Exam 2- Adult Health 2 Study guide Questions with Verified Answers Guaranteed Success, Exams of Nursing

Download Exam 2- Adult Health 2 Study guide Questions with Verified Answers Guaranteed Success and more Exams Nursing in PDF only on Docsity! Exam 2- Adult Health 2 Study guide Questions with Verified Answers Guaranteed Success Know atrial flutter and the nickname for it "Saw tooth" rhythm. - Correct Answers Atrial flutter "Saw tooth" rhythm What are the signs and symptoms of Left sided heart failure? - Correct Answers Weakness, fatigue, dizziness, acute confusion, pulmonary congestion, breathlessness, crackles, orthopnea, frothy pink sputum What are the nursing interventions for left sided heart failure? - Correct Answers Number one treatment is to give a diuretic, and "ide" ending drug such as Furosemide or Bumetanide. HOPE Acronym - HOB elevated to 45 degrees or more. - Oxygen - Push Furosemide and morphine - End sodium and fluids (including IV fluids) What are the systolic murmurs? - Correct Answers This occurs during heart valve contraction. A mid-systolic click and a late systolic murmur may be heard at the apex of the heart. They occur between S1 & S2. What teaching instructions do you give patients that have systolic heart murmurs? - Correct Answers - Explain the disease process and the possibility of HF - Drug therapy: Diuretics, vasodilators, beta blockers, calcium CB, antibiotics, and anticoagulants - Explain the prophylactic use of antibiotics - A plan of activity and rest to conserve energy - Tell patients to notify all HCP that they have a defective heart valve. - Remind HCP of your alular problem before any dental work - Request antibiotic prophylactics before any invasive dental procedures if not offered - Notify HCP immediately if you notice any sass of fever, petechial, or SOB. - Maintain a diet high in Vitamin K What levels of BNP indicate HF? - Correct Answers 100 & less - Normal 300 - Mild 600 - Moderate 900 - SEVERE What blood test is done to check for heart failure? - Correct Answers A BNP blood test is done. BNP is secreted when there is an increase in pressure in the ventricle. BNP is high in HF. Why would a patient have vegetative growth on the heart valves? - Correct Answers This would indicate infective endocarditis. It is an inflammation of the inner lining of the heart, mainly the chambers and valves. What causes infective endocarditis? - Correct Answers Dental work, untreated strep throat, major heart surgery, dirty needles. What does atrial and ventricle depolarization look like on an ECG strip? - Correct Answers Atrial depolarization - Is the P wave Ventricular depolarization - QRS complex If a patient has a 3rd degree heart block and presents 35 bum. What do you do first? - Correct Answers The treatment is to a.m. drug therapy with IV atropine, increase intravascular volume via IV fluids, and apply 02 if stats are less than 94% or if the patient is SOB. If the HR does not return to normal prepare for transcutaneous or transvenous pacing to increase the HR. If this doesn't still return the HR the patient would need a permanent pace maker placement. Interventions for a patient in A-Fib? - Correct Answers Cardio version Digoxin Anticoagulants Before cardio version what do you do? - Correct Answers A TTE Transthoracic Cardiogram is done to ensure no blood clots are present. Before administering Digoxin what do you do? - Correct Answers Check the apical pulse for 60 seconds Toxicity (max:2.0) check for S&S Check for a potassium below 3.5 (can increase toxicity risk) What are the most life threatening dysrhythmias? - Correct Answers PVC's Ventricular tachycardia Ventricular Fibrillation Ventricular systole Who is most at risk for ventricular dysrhythmias? - Correct Answers Cocaine or illicit drug users What is commonly associated with JVD? - Correct Answers Right ventricular failure "right Heart failure" Increases are usually caused by fluid volume overload What is the drug Amici used for? - Correct Answers Life threatening hemorrhage Know what normal sinus rhythm (NSR) looks like. - Correct Answers Normal sinus. What are the S&S of cardiac tamponed? - Correct Answers Low oxygen BECKs Triad - Big distended veins JVD - Extreme low BP - Can't hear heart sounds (muffled) from fluid around the heart Pulses paradoxes (sys. and dyes. BP are extremely close together) ECG Change - QRS complexes (short and uneven) Know what A-fib looks like. - Correct Answers Atrial fibrillation What is the mechanism of action of Lisinopril? - Correct Answers Management of HTN and heart failure. Where does the conduction of the heart begin? - Correct Answers The SA nose What are the serious complications of A-Fib? - Correct Answers High risk for developing blood clots. Which can cause an embolic stroke, DVT, or PE? PVC's, know what they look like. - Correct Answers premature ventricular contractions What to do for a patient in V-teach? - Correct Answers Defibrillation may be necessary if the patient has no pulse if they have a pulse cardio version is done instead. Lidocaine or Amiodarone may be prescribed. What to do for a patient in V-Fib? - Correct Answers #1 DEFIBRILLATION these patients are usually unconscious with no pulse. Medications then given if the 3rd shock doesn't work such as Lidocaine, Amiodarone, and Epinephrine. What to do for a patient with angioedema? - Correct Answers Stop the reaction and ensure the airway! Prompt intervention can reverse it before laryngeal edema forms and intubation is needed. What is cardiac after load? - Correct Answers The pressure or resistance that the ventricles must overcome to eject blood through semilunar valves and into the peripheral blood vessels; the amount of resistance is directly related to blood pressure and blood vessel diameter. What will you see during respiratory acidosis? - Correct Answers Bradycardia to heart block, Tall T waves, widened QRS complex, prolonged PR interval, hypotension, thready peripheral pulses. What are the signs and symptoms of cardiac tamponed? - Correct Answers Muffled heart sounds, low BP, JVD, SOB, tachycardia, paradoxical pulse.