Perfusion I
The deoxygenated side of the heart
What is the right side of the heart?
The location of the PMI - point of maximum intensity
Left midclavicular line, fifth intercoastal space
What are the 3 major food groups?
Carbohydrates, Proteins and Fats
Factors that can affect the sleep cycle can include what?
Caffeine, alcohol and physical activity.
What is an example of an "open question"
Tell me more about what brought you to the hospital today...
After oxygenated blood leaves the left ventricle, where does it go?
Through the aortic valve into the aorta.
Symptoms that would be assessed with venous insufficiency
Varicose veins, swelling/aching in legs, discoloration in legs/ brown or red patches, open sores.
What foods provide the body with energy?
Carbohydrates such as breads, muffins, fruits, sugars.
How can circadian rhythm affect the sleep pattern?
Changes in the sleep-wake cycle, irregular meal patterns, hormonal imbalances all impact circadian rhythm.
Explain paraphrasing and give an example.
Paraphrasing is when you summarize what the client has told you. Example:
The heart rate for the pacemaker of the heart
The sinoatrial node is the pacemaker of the heart and has a rate of 60 - 100 beats per minute.
Symptoms that could mean arterial insufficiency
Intermittent claudication, cold feet, numbness or tingling in feet, shiny skin on lower legs, hair loss
What food group provides amino acids for building body tissues and healing wounds?
Proteins such as meats, fish, eggs, milk, cheese, nuts, and rice & beans.
Typical suggestions to enhance sleep at night might be
Increase physical activity during the day, decrease caffeine intake in evening hours, take diuretics early in the day.
A client is worried about something and is told, "Everything will be alright". What is this an example of?
False reassurance
The purpose of the coronary arteries
To provide oxygen rich blood to the heart muscle, the myocardium.
The nurse assesses a client for a deep vein thrombosis (DVT). What symptoms would be a concern for a DVT?
Redness, Pain, Warm extremity, Swelling
Although fats are an essential part of a nutritious diet, excess fats in diets can lead to what serious health issues
Hypertension, cardiovascular disease and diabetes
Patients in hospitals, especially ICU suffer sleep deprivation from sensory overload. How can the nurse intervene?
Keep lights as low as possible at night, keep noise to a minimum.
Therapeutic communication should avoid using the word "why"? WHY?
The client may feel he has to defend his feelings which can be a barrior to therapeutic communication.
To assess the adequacy of peripheral circulation, the nurse would do which of the following?
Assess the radial & pedal pulses, the color, temperature and capillary refill of the hands and feet.
What factors increase the risk for a deep vein thrombosis (DVT)?
Prolonged inactivity (especially hospitalization), obesity, smoking, dehydration, oral contraceptives
Clients who are considered a "Risk for Aspiration" should have which kind of diet?
Mechanically soft or pureed diet with thickened liquids.
Can you name some categories of medications that affect sleep?
Diuretics, antiparkinsonian drugs, steroids, asthma medications, assorted psychiatric meds.
The nurse needs to provide discharge teaching to her client who does not understand English. What is a priority nursing action?
Provide an interpreter for the teaching.