Exam 4: NUR242/ NUR 242 (New 2023/ 2024) Medical-Surgical Nursing Exam Review| Complete Guide with Questions and Verified Answers| 100% Correct- Galen

Exam 4: NUR242/ NUR 242 (New 2023/ 2024) Medical-Surgical Nursing Exam Review| Complete Guide with Questions and Verified Answers| 100% Correct- Galen

QUESTION
Where do you listen for the Pulmonic sound?
Answer:
2nd intercostal space, LSB
QUESTION
Where do you listen for Erbs Point?
Answer:
3rd intercostal space, LSB
QUESTION
Where do you listen to the Tricuspid?
Answer:
4th intercostal space, LSB
QUESTION
Where do you listen to the Mitral sound?
Answer:
5th intercostal space, mid-clavicular line
Exam 4: NUR242/ NUR 242 (New 2023/
2024) Medical-Surgical Nursing Exam
Review| Complete Guide with Questions and
Verified Answers| 100% Correct- Galen

QUESTION
What is the only sound heard on the RSB?
Answer:
Aortic
QUESTION
Pre-OP teaching for Cardiac Cath
Answer:
-Might experience palpitations when the catheter is passed through the left ventricle
-Feel heat or hot flash when the dye is injected
-Urge to cough when the dye is injected to the RIGHT side of the heart
QUESTION
Post-OP for Pacemaker
Answer:
-Report fever, redness, swelling or drainage to MD
-Keep ID card in wallet or wear medical alert bracelet
-Know rate of pacemaker
-Avoid tight clothing
QUESTION
What symptoms do you report to the MD if you have a pacemaker?
Answer:
-SOB
-Dizziness

-Chest Pain
-Fainting
-Weight gain
-Hiccups
(Check pulse at time of incident for any of these)
QUESTION
S/S of RIGHT sided heart failure
Answer:
-Dependent edema
-JVD
-Abdominal distention
-Hepatomegaly
-Splenomegaly
-Anorexia/nausea
-Weight gain
-Nocturnal diuresis
-Swelling of fingers/hands
QUESTION
What lab values are used to confirm heart failure?
Answer:
BNP
QUESTION
S/S of Pulmonary Edema:
Answer:
-Severe dyspnea or orthopnea
-Pallor
-Tachycardia
-Tachypnea
-Expectoration of blood tinged frothy sputum
-Wheezing/ crackles in the lungs
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