CV
Cardio structure
Hematology
GI
HTN
100
What part of an ECG is used to identify the presence of myocardial ischemia or injury?
ST segment
100
A 20 y/o pt has acute right-sided infective endocarditis. while obtaining a nursing history, the nurse specifically asks the patient about: IV drug abuse, a recent urinary tract infection, a recent professional teeth cleaning, rheumatic fever without a heart murmur
IV drug abuse
100
A client has the following blood lab values: Plt 50,000/uL, RBC 3.5 million, Hgb 10 g/dL, Hct 30%, WBC 10,000/uL. What nursing instruction should be priority in a teaching plan
Bleeding precautions
100
For patients who have swallowing difficulties, what type of diet should be ordered? 1 regular 2 CLD 3 mechanical soft 4 low-fat
3
100
The nurrsing instructor is talking with the junior nursing class about HTN and anti-HTN drug therapy. When assessing the response to an anti-HTN drug regimen, what blood pressure would be the goal of treatment? 1. 156/96 or lower 2.140/90 or lower 3. average of 2 BP readings of 150/80 4. 120/80 or lower
140/90 or lower
200
An adult is admitted to the coronary care unit to rule out a myocardial infarction. The client states, "I am not sure if it is just angina, and I cannot understand the difference between angina and heart attack pain." What does the nurse answer?
Anginal pain usually stops after resting
200
A pt with acute pericarditis has markedly distended jugular veins, decreased BP, tachycardia, tachypnea, and muffled heart sounds. the nurse recognizes that what could be happening?
pericardial tamponade
200
An adult has been diagnosed with some type of anemia. The results of his blood tests showed: decreased WBC, normal RBC, decreased HCT, decreased Hgb. Based on these data, which of the following nursing diagnoses should the nurse prioritize as being the most important? 1. potential for infection. 2. Alteration in nutrition. 3. Self-care deficit. 4. fluid volume excess
potential for infection
200
The nurse is teaching the pt to control the symptoms associated with a hiatal hernia. what information is included?
avoid lying down after meals, avoid large meals, don't drink lots of fluids with meals, avoid carbonated drinks
200
Propanolol Hcl, like other anti-HTN drugs, has side effects. Patients are often anxious about the side effects of anti-HTN. A nursing diagnosis of Risk for noncompliance with therapeutic regimen related to side effects of prescribed therapy would be evaluated how? 1. Pt takes medication as prescribed and reports any side effects 2. Pt reports no visual disturbances 3. Pt reports absence of angina 4. Pt has palpable peripheral pulses
1
300
The public health nurse is participating in a health fair and interviews a patient with a history of HTN, wh is currently smoking 1 pack of cigarettes per day. She has had no manifestations of coronary artery disease but a recent LDL level of 154 mg/dL. Based on her assessment, the nurse would expect that the physician would treat this cholesterol level in what way?
Cessation of cigarettes and diet therapy
300
When obtaining a nursing history for a patient with myocarditis, the nurse specifically questions the patient about what? 1 prior use of digoxin for tx of cardiac problems 2 recent symptoms of a viral illness, such as fever and malaise 3 recent streptococcal infection requiring treatment with penicillin 4 a history of CAD with or without an MI
2
300
the home health nurse is caring for a patient with multiple myeloma. what does the nurse know is a priority issue to be managed in a patient with multiple myeloma? 1. nutrition 2. stress 3. coping 4. pain
4
300
What are some reasons that PN would be used rather than enteral feedings?
malabsorptions syndromes, severe pancreatitis, severe burns, peritonitis
300
The pt has a BP of 124/78 and a triglyceride level of 160 mg/dL. Based on these results the nurse knows that this reflects what?
prehypertensive BP and a borderline high triglyceride level
400
A client with a history of a myocardial infarction 2 days ago reports chest pain that is worse on inspiration but is relieved on sitting forward. Based on this finding, what does the nurse suspect the client is experiencing?
Pericarditis
400
Valvular stenosis leads to __________ flow of blood and __________ of the preceding chanber
decreased, hypertrophy
400
A pt with sickle cell anemia is in vasoocclusive crisis. Which of the following would be interventions the nurse would promote? select all that apply 1administering oxygen 2 decreasing hydration 3 managing pain 4 promoting activity 5 encouraging rest
1, 3, 5
400
Identify one nursing intervention indicated for each of the following desired outcomes of tube feeding 1 prevention of aspiration 2 prevention of diarrhea
1 elevate HOB >30, keep elevated after feeding x 30 min, check residual to prevent overdistentension 2 start slow and low concentration, feedings should be room temp
400
Most organ damage that occurs from HTN is related to 1 increased fluid pressure exerted against organ tissue 2 atherosclerotic changes in vessels that supply the organs 3 erosion and thinning of blood vessels from constant pressure 4 increased hydrostatic pressure causing leakage of plasma into organ interstitial spaces
2
500
A 65 year old man is admitted with venous stasis ulcers and chronic venous insufficiency. To help control the swelling, what intervention should the nurse teach the client to perform?
Promote gravity drainage, wear support stockings
500
Drugs that the nurse would expect to be prescribed for most patients with valvular heart disease include what?
anticoagulants (atrial antidysrhythmics, b-blockers)
500
Lymphadenopathy, splenomegaly, and hepatomegaly are common clinical manifestations of leukemia that are due to what?
infiltration of the organs by increased numbers of WBCs in the blood
500
Why is it so important to monitor elderly patients after a bowel prep?
Because their physiologic ability to compensate for fluid loss is diminished, they also usually take multiple meds which would not be absorbed or taken at all
500
Teaching to include dietary sources of potassium is indicated for the HTN pt taking 1 enalapril 2 labetalol 3 spironolactone 4 hydrochlorothiazide (HCTZ)
4
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