Cardiac Dysrhythmias
When the electrical signal from the atria is not properly making it the ventricle you may see an independent P wave appearing as sporadic P waves on a ECG rhythm strip.
What is a third degree heart block
The nurse should understand this hallmark sign of right sided heart failure is associated with a weak right ventricle which struggles to pump venous bloob back to the heart to get oxygenated.
What is peripheral edema.
A patient presents to the emergency department with complaints of chest pain while brushing their teeth this morning. The nurse understands this to correlate with this disease process.
What is unstable angina.
The nurse should understand this as the priority action/treatment for someone suffering with DIC.
What is to treat the underlying cause
The nurse should identify this abnormality in reparations as an early finding of ARDS.
What is tachypnea.
A patient is showing ventricular tachycardia and has a pulse. The nurse should prepare to perform this intervention
What is a synchronized cardioversion.
This laboratory test when elevated is associated with enlargement of the ventricles, a sign of heart failure.
What is an elevated BNP.
During an education session the nurse educates the patient to take this medication at the start of chest pain and to call 911 if the chest pain isin't relived in 5 minutes or less.
What is nitroglycerin.
The nurse should understand an elevated D dimer indicates this finding.
What is blood clots
A patient diagnosed with ARDS has been mechanically ventilated. The nurse should identify this intervention as benefical to improve gas exchange and take pressure off the lungs.
What is prone positioning and repositioning every 2 hours.
The nurse should be able to identify a lengthening PR interval with a dropped QRS complex as this type of heart block.
What is a Second degree Type 1 heart block or a Wenkebach.
The nurse should note this as the most common cause of an increased afterload which can lead to pulmonary edema and therefore pulmonary hypertension.
What is hypertension.
A patient presents to the emergency department with chest pain, diaphoresis, and jaw pain. An ECG shows ST elevation and the lab just called to alert you of an elevated troponin. The nurse should understand these findings are related to this disease process.
What is an ST elevated Myocardial infarction (STEMI)
The nurse should identify this as the most common risk factor of DIC
What is Sepsis.
The nurse should identify hypotension as a complication mechanical ventilation because of this process.
What is positive pressure reduces the hearts ability to contract therefore decreasing cardiac output.
A TEE should always be done before a cardioversion to prevent this complication.
What is dislodgment of a blood clot.
The nurse should identify this cascade of events activated by kidneys causes an increase in blood volume in heart failure.
What is the RAAS system or aldosterone hormone.
The nurse should understand a diagnosis of atherosclerosis is co occuring with this condition.
What is Coronary Artery Disease.
The nurse should perform this action when the patient with DIC tries to cross their legs while in bed.
Educate the patient to not do this as is this decreases blood flow.
The nurse should identify this ventilator setting as being responsible for keeping the alveoli open following a respiration to allow for gas exchange to occur.
What is PEEP.
The nurse should understand a patient is to start this medication following a cardioversion.
What is an anticoagulant.
The nurse should understand it is important to keep the head of the bed in this position in heart failure to maximize lung expansion.
What is a high fowlers or semi fowlers position
The nurse should understand this finding in a patients history puts them at risk of a myocardial infarction.
What is Coronary Artery Disease.
The nurse should identify painful joints as a symptom of DIC. The nurse should perform this nonpharmacological intervention to ease pain.
Apply a cold compress to the joints
The nurse should identify this as the most common cause/risk factor of ARDS.
What is sepsis.