Blood Pressure
How would you assess the BP of a client with "white coat syndrome"?
Manually
How to assess peripheral edema
Depress skin for 3 seconds
What part of the heart identifies with right failure?
Ventricle
Gold standard lab to evaluate MI
troponin
Max HR to document sinus bradycardia
anything less than 60 bpm
How to assess orthostatic BP
Standing bedside
Lying in bed
Sitting on side of bed
How to assess jugular vein distention
HOB 45 degrees, turn head, assess
Rhythm of a dying heart
Diagnostic to identify/ confirm thrombophlebitis
doppler ultrasound
Min. HR to document sinus tachycardia
100 bpm
Which hypertensive disorder is considered idiopathic?
Essential HTN
What is the #1 nursing priority following TEE
Evaluate gag reflex
Treatment for ventricular fibrillation
defibrillation
Treatment for 3rd degree heart block
pacemaker
Client with sustained bradycardia is most at risk for:
Falls
Factors that could affect accuracy when assessing BP
Anxiety
Incorrect cuff size
Talking with patient
Drinking caffeine excessively
Client asks how long they have to wear a sling after getting their new pacemaker, nurse responds
24-48 hours
Valve between right ventricle and pulmonary artery
pulmonic valve
What is a VAD?
Ventricular assistive device
Mechanical pump
Client with Afib is most at risk for:
blood clots
Nursing problems for cardiac client
Circulation
Perfusion