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NUR 325 > 325 Exam 3 Practice Qs > Flashcards

325 Exam 3 Practice Qs Flashcards

1
Q

what is an expected symptom of captopril? why?

A

cough bc its an ace inhibitor (-pril)

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2
Q

who can’t have propranolol, a beta blocker?

A

-people with asthma due to it causing bronchospasms/constriction

other choices:
-55 year old man with 2 MI
-someone who has angina
-Pt who has migraines

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3
Q

what does dark/amber urine mean?

A

-dehydration

other choices:
-renal failure
-toxicity from drug
-common symptom of hypervolemia

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4
Q

What systems are involved in gas exchange?

A

-pulmonary, cardiovascular, neurological

other choices:
-endocrine
-immune

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5
Q

exercise recommendation

A

-walk until you experience dyspnea

other choices:
-breath in and out of mouth while exercising
-avoid exercise

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6
Q

what does clear, odorless urine mean?

A

overhydration

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7
Q

what is intermittent claudication?

A

-leg cramping, lower extremity skeletal muscle pain

other choices: leg swells when standing
-SOB when walking up stairs

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8
Q

How should you position a patient with COPD when having difficulty breathing?

A

-feet on the ground, lean over with hands supporting upper body (tripod position)

other choices:
-left lateral and 45 degree bed angle
-lying supine
-sitting with arms crossed over chest and legs crossed

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9
Q

CASE STUDY: GI problems, breathing problems. History of pneumonia as a kid. Fluid in lungs. Increased dyspnea (trouble or pain with breathing)

what is he at risk for?

A

-hypoxia

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10
Q

CASE STUDY: GI problems, breathing problems. History of pneumonia as a kid. Fluid in lungs. Increased dyspnea (trouble or pain with breathing)

what are some appropriate nursing interventions?

A

-respiratory therapy
-more oxygen

what NOT to do:
IV fluids because they already have fluid overload

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11
Q

CASE STUDY: GI problems, breathing problems. History of pneumonia as a kid. Fluid in lungs. Increased dyspnea (trouble or pain with breathing)

nursing interventions complete. what shows the symptoms have improved?

A

-RR, BP improved, increased cognition

other choices:
-pale color
-obvious

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12
Q

CASE STUDY: GI problems, breathing problems. History of pneumonia as a kid. Fluid in lungs. Increased dyspnea (trouble or pain with breathing)

which 3 assessment findings are concerning?

A

-GI/GU
-lung sounds
-obvious 3rd choice

other choices:
-vital signs

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13
Q

pick the spot for a rectal exam on an image

A

bottom of colon, right above anus

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14
Q

what do you tell an elderly woman who suffers from urinary incontinence with uti but wants to visit her grandson?

A

-tell her there are incontinence helpers (diapers)

other choices:
-pessary
-indwelling urinary catheter
-it will go away

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15
Q

what is stress incontinence?

A

urine incontinence caused by increased intrabdominal pressure

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16
Q

You palpate a patient’s abdomen and it is slightly distended and they report needing to urinate. What should you do?

A

-take them to the bathroom

other choices:
-insert catheter
-obtain urine sample

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17
Q

What are some nonpharmacological interventions for hypertension?

A

-exercise
-diet
-weight control

NOT drugs or multivitamin

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18
Q

what is some primary prevention for impaired breathing?

A

-COVID vaccine
-incentive spirometer
-exercise

NOT O2 therapy or TB test

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19
Q

fractured rib =

A

pain on inhalation

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20
Q

what is a common symptom with alpha beta blockers?

A

bradycardia

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21
Q

You want to prescribe an angiotensin receptor blocker (ARB), what should you give?

A

lostartan (-artan)

22
Q

which patient gets assessed first?
-COPD at 90% o2
-Stat antibiotics
-pt who’s O2 dropped from 98 to 92%

A

o2

23
Q

How does sulfasalazine work for ulcerative colitis?

A

-reduces inflammation

NOT
-treats infection
-immunity

24
Q

What should you recommend to a patient taking psyllium and it’s not working?

A

-drink 8oz water with admin

NOT consult provider about taking a different laxative

25
Q

Which patients should not get loperamide?

A

-Cdiff
-bowel obstruction

-HR of 88 and allergy to sulfa can take loperamide

26
Q

what should you look for in a patient before giving a diuretic, specifically furosemide (lasix)?

A

normal potassium levels, hypokalemia?

not hypernatremia or diarrhea

27
Q

what do you measure before giving hydralazine?

A

HR

28
Q

Which oxygen delivery device is for low flow?

A

nasal cannula

29
Q

where is the posterior tibial pulse?

A

back of the heel/ankle

30
Q

How do you explain to a patient why they have hypertension?

A

-vascular changes

NOT
-bad diet
-you would’ve gotten it eventually
-you don’t exercise enough

31
Q

When should you give bisacodyl (senna)?

A

at night

32
Q

What should you do when taking a calcium channel blocker, Nifedipine?

A

avoid eating grapefruit

33
Q

what are some unexpected findings of chronic central perfusion?

A

-clubbing, cap refill over 3 seconds, uneven hair on lower extremities

34
Q

What demonstrates good perfusion?

A

O2 above 95%

35
Q

How do you know a patient is drug resistant to antihypertensive meds after 3 months?

A

-their BP is gradually rising

36
Q

How would you explain to an anemic why they are feeling fatigued?

A

-less hemoglobin in blood –> less o2 being delivered to tissues

37
Q

which vital signs need attention?

A

-BP 180/68

others are all within range

38
Q

ACE inhibitors may also cause…

A

angioedema, swollen face and lips

39
Q

question about your heart and being fatiqued, SATA

A

-syncope episodes (fainting)
-other choice

NOT
-stairs
-working nights

40
Q

What makes hypertension worse?

A

coffee

41
Q

SATA impaired perfusion

A

-2 obvious answers
-petechiae

42
Q

COPD
contraindications vs helpful

A

contraindication:
-increase o2

helpful:
-draw blood for CBC
-elevate HOB
-sputum culture

43
Q

MC what is good for a COPD diet?

A

-whole grains and veggies

44
Q

What would you expect from a patient who is constipated?

A

-mildly bloated

NOT
-perineal skin breakdown
-soft tender distended stomach
-decreased intake of fluids

45
Q

a patient is on a -pril medication (ACE inhibitor) and reports having a peristent cough, what do you tell them?

A

normal

46
Q

what is an expected finding of COPD?

A

-Barrell chest

47
Q

What is a good diet suggestion for someone who has hypertension?

A

replace whole milk with skim milk

48
Q

PAD relevant choices

A

-hypertension and diabetes

49
Q

impaired elimination choices

A

UTI, constipation, 2 obvious GI/GU

50
Q

Irrelevant dropdown choices for case study

A

-crackles in lungs and pneumonia

NUR 325 (3 decks)

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