NUR 242 Exam 4/ Med Surg 242 Exam 4 Review!
Ques ons and answers Newest RATED A+ 2025/2026
Normal BP - Systolic <120 / Diastolic <80
Pre-HTN - Systolic =120-139 / Diastolic=80-89
Stage 1 HTN - Systolic=140-159 / Diastolic=90-99
Stage 2 HTN - Systolic=>160 / Diastolic=>100
Malignant HTN - Extremely high BP >180/110
S/S of Malignant HTN - ini)ally asymptoma)c, headache upon awakening, blurred vision,
dizziness, chest pain, difficult breathing, numbness in face and legs, )nnitus, flushed face,
epistaxis
HTN Crisis - acute and life threatening; accelerated HTN requires ER treatment because organ
damage can occur quickly
Pharmacological interven)ons for HTN - ACE Inhibitors, Diure)cs, Calcium Channel Blockers,
ARBs, and Beta Blockers
What symptom should you report right away with ACE Inhibitors? - Dry nagging cough-
discon)nue immediately and teach about orthosta)c HTN in elderly
What is an example of an ACE inhibitor drug? - Lisinopril, Enalapril
,What is an example of a Calcium Channel Blocker? - Verapamil, Amlodopine
What is an example of an ARB? - Losartan, Valsartan
What is an example of a Beta Blocker? - Metoprolol, Atenolol
Pt. teaching for Raynauds disease - Stop smoking, avoid cold and stress, wear warm clothing,
take vasodilators as prescribed
Pt. teaching for Burgers Disease - Use vasodilators as prescribed, smoking cessa)on, avoid
injury to upper and lower extremi)es, can cause gangrene
S/S of Peripheral Arterial Disease (PAD) - Leg pain, burning, cramping muscle discomfort when
walking that stops at rest. As the disease persists the pt can walk shorter distances
Post-OP Care for Femoral Artery Bypass graF? - warmth, redness and edema are expected.
Monitor for possible occlusion and con)nuous aching pain (first sign of occlusion) Throbbing
pain is due to increased blood flow to the area.
No)fy the physician immediately if they experience what S/S aFer a femoral artery graF? -
Cold, pale, cyano)c skin or decreased pulse
Amputa)on complica)ons: - infec)on, phantom limb pain, flexion contrac)ons
Amputa)on Post-OP care: - -DO NOT elevate limb on pillow (can cause flexion contractures)
-1st 24 hours elevate the foot of the bed to decrease edema then keep the bed flat
-24-48 hours- place the pt. in prone posi)on to stretch muscles and prevent hip flexion
contractures
, Pt with a DVT is at high risk for? - PE
DVT S/S - -calf/groin tenderness
-sudden unilateral swelling
-posi)ve Homans sign
DVT Risk Factors - -venous stasis from varicose veins
-heart failure
-immobility
-use of birth control
-ulcera)ve coli)s
-prolonged bedrest
DVT interven)ons: - -SCDs
-Compression hose
-Elevate extremi)es
-IV con)nuous Heparin
When a pt. is on IV con)nuous Heparin, what lab values do you monitor? - aPTT Values
What is the normal aPTT range? - 30-40 seconds
1.5-3 )mes normal control levels
*Call the MD if >70 seconds*
Normal PT level: - 11-12.5 seconds
Ques ons and answers Newest RATED A+ 2025/2026
Normal BP - Systolic <120 / Diastolic <80
Pre-HTN - Systolic =120-139 / Diastolic=80-89
Stage 1 HTN - Systolic=140-159 / Diastolic=90-99
Stage 2 HTN - Systolic=>160 / Diastolic=>100
Malignant HTN - Extremely high BP >180/110
S/S of Malignant HTN - ini)ally asymptoma)c, headache upon awakening, blurred vision,
dizziness, chest pain, difficult breathing, numbness in face and legs, )nnitus, flushed face,
epistaxis
HTN Crisis - acute and life threatening; accelerated HTN requires ER treatment because organ
damage can occur quickly
Pharmacological interven)ons for HTN - ACE Inhibitors, Diure)cs, Calcium Channel Blockers,
ARBs, and Beta Blockers
What symptom should you report right away with ACE Inhibitors? - Dry nagging cough-
discon)nue immediately and teach about orthosta)c HTN in elderly
What is an example of an ACE inhibitor drug? - Lisinopril, Enalapril
,What is an example of a Calcium Channel Blocker? - Verapamil, Amlodopine
What is an example of an ARB? - Losartan, Valsartan
What is an example of a Beta Blocker? - Metoprolol, Atenolol
Pt. teaching for Raynauds disease - Stop smoking, avoid cold and stress, wear warm clothing,
take vasodilators as prescribed
Pt. teaching for Burgers Disease - Use vasodilators as prescribed, smoking cessa)on, avoid
injury to upper and lower extremi)es, can cause gangrene
S/S of Peripheral Arterial Disease (PAD) - Leg pain, burning, cramping muscle discomfort when
walking that stops at rest. As the disease persists the pt can walk shorter distances
Post-OP Care for Femoral Artery Bypass graF? - warmth, redness and edema are expected.
Monitor for possible occlusion and con)nuous aching pain (first sign of occlusion) Throbbing
pain is due to increased blood flow to the area.
No)fy the physician immediately if they experience what S/S aFer a femoral artery graF? -
Cold, pale, cyano)c skin or decreased pulse
Amputa)on complica)ons: - infec)on, phantom limb pain, flexion contrac)ons
Amputa)on Post-OP care: - -DO NOT elevate limb on pillow (can cause flexion contractures)
-1st 24 hours elevate the foot of the bed to decrease edema then keep the bed flat
-24-48 hours- place the pt. in prone posi)on to stretch muscles and prevent hip flexion
contractures
, Pt with a DVT is at high risk for? - PE
DVT S/S - -calf/groin tenderness
-sudden unilateral swelling
-posi)ve Homans sign
DVT Risk Factors - -venous stasis from varicose veins
-heart failure
-immobility
-use of birth control
-ulcera)ve coli)s
-prolonged bedrest
DVT interven)ons: - -SCDs
-Compression hose
-Elevate extremi)es
-IV con)nuous Heparin
When a pt. is on IV con)nuous Heparin, what lab values do you monitor? - aPTT Values
What is the normal aPTT range? - 30-40 seconds
1.5-3 )mes normal control levels
*Call the MD if >70 seconds*
Normal PT level: - 11-12.5 seconds
