CVA/Heart Failure
What does an elevated BNP indicate?
An elevated BNP indicates ventricular stretch, which occurs with FVO. This patient might present with edema, SOB, and crackles
What makes A-Fib identifiable on an EKG tracing?
What are defining characteristics of hospice?
Prognosis less than 6 months
First line treatment of parkinsons disease typically includes prescription of:
a. carbidopa/levidopa
b. entacapone
c. selegiline
d. apo-morphine
A. Carbidopa/Levodopa
Smoking cessation
What are the signs of Left sided heart failure? What are the signs of Right sided Heart failure?
LHF: SOB, fluid in lungs, coughing
RHF: systemic effects, ascites, peripheral edema
What is the main complication of A-Fib?
Stroke
What is pallative care?
Care that begins when someone has a terminal diagnosis.
What are the 4 cardinal symptoms of Parkinsons?
What's the best osteoporosis prevention?
Walking/weight bearing exercises
Name 3 interventions for a client in acute heart failure.
PT, OT, monitor for dyspnea, encourage IS, assess for edema, provide supplemental oxygen, provide frequent rest breaks, not in supine position
Peripheral Venous Disease Teaching
A.Elevate your legs
B. apply compression stockings before you elevate your legs
C. elevate leg, below the heart level
D. only where compression stockings while sleeping
A.Elevate your legs
How do you treat scabies?
Permethrin cream
What is sundowners?
Increased behaviors late in the afternoon
What are characteristics of RA?
Swollen, painful, joint stiffness, whole body symptoms, fatigue, bilateral
When is alteplase contraindicated?
Ischemic Stroke
What are signs of a DVT?
localized swelling, redness, heat
This is the most common type of skin cancer.
BCC
What is a top nursing concern for patients with Alzheimer's disease and/or dementia?
safety! Fall prevention
How do you know Tamsulosin is working?
The patient will be able to pass urine because this relaxes the muscles in the prostate and relieves pressure on the urethra.
What is the priority assessment when someone comes into the ED with complaints of a stroke?
Time- when was the time of last normal
Which of the following are signs of Peripheral Venous Disease?
Intermittent Claudication
Shiny, hairless legs
Brownish Discoloration
Redness
Itching and burning
cool to touch
dependent rubor
Brownish discoloration, redness, itching and burning
What kind of things would you provide/do/say when communicating with the family of a dying client?
The nurse must determine whether there is a spokesperson for the family and how much the client and family want to know. The nurse needs to allow the family and client the opportunity for informed choices and assist with the decision-making process if asked. The nurse should encourage expression of feelings, concerns, and fears and reminiscing. The nurse needs to be honest and let the client and family know they will not be abandoned. The nurse should touch and hold the client's or family member's hand, if appropriate.
Offer food, snacks,beverages, discuss religious or cultural needs.
Adjuvant drugs used for pain include what types of meds?
Tricyclic antidepressants, corticosteroids, SNRI antidepressants, anti-seizure medications
What is the name of the rash caused by heat and skin to skin friction? Often occurs under the breast or in he axillia.
Intertrigo