Cardiac
GI
CVA
Medications
Nursing
100

What is a cardiac event that does not have a change in the ST segment of the EKG? 

Non-STEMI

100

Whate would the auscultation of bowel sounds be for above and below a GI blockage?

Hyperactive

Hypoactive 

100

How would a nurse know the difference of a stroke (CVA) headache from other headaches? What is a Transient Ischemic Attack (TIA)?

Severe onset, no other reason, often decrease LOC or other deficits. TIA are ischemic brain attack that people have that last less than 1 hour. TIA can be bad headaches or head sensations that can have many of the same symptoms of a CVA. Can lead to a CVA. Educated client on getting to the Emergency department even with TIA’s, see a neurologist and primary to control HTN 

100

What are anticoagulant medications? 

Aspirin & Cloperdergrel (plavix)  

Given together after any concern for thrombosis, platelets should not adhere together. Medication to prevent platelets aggregation usually for life or a long time depends on why’s. 

100

What will be the nursing interventions for pancreatitis? 

NPO, NG low intermittent suctions, pain medications, Abdominal diagnostics, rest.

200

What is the term for an infection of the cardiac valve? 

Endocarditis

200

How would a client present that may have acute pancreatitis? 

Smelly bowel movement that are oily (steatorrhea), mid gastric pain that can radiate to the back, nausea/vomiting, cannot eat, abdominal tenderness, distention, can have a fever or not, dehydration. 

200

What will the nurse want to know to give TPA? 

Last known well, Bleeding HX, NCCT CT negative Brain bleed 

200

What is a medication that could be given for ischemia? 

TPA

200

What are Nursing interventions for hemorrhagic and can be for ischemic stroke (CVA) too? 

NPO,Speech consult, palliative, swallow evaluation, HTN treatment, neurology, HOB >30 degrees, supportive care, physical and occupational care, education. 

300

What are the medical terms and causes for “blockage”?

 embolisms, thrombosis, atherosclerosis

300

What causes peritonitis?

Inflammation of the abdominal lining. Infection, can cause septic shock 

300

What are right sided CVA symptoms?  What would or could be deficits with a perfusion/blockage positive NCCT  right sided of the brain? 

Confusion, dizzy, head pain, left-side weakness, balance issues, unable to recognize people 

300

What is a beta blocker medication? 

Metoprolol 

300

What are the nursing interventions and care for a client with pulmonary embolism?

TPA with caution, HTN medications, anticoagulants, anti-platelets, volume replacement, SCD’s, education prevention, D-Dimer, CXR, EKG, vena caver filter, ectomy (thrombotic surgery removal), PT, PTT, INR assess and monitor for hemorrhage/bleeding.

400

What is the procedure/surgery that is done if there is atherosclesosis in the carotid arteries? 

 Endarterectomy

400

What is septic shock and signs and symptoms? 

Client has an infection, hypotensive, decrease LOC, increase RR & HR. Increased lactate, increased WBC, febrile, can have multiple organ failure 

400

What are left-sided CVA symptoms? What could be the deficits of a positive left sided brain blockage?

Speech (apraxia) language (aphasia), expressive language, vision, weakness, right sided weakness

400

What is another name for Eliquis? What type medication, action, and risks? Lab values? 

Apixaban does not need INR (bleeding monitoring) like warfarin. It is an anticoagulant like aspirin, plavix, teach client about signs of bleeding: gums, bruising more, need to stop before surgeries.  

400

How will client present with congestive heart failure? What is congestive heart failure? Nursing interventions and teaching? 

Client with chronic fatigue, heart does not pump adequately and cares are focused on management and quality of life. Safety, nutrition, Diuretics, cardiac medications, social worker, maybe palliative care consult, home health, community resources. 

500

What is an aortic stenosis, an aortic aneurysm, and aortic dissection? 

A valve that narrows, a ballooning, and can burst (break open, hemorrhage) 

500

What are labs and diagnostics related to pancreatitis? 

Elevated Analyze, lipase, WBC, bilirubin, liver enzymes

 CXR, CT with contrast, ERCP 

Hypocalcemia, hypomagnesium

Hyerpglycemia treat SS insulin and have glucose IV

Secrets insulin, glucagon and digestive enzymes 

 

500

What is the Systolic Blood pressure range for TPA administration? SBP when TPA cannot be given?  

SBP <185 mmHg

SBP <220 mmHg

Current EBP 

500

What are the medications for treating Hemorrhagic stroke (Intracranial pressure)? 

Anticonvulsants, HTN (beta-blockers, ACE inhibitors), Osmotic Diuretics, PPI’s, glucose, Nicardipine (Brand name cardene) 

500

What is unstable angina? 

Unrelieved from rest or medications 

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