NUR265 NUR 265 Exam 1:

NUR265/ NUR 265 Exam 1: (2024/ 2025

Update) Advanced Med-Surg Review | Questions and Verified Answers| 100% Correct- Galen

Q: encephalopathy diet

Answer:

low protein

Q: cardiomyopathy (dilated)

Answer:

• CHF
• Fluid overload

Sxs:

• fatigue
• syncope

- LSHF

• dysthymia

Tx:

• diuretics
• vasodilators (morphine, nitro)
• digoxin
• anticoagulants

*chronic* *safety (falls)*

Q: AMI

Answer: 1 / 3

RSHF Sxs:

• JVD
• peripheral edema
• weight gain
• dec UOP

LSHF Sxs:

• crackles
• dec 02
• forthy pink sputum (pulm edema)
• air hunger

Tx:

• diuretics (furosemide)
• inotropes (dobutamine/dopamine)
• oxygen
• morphine (vasodilator)

Complications:

• cardiac tamponade
• pericardial effusion

Q: Angina

Answer:

Stable:

• treat w/ nitro and rest

Unstable:

• unpredictable
• not relieved w/ nitro and rest

Sxs:

• squeezing/ pressure
• shoulder/back pain
• diaphoresis
• N/V

Q: MI

Answer: 2 / 3

STEMI:

• ST elevation MI

NSTEMI

• Non ST elevated MI

Sxs:

• pain not relieved
• dyspnea
• diaphoresis
• N/V/ indigestion

-restlessness

• inc troponin

Tx:

• morphine
• oxygen
• nitro (hypotension- lower HOB, call doc)
• aspirin
• beta blocker

Complications:

• cardiac tamponade
• pulmonary edema
• CHF
• dysthymia (AFIB)

Q: tPA contraindications

Answer:

• inter cranial neoplasm
• inter cranial bleed
• aortic disection
• menstural bleeding
• active peptic ulcer
• varices
• recent surgery
• stroke in 3 mo

Q: CABAG

• / 3