Heart Function
If a myocardial infarction has affected the left ventricle, how will cardiac output be affected?
Decreased
What are 2-3 modifiable risk factors clients can change to reduce the risk for Coronary artery disease
Smoking cessation (Tobacco use)
HTN control
Physical Activity
This form of breathing can help promote the elimination of carbon dioxide build up.
pursed lip breathing
Describe the manifestations of Diabetic Ketoacidosis (DKA)?
Increased rate and depth of respirations (kussmaul breathing)
Fruity smelling breath
Vomiting/Weakness
Why might a patient with iron deficiency anemia be tired more frequently?
Reduced hemoglobin available to carry oxygen throughout the body.
Name 2-3 S/S of early left sided heart failure?
Shortness of breath
Fatigue
Weakness
Which types of foods should be avoided when teaching a client about heart failure.
Salty foods
(Deli meats, pickled vegetables, canned food, frozen dinners)
Which precautions/mask should be implemented with active TB?
Airborne/Standard
Particulate respirator (N95)
As a nurse, what modifiable factors can we educate type 2 diabetics on that may help decrease insulin needs.
Diet
Exercise (walking a mile each day)
Weight loss.
What is the first line of defense when caring for a cancer patient?
Frequent effective hand washing.
Before administering antibiotics to a patient with endocarditis, what action should be taken first.
Obtain blood cultures.
How should nitroglycerin tablets be administered?
1 tablet sublingual every 5 minutes no to exceed 3 tablets.
Which kind of therapy should be initiated for a client with COPD and the following ABG results?
pH 7.32
PaO2 46 mm Hg
HCO3- 30 mEq/L
Oxygen therapy (Keep sats above 90%)
If a diabetic develops neuropathy, how might we educate them when it comes to bathing in hot water?
Use a bath thermometer to prevent injury.
How would you interpret the following ABG values?
pH 7.27
PaCO2 48
HCO3 32
PaO2 92
Respiratory Acidosis
What body system can may go into failure from complications of hypertension.
Renal system
During a diagnostic catheterization to look for CAD, which sensation should be reported to the nurse immediately.
Chest pain
Which position is best suited for a client who has dyspneic episodes suffering from emphysema
Tripod position while resting arms on a bedside table.
Name 2-3 S/S of hypoglycemia and what can be done in a homecare setting to help raise sugar levels in a hypoglycemic patient?
Shakiness, weakness, diaphoretic
Give a sugar source
(Orange juice, glucose gel, hard candy)
What manifestations may be present on someone with COPD during an initial assessment?
Pursed-lip breathing
Accessory muscle use
Clubbed fingernails
What are 2-3 S/S of worsening right sided heart failure?
peripheral edema
weight gain
Enlarged liver/spleen
Distended abdomen
What are 2-3 s/s of digoxin toxicity?
nausea
decreased appetite
blurred vision
weakness
confusion
What are expected breath sounds of someone with COPD developing a lower respiratory tract infection.
Coarse crackles
Which electrolyte is affected by insulin causing it to move into the cells
potassium (causing hypokalemia)
What time duration is the peak of NPH insulin?
Onset 1.5-4hr
Peak 4-12hr
Duration 12-18hr