What is the priority intervention when a client complains of L-side chest pain and you are ruling out a Myocardial infarction?
Administer sublingual nitroglcerin
A client is hospitalized and has a history of deep vein thrombosis (DVT). What is a priority intervention for the client?
Apply anti-embolism stockings
When a client is diagnosed with Thromboangitis Obliterans (Buerger's Disease) what is one way to reduce their symptoms?
Stop smoking
When providing discharge teaching for a client going home on metoprolol, what should you instruct the client to do before taking it?
Check pulse
Why do we position clients during an operating procedure?
Avoid skin breakdown and prevent neuromuscular damage
When starting a nitroglycerin drip what equipment should you place on the client?
Blood pressure monitor
This medication is the reversal agent for heparin.
Protamine Sulfate
When a client's fingers are cold and discolored blue to red they most likely have what disease?
Raynaud's
When a client is taking a diuretic and complains of leg cramps what would the nurse teach the client?
Eat food high in potassium
When a post-op client a temp of 102.9 heart rate 150 O2 sat 85% and a BP of 80/40 what condition could the client be developing?
Malignant hyperthermia
This risk factor cannot be changed to modify a clients risk of coronary artery disease (CAD)?
Ethical background
A client has a diagnosis of peripheral arterial disease what assessment findings would validate this diagnosis?
Pale skin, diminished pulses, no edema
This is a complication of an MI?
Dysrhythmia
The client is receiving captopril and spironolactone what electrolyte would you need to monitor?
potassium
This can help to prevent a post op client from developing pneumonia.
incentive Spirometer
Hypertension is a major health problem for what population?
African Americans
Which medication would you administer for a client who has been diagnosed with an embolus?
Heparin
What are the symptoms of an acute myocardial infarction?
Substernal chest pain, radiating down the left arm
The client is ordered enalapril (vasotec) daily. The blood pressure is 116/68 and heart rate 68. Would you give the client their scheduled dose?
YES!
A client arrives to outpatient surgery what question is a high priority?
Who is going to drive you home
This risk factor is most common in secondary hypertension
Chronic kidney disease
When a client has lower extremity edema what is one nursing intervention?
Elevate lower extremities
This is the most common complication of thrombolytic therapy.
Bleeding
The client is receiving IV heparin. The latest PTT is 60 seconds what is the nurses next steps?
Check the heparin protocol
When a client's surgical wound has opened after rolling in bed. What would the nurse anticipate for this client?
Return to the OR for closure