My Heart Will Go On
Your patient is taking furosemide. You should instruct your patient to eat foods high in which mineral. WHY?
Potassium
Potassium wasting
What would inidcate that an implanted cardioverter-defibrillator (ICD) has been successful?
The ICD will detect bad rhythms and shock heart into normal rhythm
An apical heart rate of 52 would be considered what type of arrhythmia
Bradycardia
How does a myocardial infarction (MI) alter the pumping efficiency of the heart?
Causes mycocardial necrosis
A Troponin level of 2.4 mcg/L may be indicative of....
Myocardial infarction (MI).
Hypertension can be confirmed when a systolic pressure is equal or greater than 130mm HG and a diastolic is equal to or greater than 85mm HG when taken....
At least twice and averaged on two different occasions 2 weeks apart
The nurse is caring for a patient with congestive heart failure (CHF). Which intervention should the nurse include in the plan of care?
Provide rest with activity
The nurse is educating a patient on a low-fat, low-cholesterol diet after a myocardial infarction (MI). What would be a good alternative to red meat?
Fish
A 60-year-old female in the post-coronary care unit confides to the nurse, “My life is over. I’ll never be able to care for my family, take a vacation, or work in my garden.” What would be a good therapeutic and supportive response?
Tell me what you think is going to keep you from those activities; we might be able to address the problems
What factors are causative agents for angina?
Exertion, Emotional excitement, Eating heavy meals, Exposure to cold (4 E's)
In a DASH diet, sodium should be kept to less than ______________mg/ day
2400mg
Signs of decreased cardiac output may include?
Increased heart rate and complaints of shortness of breath
How could a nurse best explain the difference between exertional angina and unstable angina.
Unstable angina occurs unpredictably, even in sleep
What does "MONA" protocol involve?
Morphine, Oxygen, Nitrates, Aspirin,
A patient who presented to the emergency room with a myocardial infarction (MI) becomes pale, diaphoretic, and hypotensive. What action should the nurse take first?
Notify the physician immediately
A patient taking a beta blocker hypertension, prior to administration what assessment would be important?
Heart rate
Which teaching point will the nurse include when providing discharge instructions to the patient with a new permanent pacemaker?
“Avoid lifting heavy objects for as long as your physician prescribes.”
What is the purpose of low dose aspirin for angina?
Low-dose aspirin helps reduce clotting
The nurse is caring for a 38-year-old African American patient with diabetes. The patient manages her diabetes with dietary control, takes oral contraceptives, and is a nonsmoker. Which characteristic(s) in this patient’s history increase the patient’s risk for coronary artery disease (CAD)?
Race, DM, Use of Oral Contraceptives
The nurse is caring for a patient with suspected right-sided heart failure. Which manifestation best supports this potential diagnosis?
Edema
Upon assessment, you hear wheezes present during lung auscultation, what cardiac condition could this indicate an acute exacerbation of?
Left -sided heart failure
A 3-pound weight gain over the course of a week would be concerning for which cardiac condition?
Congestive heart failure (CHF).
After an MI, what would be the reason for a stool softener?
Stool softeners help mimimize straining during bowel movements, which can lower heart rate
What is the physiological cause of angina pectoris? ?
Inadequate blood flow and poor oxygen supply
The nurse assesses a friction rub in a patient who is 2 days post–myocardial infarction (MI). The nurse recognizes this finding indicates which problem?
NOT Pleural effusion we learned with respiratory
Pericarditis