Risk Factors
Bed rest, surgery, trauma and immobilization, previous venous insufficiency, obesity, oral contraceptives, and malignancy
DVT/ Thrombus formation
diagnostic test will be most useful to the nurse in determining whether a client admitted with acute shortness of breath has heart failure
B-type natriuretic peptide
Peripheral Artery Disease
Action works to decrease cardiac stimulation. Side effects can include bradycardia, fatigue, hypoglycemia, and bronchial constriction.
Beta-blocker: propranolol, atenolol.
A vasopressor is being administered to a client with shock. What should the nurse monitor for?
Increase in blood pressure
Dyslipidemia, atherosclerosis, diabetes mellitus, smoking, age above 55 years for men or 65 years for women, family history, obesity, and sedentary lifestyle
Measures the protein released after myocardial injury
troponin
In palpating the client’s pedal pulses, the nurse determines the pulses are absent. What factor could contribute to this result
Atherosclerosis
decrease the force of cardiac contraction and dilates the peripheral blood vessels.
Calcium channel blocker
A patient who takes antihypertensive drugs complains of feeling dizzy when rising from a supine position. What she be advised to the patient?
Change positions slowly
A patient with hypertension is experiencing nausea, vomiting, restlessness, and a change is mental status. There is an increase in respirations, the patient's blood pressure, and tachycardia is presenting.
Hypertensive crisis
Use to evaluate risk of coronary heart disease
Lipid profile
Ulcerations on the surface of a client's toes that are round with smooth edges.
Atrial Ulcer
Delays impulse conduction through the AV node to slow the heart rate. Increases strength or force of myocardial contraction and increases the stroke volume and cardiac output.
Digoxin
A nurse is teaching a patient about a non-stress test and informs them this is a noninvasive procedure. What information on monitoring should be inlcuded?
electrocardiogram and blood pressure
A patient is diagnosed with peripheral artery disease (PAD) what are they are risk for
inability to tolerate activity, pain, skin breakdown, alteration in self-concept, inadequate peripheral circulation, and inability to manage treatment
Which diagnostic test will you anticipate to be completed on a patient who reports chest pain, dyspnea, and diaphoresis to assess the patient's heart function?
Cardiac catherization
Interventions for septic shock
Cultures to be obtained, IV fluid resuscitation, Antibiotic therapy, Administer vasopressors, DVT prophylaxis, and temperature control
A patient is receiving furosemide as part of a treatment plan for hypertension. What is an important finding to report to the primary health care provide?
a decrease in serum potassium; hypokalemia.
Education about pathophysiologic characteristics on distributive shock to a patient should include?
circulating volume is intact, excessive vascular dilation causes drastic drops in the blood pressure.
Risk factors for peripheral vascular disease
older age, heredity, smoking, obesity, physical inactivity, hypertension, and diabetes mellitus.
Priority labs when a patient is taking warfarin?
PT/INR
Complications of heart failure
dysrhythmias, pulmonary edema, and cardiac shock
How to educate a patient administer nitroglycerin at home?
Place it under the tongue
A client returns from a cardiac catherization what should the nurses priority be when assessing this patient?
Check the puncture site