shouldl utilizel electricl razorl forl shaving.l Reportl
excessivel bruising.
QUESTION
biologicl heartl valve
Answer:
Lastsl 8-10l years
Nol clickl onl auscultation
Nol anticoagulationl needed
Healthyl diet,l informl dentistl ofl valve,l reportl increasedl palpitations.
QUESTION
Abdominall aorticl aneurysml care
Answer:
Monitorl forl hematomasl onl thel flanks,l Gnawingl painl lastingl hours/days,l monitorl forl
absencel ofl pedall pulses.
QUESTION
Mitrall Valvel Stenosis
Answer:
Resultsl froml rheumaticl heartl disease.l Valvel becomesl "still",l openingl narrows,l Ll atriall
pressurel rises,l leftl atriuml dilates,l PAPl increases.
, QUESTION
Mitrall stenosisl nursing
Answer:
SOBl leftl side,l peripherall edemal Rl side,l atriall fibrillation,l hemoptysis,l thrombil canl
occurl withl afib.
QUESTION
Mitrall regurgitation
Answer:
Refluxl ofl bloodl froml leftl ventriclel intol leftl atriuml duringl systolel becausel valvel doesn'tl
close.l Leftl sidedl hypertrophy.
QUESTION
aorticl stenosis
Answer:
Valvel surfacel areal isl 1cml orl lessl youl needl surgeryl immediately!
QUESTION
aorticl regurgitation
Answer:
incompetentl aorticl valvel thatl allowsl backwardl flowl ofl bloodl intol leftl ventriclel duringl
diastole
QUESTION
Valvel care
Answer:
CARE
Prostheticl (metal)
