What happens when the fluid in the pericardial sac increases
The pressure increases in the pericardial sac and compresses the heart
What treatment would you recommend to prevent atelectasis?
Incentive spirometry
Problem priority with a patient with HIV encephalopathy
safety
Neutropenic precautions for a patient oncology unit consist of what?
No fresh food or flowers
A patient with a CVA who has dysarthria is at risk for _________.
aspiration
Describe items to avoid in a low sodium diet
salt, soups, canned fish, lunch meats, chips
What finding would you expect to see in a patient with chronic lung disease with hyperinflation of the lungs
Barrel Chest
Nursing interventions for a patient with platelet count of 34,000 mm/3.
Bleeding prevention, no razors, fall precautions, test urine and stool for occult blood
What lab value should you monitor for a patient with leukemia if you are concerned about infection?
WBC count
A patient had CAD, DM, and recent diagnosis of a stroke. What would be a priority diagnosis?
Cautious hydration
Mobility
Mental status assessment
Nutritional assessment
The earliest sign of CHF is __________.
Weight gain
PT with COPD has diminished breath sounds. What signsshould the nurse watch for?
dyspnea and hypoxema
Elevated blood cholesterol in a patient indicates the plaque in the arteries is composed of what items?
Lipids and fibrous tissue
You have a patient diagnosed with an immunodeficiency. What is a common symptom related to the immunodeficiency?
Chronic diarrhea
Assessment finding in a patient with right sided heart failure
distended neck veins
What diagnostic tool would be beneficial in diagnosing cardiomyopathy?
echocardiogram
ABCD of CPR stands for what
Airway, breathing, circulation, defibrillation
Patietn redeiving a blood transfusion of packed RBC starts complaining of heaviness in their chest and anxiety. what should be your first action?
Stop the transfusion
Signs and symptoms of anaphylaxis
cyanosis, hypotension, difficulty breathing, periorbital edema
Assessment for a patient receiving a diuretic for CHF
monitor for hypotension
Aortic regurgitation is what?
Blood backs up from aorta into the left ventricle
Assessment on a patient who has a tension pneumothorax might include what
SOB, diminished or no breath sounds, chest pain, anxiety. deviated trachea
A patient is seen in the clinic who is HIV positive and asks why they changed his medication regimen. You correctly educate him on this new course of treatment because_________________
Antiretroviral resistance is common and changes are made regularly based on EBP and research.
Signs and symptoms of a sickle cell crisis
joint pain, headache, swelling
Type of patient at greatest risk to develop cardiogenic shock
PT admitted with a MI