Download Cardiovascular Disorders: Questions and Answers for Nursing Students and more Exams Nursing in PDF only on Docsity!
Cardiovascular Disorders A KKvisiting KKnurse KKis KKteaching KKa KKclient KKwith KKheart KKfailure KKabout KKtaking KKtheir KKmedications. KKThe KKclient KKrequires KKsix KKdifferent KKmedications KKthat KKare KKtaken KKat KKfour KKdifferent KKtimes KKper KKday. KKThe KKclient KKis KKconfused KKabout KKwhen KKto KKtake KKeach KKmedication. KKHow KKshould KKthe KKnurse KKintervene? KK- KKTeach KKa KKfamily KKmember KKto KKfill KKa KKmedication KKcompliance KKaid KKonce KKper KKweek KKso KKthe KKclient KKcan KKindependently KKtake KKtheir KKmedications. The KKnurse KKis KKassessing KKa KKclient KKwho KKhas KKa KKlong KKhistory KKof KKuncontrolled KKhypertension. KKThe KKnurse KKshould KKassess KKthe KKclient KKfor KKdamage KKin KKwhich KKarea KKof KKthe KKeye? KK- KKretina A KKclient KKis KKrecovering KKfrom KKcoronary KKartery KKbypass KKgraft KK(CABG) KKsurgery KKand KKbegins KKto KKexperience KKchest KKpain, KKshortness KKof KKbreath, KKand KKtachycardia. KKFurther KKassessment KKreveals KKa KKwidened KKQRS KKcomplex KKand KKan KKelevated KKST KKsegment. KKWhich KKnursing KKdiagnosis KKtakes KKhighest KKpriority KKat KKthis KKtime? KK- KKDecreased KKcardiac KKoutput KKrelated KKto KKdepressed KKmyocardial KKfunction A KKnurse KKin KKthe KKemergency KKdepartment KKis KKcaring KKfor KKa KKclient KKwith KKacute KKheart KKfailure. KKWhich KKlaboratory KKvalue KKis KKmost KKimportant KKfor KKthe KKnurse KKto KKcheck KKbefore KKadministering KKmedications KKto KKtreat KKheart KKfailure? KK- KKpotassium A KKclient KKis KKtaking KKspironolactone KKto KKcontrol KKhypertension. KKThe KKclient's KKserum KKpotassium KKlevel KKis KK[6 KKmEq/L KK(56mmol/L)]. KKFor KKthis KKclient, KKthe KKnurse's KKpriority KKshould KKbe KKto KKassess KKtheir KK- KKelectrocardiogram KK(ECG) KKresults. The KKnurse KKis KKcaring KKfor KKa KKclient KKpost KKmyocardial KKinfarction KK(MI). KKOrders KKinclude KKstrict KKbed KKrest KKand KKa KKclear, KKliquid KKdiet. KKWhat KKis KKthe KKnurse's KKbest KKresponse KKto KKthe KKclient KKwho KKis KKinquiring KKabout KKthe KKpurpose KKof KKthe KKnew KKdiet? KK- KKto KKreduce KKthe KKmetabolic KKworkload KKof KKdigestion A KKnurse KKis KKteaching KKa KKclient KKhow KKto KKtake KKnitroglycerin KKto KKtreat KKangina KKpectoris. KKWhat KKshould KKthe KKnurse KKinclude KKin KKthe KKinstructions? KK- KKCall KKemergency KKmedical KKservices KKimmediately KKif KKchest KKpain KKdoes KKnot KKsubside KKwithin KK 15 KKminutes. A KKclient KKarrives KKin KKthe KKemergency KKdepartment KKreporting KKintense KKpain KKin KKthe KKabdomen KKand KKtells KKthe KKnurse KKthat KKit KKfeels KKlike KKa KKheartbeat KKin KKthe KKabdomen. KKWhich KKnursing KKassessment KKwould KKindicate KKpotential KKrupture KKof KKan KKaortic KKaneurysm? KK- KKThe KKclient KKreports KKincreasing KKsevere KKback KKpain.
A KKclient KKhas KKbeen KKdiagnosed KKwith KKright-sided KKheart KKfailure. KKThe KKnurse KKshould KKassess KKthe KKclient KKfurther KKfor: KK- KKDependent KKedema. The KKclient KKasks KKthe KKnurse, KK"Why KKwon't KKthe KKhealth KKcare KKprovider KKtell KKme KKexactly KKhow KKmuch KKof KKmy KKleg KKhe KKis KKgoing KKto KKtake KKoff? KKDon't KKyou KKthink KKI KKshould KKknow KKthat?" KKOn KKwhich KKinformation KKshould KKthe KKnurse KKbase KKthe KKresponse? KK- KKthe KKadequacy KKof KKthe KKblood KKsupply KKto KKthe KKtissues A KKclient KKwith KKperipheral KKartery KKdisease KKhas KKfemoral-popliteal KKbypass KKsurgery. KKWhat KKgoal KKshould KKthe KKnurse KKestablish KKwith KKthe KKclient KKimmediately KKafter KKsurgery? KK- KKMaintain KKcirculation. A KKwhite KKmale, KKage KK43, KKwith KKa KKtentative KKdiagnosis KKof KKinfective KKendocarditis KKis KKadmitted KKto KKan KKacute KKcare KKfacility. KKHis KKmedical KKhistory KKreveals KKdiabetes KKmellitus, KKhypertension, KKand KKpernicious KKanemia; KKhe KKunderwent KKan KKappendectomy KK 20 KKyears KKearlier KKand KKan KKaortic KKvalve KKreplacement KK 2 KKyears KKbefore KKthis KKadmission. KKWhich KKhistory KKfinding KKis KKa KKmajor KKrisk KKfactor KKfor KKinfective KKendocarditis? KK- KKhistory KKof KKaortic KKvalve KKreplacement Which KKactivity KKis KKleast KKeffective KKin KKpreventing KKsensory KKdeprivation KKduring KKa KKclient's KKstay KKin KKthe KKcardiac KKcare KKunit? KK- KKkeeping KKthe KKdoor KKclosed KKto KKprovide KKprivacy The KKnurse KKis KKconcerned KKabout KKthe KKrisks KKof KKhypoxemia KKand KKmetabolic KKacidosis KKin KKa KKclient KKwho KKis KKin KKshock. KKWhat KKfinding KKshould KKthe KKnurse KKanalyze KKfor KKevidence KKof KKhypoxemia KKand KKmetabolic KKacidosis KKin KKa KKclient KKwith KKshock? KK- KKarterial KKblood KKgas KK(ABG) KKfindings Following KKa KKmyocardial KKinfarction, KKa KKclient KKdevelops KKan KKarrhythmia KKand KKrequires KKa KKcontinuous KKinfusion KKof KKlidocaine. KKTo KKmonitor KKthe KKeffectiveness KKof KKthe KKintervention, KKthe KKnurse KKshould KKfocus KKprimarily KKon KKthe KKclient's: KK- KKelectrocardiogram KK(ECG). A KKclient KKcomes KKto KKthe KKemergency KKdepartment KKreporting KKsevere KKsubsternal KKchest KKpain KKradiating KKdown KKthe KKleft KKarm. KKThe KKclient KKis KKadmitted KKto KKthe KKcoronary KKcare KKunit KKwith KKa KKdiagnosis KKof KKmyocardial KKinfarction KK(MI). KKWhich KKshould KKthe KKnurse KKdo KKfirst KKwhen KKthe KKclient KKis KKadmitted KKto KKthe KKcoronary KKcare KKunit? KK- KKBegin KKtelemetry KKmonitoring.
A KKnurse KKis KKevaluating KKa KKclient KKwho KKhad KKa KKmyocardial KKinfarction KK(MI) KK 7 KKdays KKearlier. KKWhich KKoutcome KKindicates KKthat KKthe KKclient KKis KKresponding KKfavorably KKto KKtherapy? KK- KKThe KKclient KKdemonstrates KKability KKto KKtolerate KKmore KKactivity KKwithout KKchest KKpain. A KKregistered KKnurse KKis KKmentoring KKa KKnew KKgraduate KKnurse. KKWhich KKaction KKby KKthe KKnew KKgraduate KKdemonstrates KKa KKneed KKfor KKfurther KKteaching? KK- KKturns KKthe KKdefibrillator KKto KKsynchronize KKbefore KKdefibrillating KKa KKclient KKwith KKventricular KKfibrillation A KKclient KKpresents KKwith KKa KKheart KKrate KKof KK 30 KKbeats/min. KKThe KKnurse KKnotes KKa KKpacemaker KKin KKthe KKclient's KKright KKupper KKchest KKwall. KKWhat KKis KKthe KKnurse's KKpriority KKaction? KK- KKAssess KKthe KKblood KKpressure. The KKnurse KKis KKmonitoring KKa KKclient KKpostoperatively KKafter KKa KKpermanent KKpacemaker KKinsertion. KKWhich KKfinding KKwould KKbe KKmost KKconcerning KKto KKthe KKnurse? KK- KKheart KKrate KKof KK 48 KKbeats/minute A KKclient KKwith KKheart KKfailure KKis KKreceiving KKfurosemide, KK 40 KKmg KKI.V. KKThe KKphysician KKorders KK[ KKmEq KK(40 KKmmol/L)] KKof KKpotassium KKchloride KKin KK 100 KKml KKof KKdextrose KK5% KKin KKwater KKto KKinfuse KKover KK 4 KKhours. KKThe KKclient's KKmost KKrecent KKserum KKpotassium KKlevel KKis KK[3.0 KKmEq/L KK(3. KKmmol/L)]. KKAt KKwhat KKinfusion KKrate KKshould KKthe KKnurse KKset KKthe KKI.V. KKpump? KK- KK 25 KKml/hour A KKclient KKis KKreceiving KKcilostazol KKfor KKintermittent KKclaudication. KKWhat KKshould KKthe KKnurse KKask KKthe KKclient KKto KKdetermine KKthe KKeffectiveness KKof KKthe KKdrug? KK- KK"Do KKyou KKhave KKless KKpain KKin KKthe KKlegs?" A KKclient KKwith KKdeep KKvein KKthrombosis KKhas KKbeen KKreceiving KKwarfarin KKfor KK 2 KKmonths. KKThe KKclient KKis KKto KKgo KKto KKan KKanticoagulant KKmonitoring KKlaboratory KKevery KK 3 KKweeks. KKThe KKlast KKvisit KKto KKthe KKlaboratory KKwas KK 2 KKweeks KKago. KKThe KKclient KKreports KKbleeding KKgums, KKincreased KKbruising, KKand KKdark KKstools. KKWhat KKshould KKthe KKnurse KKshould KKinstruct KKthe KKclient KKto KKdo? KK- KKReturn KKto KKlaboratory KKfor KKanalysis KKof KKprothrombin KKtimes. A KKclient KKwith KKleft-sided KKheart KKfailure KKcomplains KKof KKincreasing KKshortness KKof KKbreath KKand KKis KKagitated KKand KKcoughing KKup KKpink-tinged, KKfoamy KKsputum. KKThe KKnurse KKshould KKrecognize KKthese KKfindings KKas KKsigns KKand KKsymptoms KKof KK- KKacute KKpulmonary KKedema.
The KKplan KKof KKcare KKfor KKa KKclient KKwith KKhypertension KKtaking KKpropranolol KKhydrochloride KKshould KKinclude: KK- KKinstructing KKthe KKclient KKto KKnotify KKthe KKhealth KKcare KKprovider KKof KKirregular KKor KKslowed KKpulse KKrate. A KKclient KKis KKdischarged KKto KKa KKheart KKrehabilitation KKprogram. KKWhat KKlifestyle KKchanges KKwould KKbe KKappropriate KKfor KKthe KKnurse KKto KKreview? KK- KKreducing KKcholesterol KKlevels, KKincreasing KKactivity KKlevels KKprogressively, KKand KKcoping KKstrategies The KKnurse KKis KKassessing KKa KKclient KKwith KKheart KKfailure KKwhose KKblood KKpressure KKand KKweight KKare KKbeing KKmonitored KKremotely. KKThe KKnurse KKreviews KKdata KKobtained KKwithin KKthe KKlast KK 3 KKdays. KKThe KKnurse KKcalls KKthe KKclient KKto KKfollow KKup. KKWhat KKshould KKthe KKnurse KKask KKthe KKclient KKfirst? KK- KK"Are KKyou KKhaving KKshortness KKof KKbreath?" The KKnurse KKis KKmonitoring KKa KKclient KKadmitted KKwith KKa KKmyocardial KKinfarction KK(MI) KKwho KKis KKat KKrisk KKfor KKcardiogenic KKshock. KKThe KKnurse KKshould KKreport KKwhich KKchange KKon KKthe KKclient's KKchart KKto KKthe KKhealth KKcare KKprovider? KK- KKurine KKoutput A KKclient KKreturns KKfrom KKa KKleft KKheart KKcatheterization. KKThe KKright KKgroin KKwas KKused KKfor KKcatheter KKaccess. KKIn KKwhich KKlocation KKshould KKthe KKnurse KKpalpate KKthe KKdistal KKpulse KKon KKthis KKclient? KK- KKdorsal KKsurface KKof KKthe KKright KKfoot The KKnurse KKis KKconducting KKa KKhealth KKassessment KKof KKan KKolder KKadult. KKThe KKclient KKtells KKthe KKnurse KKabout KKcramping KKleg KKpain KKthat KKoccurs KKwhen KKwalking KKfor KK 15 KKminutes; KKthe KKpain KKis KKrelieved KKwith KKrest. KKThe KKlower KKextremities KKare KKslightly KKcool KKto KKtouch, KKand KKpedal KKpulses KKare KKpalpable KK+1. KKWhat KKshould KKthe KKnurse KKinstruct KKthe KKclient KKto KKdo? KK- KKSeek KKconsultation KKfrom KKthe KKhealth KKcare KKprovider. A KKclient KKis KKscheduled KKto KKundergo KKpercutaneous KKtransluminal KKcoronary KKangioplasty KK(PTCA). KKWhich KKstatement KKby KKthe KKnurse KKbest KKexplains KKthe KKprocedure KKto KKthe KKclient? KK- KK"PTCA KKinvolves KKopening KKa KKblocked KKartery KKwith KKan KKinflatable KKballoon KKlocated KKon KKthe KKend KKof KKa KKcatheter." The KKnurse KKis KKteaching KKa KKclient KKhow KKto KKapply KKnitroglycerin KKtopical KKointment. KKWhich KKstatement KKindicates KKthat KKthe KKclient KKneeds KKadditional KKclarification KKof KKthe KKinstructions? KK- KK"I'll KKcarefully KKmassage KKthe KKointment KKinto KKthe KKskin."
To KKprevent KKpulmonary KKemboli KKin KKa KKclient KKwho KKhas KKhad KKabdominal KKsurgery, KKwhat KKshould KKthe KKnurse KKdo? KK- KKHave KKthe KKclient KKperform KKleg KKexercises KKevery KKhour KKwhile KKawake. The KKnurse KKis KKplanning KKcare KKfor KKa KKclient KKwho KKis KKdiagnosed KKwith KKperipheral KKvascular KKdisease KK(PVD) KKand KKhas KKa KKhistory KKof KKheart KKfailure. KKThe KKnurse KKshould KKdevelop KKa KKplan KKof KKcare KKthat KKis KKbased KKon KKthe KKfact KKthat KKthe KKclient KKmay KKhave KKa KKlow KKtolerance KKfor KKexercise KKrelated KKto: KK- KKdecreased KKblood KKflow. A KKclient KKis KKscheduled KKfor KKan KKarteriogram. KKThe KKnurse KKshould KKexplain KKto KKthe KKclient KKthat KKthe KKarteriogram KKwill KKconfirm KKthe KKdiagnosis KKof KKocclusive KKarterial KKdisease KKby: KK- KKshowing KKthe KKlocation KKof KKthe KKobstruction KKand KKthe KKcollateral KKcirculation. The KKclient KKhas KKhad KKhypertension KKfor KK 20 KKyears. KKThe KKnurse KKshould KKassess KKthe KKclient KKfor? KK- KKRenal KKinsufficiency KKand KKfailure. A KKclient KKis KKgiven KKamiodarone KKin KKthe KKemergency KKdepartment KKfor KKa KKdysrhythmia. KKWhich KKfinding KKindicates KKthe KKdrug KKis KKhaving KKthe KKdesired KKeffect? KK- KKThe KKnumber KKof KKpremature KKventricular KKcontractions KKis KKdecreasing. A KKclient KKwith KKheart KKfailure KKwill KKtake KKoral KKfurosemide KKat KKhome. KKTo KKhelp KKthe KKclient KKevaluate KKthe KKeffectiveness KKof KKfurosemide KKtherapy, KKthe KKnurse KKshould KKteach KKthe KKclient KKto: KK- KKweigh KKdaily. A KKclient KKadmitted KKwith KKa KKmassive KKmyocardial KKinfarction KKrapidly KKdevelops KKcardiogenic KKshock. KKIdeally, KKthe KKphysician KKwould KKuse KKthe KKintra-aortic KKballoon KKpump KK(IABP) KKto KKsupport KKthe KKinjured KKmyocardium. KKHowever, KKthis KKclient KKhas KKa KKhistory KKof KKunstable KKangina KKpectoris, KKaortic KKinsufficiency, KKhypertension, KKand KKdiabetes KKmellitus. KKWhich KKcondition KKis KKa KKcontraindication KKfor KKIABP KKuse? KK- KKaortic KKinsufficiency A KKclient KKis KKreceiving KKdigoxin, KKand KKthe KKpulse KKrange KKis KKnormally KK 70 KKto KK 76 KKbpm. KKAfter KKassessing KKthe KKapical KKpulse KKfor KK 1 KKminute KKand KKfinding KKit KKto KKbe KK 60 KKbpm, KKthe KKnurse KKshould KKdo KKwhat KKfirst? KK- KKWithhold KKthe KKdigoxin. Which KKclient KKis KKat KKgreatest KKrisk KKfor KKcoronary KKartery KKdisease? KK- KKa KK 65 - year-old KKfemale KKwho KKis KKobese KKwith KKan KKLDL KKof KK 188 KK(10.4 KKmmol/L)
The KKnurse KKis KKadmitting KKan KKolder KKadult KKto KKthe KKhospital. KKThe KKechocardiogram KKreport KKrevealed KKleft KKventricular KKenlargement. KKThe KKnurse KKnotes KK2+ KKpitting KKedema KKin KKthe KKankles KKwhen KKgetting KKthe KKclient KKinto KKbed. KKBased KKon KKthis KKfinding, KKwhat KKshould KKthe KKnurse KKdo KKfirst? KK- KKAssess KKrespiratory KKstatus. An KKolder KKadult KKwith KKa KKhistory KKof KKheart KKfailure KKis KKadmitted KKto KKthe KKemergency KKdepartment KKwith KKpulmonary KKedema. KKDuring KKadmission, KKwhat KKshould KKthe KKnurse KKassess KKfirst? KK- KKblood KKpressure A KKclient KKweighs KK 300 KKlb KK(136 KKkg) KKand KKhas KKa KKhistory KKof KKdeep KKvein KKthrombosis KKand KKthrombophlebitis. KKWhen KKcoaching KKa KKclient KKabout KKbehaviors KKto KKmaintain KKhealth, KKthe KKnurse KKdetermines KKthat KKthe KKclient KKhas KKunderstood KKthe KKnurse's KKinstructions KKwhen KKthe KKclient KKmakes KKwhich KKstatement? KK- KK"I'll KKtry KKto KKlose KKweight KKby KKfollowing KKa KKreduced-calorie, KKbalanced KKdiet." A KKclient KKwith KKaortic KKstenosis KKtells KKthe KKnurse, KK"I KKhave KKbeen KKfeeling KKso KKtired KKlately KKthat KKI KKtake KKa KKnap KKin KKmy KKrecliner KKevery KKafternoon." KKOn KKassessment, KKthe KKnurse KKnotes KKapical KKheart KKsounds KK 2 KKcm KKleft KKof KKthe KKmidclavicular KKline, KKcrackles KKin KKlower KKlung KKfields KKduring KKrespiration, KKblood KKpressure KK110/90 KKmm KKHg, KKand KKweight KKgain KKof KK2.5 KKkg KK(5.5 KKlb) KKin KK 24 KKhours. KKWhich KKassessment KKrequires KKfurther KKaction? KK- KKweight KKgain KKof KK2.5 KKkg KK(5.5 KKlb) KKin KK 24 KKhours A KKclient KKis KKadmitted KKwith KKshortness KKof KKbreath, KKa KKbrain KKnatriuretic KKpeptide KK(BNP) KKlevel KKof KK 615 KKpg/mL, KKand KKpedal KKedema. KKWhich KKactions KKshould KKthe KKnurse KKtake KKnext? KKSelect KKall KKthat KKapply. KK- KKInitiate KKI.V. KKdiuretic KKtherapy. KKGive KKoxygen KKby KKmask The KKnurse KKis KKteaching KKa KKclient KKabout KKactions KKto KKcontrol KKmanifestations KKof KKleft-sided KKheart KKfailure. KKWhich KKstatement KKby KKthe KKclient KKindicates KKappropriate KKunderstanding? KK- KK"If KKI KKhave KKtrouble KKbreathing, KKI KKwill KKsit KKin KKmy KKrecliner KKwith KKmy KKhead KKup." A KKclient KKwith KKa KKrecent KKdiagnosis KKof KKdeep KKvein KKthrombosis KK(DVT) KKhas KKsudden KKonset KKof KKshortness KKof KKbreath KKand KKchest KKpain KKthat KKincreases KKwith KKa KKdeep KKbreath. KKWhat KKshould KKthe KKnurse KKdo KKfirst? KK- KKAssess KKthe KKoxygen KKsaturation.
A KKnurse KKis KKperforming KKdischarge KKteaching KKwith KKa KKclient KKwho KKhas KKan KKimplantable KKcardioverter KKdefibrillator KK(ICD) KKplaced. KKWhich KKclient KKstatement KKindicates KKeffective KKteaching? KK- KK"I'll KKkeep KKa KKlog KKof KKeach KKtime KKmy KKICD KKdischarges." Following KKa KKpercutaneous KKtransluminal KKcoronary KKangioplasty, KKa KKclient KKis KKmonitored KKin KKthe KKpostprocedure KKunit. KKThe KKclient's KKheparin KKinfusion KKwas KKstopped KK 2 KKhours KKearlier. KKThere KKis KKno KKevidence KKof KKbleeding KKor KKhematoma KKat KKthe KKinsertion KKsite, KKand KKthe KKpressure KKdevice KKis KKremoved. KKThe KKnurse KKshould KKplan KKto KKsafely KKremove KKthe KKfemoral KKsheath KKwhen KKthe KKpartial KKthromboplastin KKtime KK(PTT) KKis: KK- KK 50 KKseconds KKor KKless. What KKmeasure KKshould KKthe KKnurse KKtake KKthat KKwill KKbe KKmost KKhelpful KKin KKpreventing KKwound KKinfection KKwhen KKchanging KKa KKclient's KKdressing KKafter KKcoronary KKartery KKbypass KKsurgery? KK- KKWash KKhands KKbefore KKchanging KKthe KKdressing. When KKperforming KKexternal KKchest KKcompressions KKon KKan KKadult KKduring KKcardiopulmonary KKresuscitation, KKhow KKdeep KKshould KKthe KKrescuer KKdepress KKthe KKsternum? KK- KK 2 KKin KK(5 KKcm) A KKgroup KKhas KKasked KKthe KKnurse KKto KKdiscuss KKhow KKlifestyle KKfactors KKaffect KKheart KKhealth. KKWhich KKstatements KKby KKmembers KKof KKthe KKgroup KKwould KKindicate KKthat KKthe KKteaching KKwas KKeffective? KKSelect KKall KKthat KKapply KK- KK"Gradually KKincreasing KKmy KKexercise KKlevels KKwill KKhelp KKenhance KKcirculation KKthrough KKthe KKheart." KK"Walking KKis KKexcellent KKexercise KKto KKstrengthen KKmy KKheart." KK"As KKa KKborderline KKdiabetic, KKif KKI KKlose KKweight KKand KKlessen KKmy KKintake KKof KKsimple KKcarbohydrates, KKthis KKshould KKbenefit KKmy KKheart." KK"If KKI KKchange KKmy KKdiet KKand KKlessen KKmy KKintake KKof KKsaturated KKfats KKand KKtrans KKfatty KKacids, KKthis KKmay KKdecrease KKmy KKcholesterol KKlevels." Correct KKresponse: KK"Gradually KKincreasing KKmy KKexercise KKlevels KKwill KKhelp KKenhance KKcirculation KKthrough KKthe KKheart." KK"If KKI KKchange KKmy KKdiet KKand KKlessen KKmy KKintake KKof KKsaturated KKfats KKand KKtrans KKfatty KKacids, KKthis KKmay KKdecrease KKmy KKcholesterol KKlevels." KK"As KKa KKborderline KKdiabetic, KKif KKI KKlose KKweight KKand KKlessen KKmy KKintake KKof KKsimple KKcarbohydrates, KKthis KKshould KKbenefit KKmy KKheart." KK"Walking KKis KKexcellent KKexercise KKto KKstrengthen KKmy KKheart."
A KKnewly KKadmitted KKclient KKreports KKtaking KKdigoxin KKand KKwarfarin. KKWhich KKstatement KKwould KKthe KKnurse KKinclude KKin KKthe KKdischarge KKinstructions? KK- KK"Notify KKyour KKhealthcare KKprovider KKif KKyou KKexperiences KKvisual KKchanges." The KKnurse KKon KKthe KKprevious KKnight KKshift KKdocumented KKthat KKthe KKlungs KKof KKa KKclient KKwith KKlung KKcancer KKwere KKCTA KK(clear KKto KKauscultation) KKin KKall KKfields. KKWhile KKdoing KKthe KKshift KKassessment, KKthe KKday KKshift KKnurse KKnoticed KKdecreased KKbreath KKsounds, KKespecially KKin KKthe KKright KKlower KKlobe. KKWhich KKaction KKis KKthe KKnurse's KKbest KKchoice? KK- KKNotify KKthe KKphysician KKof KKthe KKchange KKin KKclient KKstatus. A KKclient KKis KKadmitted KKwith KKchest KKpain, KKfever, KKand KKjoint KKpain KK 4 KKweeks KKafter KKexperiencing KKan KKacute KKinferior KKwall KKmyocardial KKinfarction. KKWhich KKlaboratory KKvalue KKshould KKthe KKnurse KKaddress? KK- KKsedimentation KKrate KK(ESR) KK 49 KKmm/hr A KKclient KKcomes KKto KKthe KKemergency KKdepartment KKwith KKsymptoms KKof KKchest KKpain KKradiating KKdown KKthe KKleft KKarm, KKdyspnea, KKand KKdiaphoresis. KKAn KKelectrocardiogram KK(EKG) KKshows KKST KKsegment KKelevation KKand KKthe KKclient KKis KKdiagnosed KKwith KKan KKST KKsegment-elevation KKmyocardial KKinfarction KK(STEMI). KKTo KKdetermine KKif KKthe KKclient KKis KKa KKcandidate KKfor KKthrombolytic KKtherapy, KKwhich KKquestion KKshould KKthe KKnurse KKask? KK- KK"What KKtime KKdid KKyour KKchest KKpain KKstart?" A KKclient KKpresents KKwith KKa KKheart KKrate KKof KK 30 KKbeats/min. KKThe KKnurse KKnotes KKa KKpacemaker KKin KKthe KKclient's KKright KKupper KKchest KKwall. KKWhat KKis KKthe KKnurse's KKpriority KKaction? KK- KKAssess KKthe KKblood KKpressure. The KKnurse KKis KKassessing KKa KKclient KKwith KKan KKatrial KKseptal KKdefect KK(ASD). KKWhich KKfinding KKrequires KKimmediate KKnursing KKintervention? KK- KKclient KKhaving KKan KKuneven KKsmile KKand KKfacial KKdroop The KKnurse KKis KKevaluating KKthe KKtherapeutic KKgoal KKof KKa KKclient KKwith KKhistory KKof KKcardiac KKdysrhythmias KKand KKnewly KKcompleted KKradiofrequency KKcatheter KKablation. KKWhich KKclient-centered KKgoal KKis KKmost KKappropriate? KK- KKThe KKclient KKwill KKhave KKa KKregular KKheart KKrhythm KKfrom KKdestruction KKof KKerrant KKtissue KKof KKthe KKheart. A KKnurse KKin KKthe KKtelemetry KKunit KKis KKcaring KKfor KKa KKclient KKwith KKdiagnosis KKof KKpostoperative KKcoronary KKartery KKbypass KKgraft KK(CABG) KKsurgery KKfrom KK 2 KKdays KKago. KKOn KKassessment, KKthe KKnurse
The KKnurse KKis KKreviewing KKthe KKelectrocardiogram KKof KKa KKclient KKwho KKhas KKelevated KKST KKsegments KKvisible KKin KKleads KKII, KKIII, KKand KKaVf. KKWhich KKchoice KKis KKthe KKnurse's KKbest KKaction? KK- KKNotify KKthe KKhealthcare KKprovider. A KKnurse KKis KKpresenting KKhealth KKinformation KKat KKa KKcommunity KKorganization KKwhen KKone KKof KKthe KKattendees KKpasses KKout. KKThe KKnurse KKassess KKthe KKattendee KKas KKbeing KKunresponsive. KKIndicate KKhow KKthe KKnurse KKwould KKrespond KKby KKplacing KKthe KKfollowing KKactions KKin KKchronological KKorder. KKAll KKoptions KKmust KKbe KKused. KK- KKAppoint KKa KKperson KKto KKcall KK911. KKPerform KKchest KKcompressions. KKPerform KKa KKhead KKtilt-chin KKlift KKmaneuver. KKCheck KKfor KKnormal KKbreathing. KKDeliver KKtwo KKrescue KKbreaths. KKCheck KKfor KKa KKpulse. A KKnurse KKis KKchecking KKlaboratory KKvalues KKon KKa KKclient KKwho KKhas KKcrackles KKin KKthe KKlower KKlobes, KK2+ KKpitting KKedema, KKand KKdyspnea KKwith KKminimal KKexertion. KKWhich KKlaboratory KKvalue KKdoes KKthe KKnurse KKexpect KKto KKbe KKabnormal? KK- KKB-type KKnatriuretic KKpeptide KK(BNP) In KKpresenting KKa KKworkshop KKon KKparameters KKof KKcardiac KKfunction, KKwhich KKconditions KKshould KKa KKnurse KKlist KKas KKthose KKmost KKlikely KKto KKlead KKto KKa KKdecrease KKin KKpreload? KK- KKhemorrhage, KKsepsis, KKand KKanaphylaxis The KKnurse KKhas KKbeen KKinstructing KKthe KKclient KKabout KKhow KKto KKprepare KKmeals KKthat KKare KKlow KKin KKfat. KKWhich KKof KKthese KKcomments KKwould KKindicate KKthe KKclient KKneeds KKadditional KKteaching? KK- KK"I KKwill KKeat KKmore KKliver KKwith KKonions." A KKclient KKis KKadmitted KKto KKthe KKhospital KKfor KKevaluation KKof KKrecurrent KKepisodes KKof KKventricular KKtachycardia KKas KKobserved KKon KKHolter KKmonitoring. KKThe KKclient KKis KKscheduled KKfor KKelectrophysiology KKstudies KK(EPS) KKthe KKfollowing KKmorning. KKWhich KKstatement KKshould KKthe KKnurse KKinclude KKin KKa KKteaching KKplan KKfor KKthis KKclient? KK- KK"During KKthe KKprocedure, KKthe KKhealth KKcare KKprovider KKwill KKinsert KKa KKspecial KKwire KKused KKto KKincrease KKthe KKheart KKrate KKand KKproduce KKthe KKirregular KKbeats KKthat KKcaused KKyour KKsigns KKand KKsymptoms." A KKclient KKis KKdiagnosed KKwith KKmyocardial KKinfarction. KKWhich KKdata KKcollection KKfindings KKindicate KKthat KKthe KKclient KKhas KKdeveloped KKleft-sided KKheart KKfailure? KKSelect KKall KKthat KKapply. KK- KKorthopnea
KKcough KKcrackles A KKclient KKwith KKaortic KKstenosis KKtells KKthe KKnurse, KK"I KKhave KKbeen KKfeeling KKso KKtired KKlately KKthat KKI KKtake KKa KKnap KKin KKmy KKrecliner KKevery KKafternoon." KKOn KKassessment, KKthe KKnurse KKnotes KKapical KKheart KKsounds KK 2 KKcm KKleft KKof KKthe KKmidclavicular KKline, KKcrackles KKin KKlower KKlung KKfields KKduring KKrespiration, KKblood KKpressure KK110/90 KKmm KKHg, KKand KKweight KKgain KKof KK2.5 KKkg KK(5.5 KKlb) KKin KK 24 KKhours. KKWhich KKassessment KKrequires KKfurther KKaction? KK- KKweight KKgain KKof KK2.5 KKkg KK(5.5 KKlb) KKin KK 24 KKhours Which KKassessment KKfinding KKsupports KKthe KKadministration KKof KKprotamine KKsulfate? KK- KKaPTT KK3.5- 5 KKtimes KKnormal What KKis KKthe KKbest KKnursing KKresponse KKto KKa KKclient KKwho KKis KKexperiencing KKan KKacute KKmyocardial KKinfarction KK(MI) KKand KKasks KKwhy KKthe KKnurse KKis KKadministering KKintravenous KKmorphine? KK- KK"Morphine KKdecreases KKthe KKheart's KKneed KKfor KKoxygen KKand KKalso KKmakes KKyour KKheart KKnot KKwork KKas KKhard." A KKclient KKis KKstarted KKon KKdigoxin. KKThe KKhealth KKcare KKprovider KK(HCP) KKprescribes KKIV KKpush KKdoses KKof KK0.5 KKmg KKnow, KK0.25 KKmg KKin KK 8 KKhr., KKand KKanother KK0.25 KKmg KKin KKanother KK 8 KKhr. KKThe KKclient KKhas KKa KK1,000 KKmL KKbag KKof KKnormal KKsaline KKinfusing KKat KK 25 KKmL/hr. KKWhat KKaction KKshould KKthe KKnurse KKperform? KK- KKAdminister KKeach KKdose KKof KKmedication KKover KK 5 KKminutes KKvia KKIV KKpush. The KKnurse KKshould KKgive KKwhich KKdischarge KKinstructions KKabout KKthermal KKinjury KKto KKa KKclient KKwith KKperipheral KKvascular KKdisease? KKSelect KKall KKthat KKapply. KK- KK"Avoid KKsunburn KKduring KKthe KKsummer." KK"Wear KKextra KKsocks KKin KKthe KKwinter." KK"Choose KKloose, KKsoft, KKcotton KKsocks." A KKclient KKis KKadmitted KKto KKthe KKemergency KKdepartment KKwith KKsevere KKabdominal KKpain. KKA KKradiograph KKreveals KKa KKlarge KKabdominal KKaortic KKaneurysm. KKWhat KKis KKthe KKnurse's KKprimary KKgoal KKat KKthis KKtime? KK- KKPrepare KKthe KKclient KKfor KKemergency KKsurgery. The KKnurse KKteaches KKa KKclient KKwith KKheart KKfailure KKto KKtake KKoral KKfurosemide KKin KKthe KKmorning. KKWhat KKis KKthe KKexpected KKoutcome KKfor KKtaking KKthis KKdrug KKin KKthe KKmorning? KKThe KKclient KKwill: KK- KKObtain KKmore KKsleep.
KKas KKthose KKwith KKa KKhistory KKof KKatrial KKfibrillation, KKinfective KKendocarditis, KKprosthetic KKheart KKvalves, KKor KKmyocardial KKinfarction. KKWhich KKtest KKdetermines KKa KKclient's KKresponse KKto KKoral KKanticoagulant KKdrugs? KK- KKProthrombin KKtime KK(PT) Two KKdays KKafter KKa KKmyocardial KKinfarction KK(MI), KKa KKclient's KKtemperature KKis KKelevated. KKThe KKnurse KKunderstands KKwhich KKresponse KKto KKbe KKmost KKlikely KKrelated KKto KKthe KKinfarction? KK- KKtissue KKnecrosis The KKnurse KKis KKpreparing KKa KKteaching KKplan KKfor KKa KKclient KKwho KKis KKbeing KKdischarged KKafter KKbeing KKadmitted KKfor KKchest KKpain. KKThe KKclient KKhas KKhad KKone KKprevious KKmyocardial KKinfarction KK 2 KKyears KKago KKand KKhas KKbeen KKtaking KKsimvastatin KK 40 KKmg KKfor KKthe KKlast KK 2 KKyears. KKAfter KKreviewing KKthe KKlab KKresults KKfor KKthe KKclient's KKcholesterol KKlevels KK(see KKchart), KKwhat KKshould KKthe KKnurse KKdo? KK- KKTell KKthe KKclient KKthat KKthe KKcholesterol KKlevels KKare KKwithin KKnormal KKlimits. A KKclient KKreceiving KKdigoxin KKhas KKa KKserum KKmagnesium KKlevel KKof KK0.9 KKmg/dL KK(0.57 KKmmol/L). KKWhat KKis KKthe KKnurse's KKbest KKaction? KK- KKNotify KKthe KKhealthcare KKprovider. A KKclient KKis KKadmitted KKto KKthe KKtelemetry KKunit KKwith KKatrial KKfibrillation. KKWhat KKis KKthe KKappropriate KKaction KKof KKthe KKnurse? KKSelect KKall KKthat KKapply. KK- KKadminister KKwarfarin KKApply KKsequential KKcompression KKdevice KKApply KKcontinuous KKcardiac KKmonitoring KKassess KKfor KKchanges KKin KKlevel KKof KKconsciousnes A KKclient KKhas KKbeen KKadmitted KKto KKthe KKcoronary KKcare KKunit. KKThe KKnurse KKobserves KKthird-degree KKheart KKblock KKat KKa KKrate KKof KK 35 KKbpm KKon KKthe KKclient's KKcardiac KKmonitor. KKThe KKclient KKhas KKa KKblood KKpressure KKof KK90/60 KKmm KKHg. KKWhat KKshould KKthe KKnurse KKdo KKfirst? KK- KKPrepare KKfor KKtranscutaneous KKpacing. A KKclient KKis KKadmitted KKto KKthe KKemergency KKdepartment KKafter KKreporting KKacute KKchest KKpain KKradiating KKdown KKthe KKleft KKarm. KKThe KKclient KKappears KKanxious, KKdyspneic, KKand KKdiaphoretic. KKWhich KKlaboratory KKstudies KKwould KKthe KKnurse KKanticipate? KKSelect KKall KKthat KKapply. KK- KKcreatine KKkinase KK(CK) KKtroponin KKT KKand KKtroponin KKI KKmyoglobin
A KKclient KKwas KKtransferring KKa KKload KKof KKfire KKwood KKfrom KKtheir KKfront KKdriveway KKto KKthe KKbackyard KKwoodpile KKat KK 10 KKa.m.,when KKthe KKclient KKexperienced KKa KKheaviness KKin KKtheir KKchest KKand KKdyspnea. KKThe KKclient KKstopped KKworking KKand KKrested, KKand KKthe KKpain KKsubsided. KKAt KKnoon, KKthe KKpain KKreturned. KKAt KK1:30 KKp.m., KKthe KKclient's KKspouse KKtook KKthem KKto KKthe KKemergency KKdepartment. KKAround KK2:30 KKp.m., KKthe KKemergency KKdepartment KKphysician KKdiagnoses KKan KKanterior KKmyocardial KKinfarction KK(MI). KKThe KKnurse KKshould KKanticipate KKwhich KKorders KKby KKthe KKphysician? KK- KKsublingual KKnitroglycerin, KKtissue KKplasminogen KKactivator KK(tPA), KKand KKtelemetry The KKnurse KKis KKevaluating KKclient KKunderstanding KKof KKdischarge KKteaching KKabout KKPrinzmetal's KKvariant KKangina KK(PVA). KKWhich KKstatement KKby KKthe KKclient KKrequires KKfurther KKinstruction? KK- KK"I KKwill KKtake KKprophylactic KKbeta KKblockers." A KKclient KKwith KKatrial KKfibrillation KKhas KKbeen KKreceiving KKwarfarin. KKThe KKINR KKis KK4.5. KKWhat KKis KKthe KKnext KKaction KKthe KKnurse KKshould KKtake? KK- KKWithhold KKthe KKnext KKscheduled KKdose. A KKclient KKin KKthe KKemergency KKdepartment KKreported KKvomiting KKand KKdiarrhea KKfor KKthe KKprevious KK 24 KKhours. KKThe KKclient's KKblood KKpressure KKis KK90/60 KKmm KKHg, KKrespiration KKis KK 20 KKbreaths KKper KKminute, KKheart KKrate KKis KK 92 KKbeats KKper KKminute, KKand KKtemperature KKis KK37.5° KKC KK(99.5° KKF). KKWhich KKintervention KKwill KKthe KKnurse KKperform KKfirst? KK- KKAssess KKfor KKdehydration. An KKolder KKadult KKis KKadmitted KKto KKthe KKhospital KKwith KKsudden KKonset KKof KKsevere KKpain KKin KKthe KKback, KKflank, KKand KKabdomen. KKThe KKclient KKreports KKfeeling KKweak; KKthe KKblood KKpressure KKis KK68/31 KKmm KKHg. KKThere KKhas KKbeen KKno KKurine KKoutput. KKBilateral KKleg KKpulses KKare KKweak, KKalthough KKbruit KKand KKpulsation KKare KKnoted KKat KKthe KKumbilicus. KKWhat KKshould KKthe KKnurse KKdo KKfirst? KK- KKStart KKan KKIV KKinfusion. A KKclient KKwith KKstage KKIV KKheart KKfailure KKdocuments KKin KKan KKadvance KKdirective KKthat KKno KKventilatory KKsupport KKshould KKbe KKprovided. KKWhat KKshould KKthe KKnurse KKdo KKwhen KKthe KKclient KKbegins KKexperiencing KKsevere KKdyspnea? KK- KKAdminister KKoxygen, KKmorphine, KKand KKa KKbronchodilator KKfor KKcomfort. A KKnurse KKis KKplanning KKcare KKfor KKa KKclient KKwho KKhas KKheart KKfailure. KKWhich KKgoal KKis KKappropriate KKfor KKa KKclient KKwith KKexcess KKfluid KKvolume? KK- KKSerum KKosmolality KKwill KKbe KKwithin KKnormal KKlimits. Which KKof KKthe KKfollowing KKexplains KKthe KKinfluence KKof KKaging KKon KKthe KKdevelopment KKof KKperipheral KKvascular KKdisease? KK- KKIncreased KKresistance.
