Download Exam 3: NUR201/ NUR 201 (New 2025/ 2026 Update) Medical Surgical Nursing I Review | Q&As and more Exams Nursing in PDF only on Docsity!
Exam 3: NUR201/ NUR 201 (New 202 5 / 202 6
Update) Medical Surgical Nursing I Review |
Questions and Verified Answers| 100%
Correct| A Grade – Fortis
QUESTION
patient education regarding self-care for venous/arterial disease Answer: wear compression stockings
QUESTION
what would a patient with varicose veins complain of? Answer: tired legs on movement and their legs feel better with elevation
QUESTION
patient teaching for varicose veins Answer:
- rest with limb elevation
- compression stockings
- leg-strenghting exercises
- weight loss
QUESTION
what is an adverse effect of Ace inhibitors? - prils
Answer: angioedema
QUESTION
what is an adverse effect of calcium channel blockers? Answer: decreased peristalsis (constipation) and muscle cramping
QUESTION
nursing consideration for the drug captopril? Answer: do not use with potassium sparing diuretics
QUESTION
what is the main assessment to do prior to heart Cath? Answer: any allergies to contrast dye
QUESTION
what is the assessment to check for after a cardiac Cath? Answer: check distal femoral pulses first
- make sure the pt lays in bed for at least 6 hours with their legs extended and check vitals frequently
QUESTION
QUESTION
patient teaching for warfarin and vitamin K Answer: keep vitamin K the same, eat the same amount of leafy veggies
QUESTION
what does venous diseases cause? Answer: edema
QUESTION
how should the patient be when assessing bp? Answer: pt should sit with legs uncrossed, feet on the floor, and back supported
- bare patients arm and support it at heat level
QUESTION
what is the DASH diet? Answer:
- low fat
- low sodium
- lean meats
- whole grains
- nuts
- vegetable oil
- unsaturated fats are better
QUESTION
patient education about new onset hypertension Answer: pt needs to have ongoing monitoring to make sure it goes away
- teach pt bp is the silent killer and is very serious
QUESTION
patient educations for white coat HTN Answer: have patient monitor bp at home to make sure its not always high
QUESTION
what should the nurse be considering regarding HTN meds? Answer: be aware of patient safety (worry about falls)
QUESTION
what can LPN's not do? Answer: they cannot do initial assessments, teach, or hang heparin
QUESTION
what does the silent killer mean? Answer: bc HTN is asymptomatic until severe, it causes end organ damage
QUESTION
signs of an AAA rupture Answer: excruciating back pain is the main symptom
QUESTION
should HDL or LDL be higher? Answer: HDL should be higher
QUESTION
if a patient with COPD is out of breath, what position should you recommend they are in? Answer: go into tripod position
QUESTION
when a patient has audible wheezing and then the wheezing stops, what should the nurse do? what is this called? Answer: the nurse should make sure the patient is breathing and notify the provider bc the patient has silent chest
QUESTION
what should the nurse check after an EGD? Answer:
gag reflex
QUESTION
how long can TPN hang? Answer: 24 hours
QUESTION
what to teach a newly diagnosed patient with chron's? Answer: teach them about medication use
QUESTION
what are the 4 signs of a bowel obstruction? Answer: Nausea and Vomiting, pain, distention, and constipation
QUESTION
what is the priority assessment for a patient with chest pain? Answer: an EKG
QUESTION
where is the PMI located?
where would you hear a systolic murmur? Answer: at the PMI
QUESTION
how should you palpate the carotid arteries? Answer: one at a time
QUESTION
what is sclerotherapy? Answer: injecting a solution (usually saline) into varicose veins
QUESTION
what to do when you notice pt has low bp and a patient is due for BP meds? Answer:
- hold any bp medications
- document
- call the doctor
- give saline (verify order with doc)
- worry about safety (falling) for the pt
QUESTION
how is the CV system affected by aging? Answer: older adults don't have a good cardiac reserve, it takes them longer to recover
QUESTION
what should you educate a patient about with Raynauds disease? Answer:
- avoid temperature extremes (wear appropriate clothing)
- no tobacco or caffeine
- no vasoconstrictor drugs
- drug therapy
