Labs/Diagnostic Test
Nursing Interventions
Cardiac
Cardiovascular
Heart
100
A 53 year old patient with a history of dysrhythmias is to wear a Holter monitor. The nurse should explain that Holter monitoring is
What is a portable electrocardiographic device.
100
A patient with a diagnosis of heart failure and a NYHA classification of IV is requesting ambulation to the bathroom. Name the appropriate nursing intervention.
What is offer a urinal or bedpan?
100
Your patient is admitted with a diagnosis of possible aortic aneurysm monitoring this vital sign is most important.
What is Blood Pressure
100
Encouraging a pt to participate in a cardiac rehab program is an important nursing intervention that has this effect on the heart.
What is Reduces Myocardial Oxygen Demand?
100
Substernal pain that radiates down the left arm describes...
What are characteristics of angina pectoris
200
A 56 year old patient was admitted to the ED with a myocardial infarction. Cardiac enzymes were drawn. In a patient with a myocardial infarction, which enzymes would be elevated?
What is an elevated SGOT, AST, creatine phosphokinase (CPK_MB), and lactic dehydrogenase (LDH) and troponin 1
200
Order by the physician in which the pt must remain as quiet as possible, with any task requiring physical effort done for him
What is Complete Bed Rest?
200
This is the most important aspect of pt compliance in order to decrease signs and symptoms of Buerger's disease.
What is Not Smoking?
200
The surgical removal of the intimal lining of an artery.
What is Endarterectomy?
200
a type of medication useful for preventing venous thrombosis
What is low molecular weight heparin
300
A neurohormone which is secreted by the heart in response to an expanded left ventricle
What is B-type natriuretic peptide (BNP)
300
This nursing diagnosis would include teaching a pt. newly diagnosed with hypertension who states he has put on 30lbs. and uses lots of salt.
What is Ineffective Health Maintenance r/t Lack of Knowledge of Disease Process and Management?
300
Procedure is done to prevent the flow of emboli to the lungs.
What is a Thrombectomy?
300
Hypertension, vomiting, diaphoresis, cardiac rhythm changes, are all examples of this kind of data.
What is Objective?
300
If a patient c/o chill and small petechiae in his mouth and legs, has a detectable murmer after a flu-like illness leads the nurse to suspect this.
What is infective endocarditis?
400
Serum cardiac markers that indicate cardiac muscle damage after a myocardial infarction
What are protiens
400
The appropriate nursing action to take for a patient that does not comply with his medication regimen would be...
What is to collect more information to identify his reason for noncompliance?
400
Nausea, bradycardia, visual disturbances, and head ache are all signs of this drug toxicity.
What is Digoxin (Lanoxin)?
400
Pt is admitted with the diagnosis of heart failure and NYHA classification of IV has edema in the lower extremities. This nursing intervention would aid in decreasing this edema.
What is elevate lower extremities.
400
Diuretics, restriction of sodium diet and fluid intake
What how we treat edema and pulmonary congestion?
500
Condition where the patient must sit or stand in order to breathe comfortably.
What is Orthopnea
500
In a pt with a nursing diagnosis of activity in tolerance r/t generalized weakness the appropriate intervention the nurse will plan when the pt is febrile.
What is Decreased Activity?
500
Report for prescribed blood test (PTT, INR, CBC, blood sugar), report to physician cuts that do not stop bleeding with direct pressure, take medication at the same time each day.
What is Information that should be taught when a pt starts anticoagulant therapy?
500
A defect in AV junctions slows and impairs conduction of impulses from the SA node to the ventricles. This is the definition of....
What is third degree heart block
500
The patient evaluation of pain management during a myocardial infarction name the most important aspect using objective data is.....
What is patients vital signs during painful periods?
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