Under Pressure
A client stops taking blood pressure medication because “I feel perfectly healthy.” Hypertension often has this characteristic.
What is being asymptomatic?
A client with pain and fever has a regulr HR of 116 with a normal P wave before every QRS.
Sinus Tachycardia
This cardiac protein enters the bloodstream when myocardial cells are injured
What is troponin?
Crackles and breathlessness suggest pulmonary congestion associated primarily with failure of this side of the heart.
Left side
Unlike a benign tumor, a malignant tumor can invade nearby tissue and spread to distant sites through this process
What is metastasis?
Replacing frozen dinners and deli meats with fresh foods helps reduce this nutrient in the DASH eating plan.
What is sodium?
A comfortable client has a HR of 76, PR interval of 0.26, and a QRS after every P wave.
1st degree AV block
Elevation of this ECG segment in a client with new chest pressure raises concern for an acute coronary occlusion.
What is the ST segment?
Jugular venous distention, dependent edema, and abdominal swelling
A client’s neutrophil count drops after chemotherapy. Preventing this complication becomes a major nursing priority.
Infection
A rising creatinine level in a client with longstanding hypertension suggests damage to these organs.
What are the kidneys?
Atropine
Before giving nitroglycerin, the nurse asks about recent sildenafil use because combining them can cause this dangerous effect.
What is severe hypotension?
A client with heart failure awakens from sleep gasping and must sit upright to breathe.
What is paroxysmal nocturnal dyspnea?
client with severe neutropenia develops shaking chills and a temperature of 101°F. This is the nurse’s immediate response.
What is promptly notify the provider and initiate the neutropenic fever protocol?
A client with markedly elevated blood pressure reports running out of prescriptions last week. The nurse should investigate this potential reason for poor blood pressure control.
Rebound hypertension
Blood pooling in the atria during atrial fibrillation increases the risk of this complication, which anticoagulation helps prevent.
What is an embolic stroke?
A client recovering from an MI remains on continuous ECG monitoring so the nurse can promptly identify this potentially life-threatening complication.
What are dysrhythmias?
What BNP associated with and when is it considerd elevated for a client?
Heart failure, above 100.
What are the three rules of radiation? If it's radioactive in a person, in x-ray, or continuous fluro?
What are time, distance, and shielding.
A client with severe hypertension suddenly develops slurred speech and weakness on one side. The nurse immediately initiates evaluation for this complication.
What is a stroke?
The monitor shows an organized rhythm, but the client is unresponsive, is not breathing normally, and has no pulse. After activating the emergency response, the nurse immediately begins this.
CPR
Shortly after coronary stent placement, a client develops chest pressure, nausea, and diaphoresis. The nurse urgently evaluates for recurrence of this problem.
What is myocardial ischemia?
A client with acute heart failure has pulmonary conestion and exess fluid volume. What med will be used to remove excess sodium and water?
Loop diuretics- i.e. Lasix or IV furosemide
A client receiving chemotherapy says, “My grandchildren have colds, but I still want them to visit.” The client’s absolute neutrophil count is 400/µL. The nurse recommends this action to reduce infection risk.
Wait for them to visit until they are well. Or, do a video chat in the meantime. You numbers are too low right now...