Exam 4: NUR242/ NUR 242 (Latest 2023/ 2024) Medical-Surgical Nursing Exam Review| Complete Guide with Questions and Verified Answers| 100% Correct- Galen
Exam 4: NUR242/ NUR 242 (Latest 2023/
2024) Medical-Surgical Nursing Exam
Review| Complete Guide with Questions and
Verified Answers| 100% Correct
Q: Pt. teaching for Raynauds disease
Answer:
Stop smoking, avoid cold and stress, wear warm clothing, take vasodilators as prescribed
Q: Pt. teaching for Burgers Disease
Answer:
Use vasodilators as prescribed, smoking cessation, avoid injury to upper and lower extremities,
can cause gangrene
Q: S/S of Peripheral Arterial Disease (PAD)
Answer:
Leg pain, burning, cramping muscle discomfort when walking that stops at rest. As the disease
persists the pt can walk shorter distances
Q: Post-OP Care for Femoral Artery Bypass graft?
Answer:
warmth, redness and edema are expected. Monitor for possible occlusion and continuous aching
pain (first sign of occlusion) Throbbing pain is due to increased blood flow to the area.
Q: Notify the physician immediately if they experience what S/S after a femoral artery graft?
Answer:
Cold, pale, cyanotic skin or decreased pulse
Q: Amputation complications:
Answer:
infection, phantom limb pain, flexion contractions
Q: Amputation Post-OP care:
Answer:
-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 position to stretch muscles and prevent hip flexion
contractures
Q: Pt with a DVT is at high risk for?
Answer:
PE
Q: DVT S/S
Answer:
-calf/groin tenderness
-sudden unilateral swelling
-positive Homans sign
Q: DVT Risk Factors
Answer:
-venous stasis from varicose veins
-heart failure
-immobility
-use of birth control
-ulcerative colitis
-prolonged bedrest
Q: DVT interventions:
Answer:
-SCDs
-Compression hose
-Elevate extremities
-IV continuous Heparin
Q: When a pt. is on IV continuous Heparin, what lab values do you monitor?
Answer:
aPTT Values
Q: What is the normal aPTT range?
Answer:
30-40 seconds
1.5-3 times normal control levels
Call the MD if >70 seconds
Q: Normal PT level:
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