Catherization
A client is scheduled for a cardiac catheterization using a radiopaque dye. What assessments is most critical before the procedure?
What is allergies to iodine/shellfish
What other assessments should be done pre-procedure?
Patient's telemetry monitor begins to alarm, the nurse sees no electrocardiogram complexes on the screen. What is the nurses first action?
What is check the clients pulse
What other assessments or checks should be performed
Client is prescribed furosemide (Lasix) for heart failure exacerbation, what assessment finding would the nurse be MOST concerned with?
what is decreased urine output
Why?
Client enters the ED complaining of shortness of breath, dyspnea, fatigue and weight gain. What lab would you want to see ordered for this client
What is a BNP?
CAD leads to ACS, what does ACS lead to?
what are the differences between them all
Cardiac catherization visualizes what
what is the percentage of plaque build up inside the coronary vessels.
Cardiac rhythm in which there is an absent P wave and is irregular in rhythm
What is Atrial fibrillation
Clients BP is 89/64 with a heart rate of 62. You are due to give Metoprolol, Enalapril and Cardizem. What is the nurses first action?
what is call the MD
why?
What is diastolic heart failure
Antidote to Coumadin
what is Vitamin K
what about Heparin?
What is a potential major electrical cardiac complication during the heart catheterization?
what is Ventricular Tachycardia
lethal rhythm in which there are no P waves, no QRS complexes or T waves
what is Ventricular Fibrillation
Your heart failure client will be started on a lasix drip to help remove excess fluid in the body. What labs would you as the nurse monitor routinely?
what are BUN, Creat, GFR and K
JVD, ascites, heptomegaly, portal vein HTN are all signs of what type of Heart Failure
what is right sided
Nursing intervention to assist when clients c/o symptoms during an IV infusion of Potassium
what is slow the drip and/or warm compress
Your client is post-procedure from a heart cath, recovering in your unit. The client begins to complain of feeling weird and c/o sudden onset of back pain while in the supine position. Clients BP is 65/45 what do you think the client is suffering from
what is retroperitoneal bleed
Clients heart monitor reads sinus Tachycardia at 167 bpm, what should the nurses assess first?
What is LOC?
What other assessments should be done
Your client comes to the clinic complaining of a chronic dry cough. After reviewing the client medication list from home, your concerned one of the medications maybe causing this cough. What drug class is this
What is ACE Inhibitors
Heart Failure can create a cascade of issues, what organ will be effected significantly in HF?
what are the kidneys
This is why an 80 year patient survives a major heart attack where a 40 year old patient would die
what is collateral circulation
What are arrhythmias
This cardiac rhythm patient population should NOT be given beta blockers
what are heart blocks
Your Chest Pain Client has a Nitroglycerin drip infusing at 5mg/hr. and titrate based on BP to maintain a BP of 110/60. Your client begins experiencing Chest Pain 7/10 left side and your clients BP is 108/62 currently, what is the nurses first action?
What is an EKG
then what?
tachypnea, SOB, hypoxia, chest pain and pink frothy sputum are signs of emergent complication in HF?
what is pulmonary edema
Diabetic clients are more likely to suffer major complications from an MI, and this is why
what is diabetic neuropathy