CHAPTER 22,23
your patient has myocarditis. what orders would you expect for this patient regarding activities? (up with walker, bed rest, ambulation, etc)
bed rest
you patient is on anticoagulants. what would you expect to happen to their bleeding time?
to increase
A client is unconscious on arrival to the emergency department. The nurse in the emergency department identifies that the client has a permanent pacemaker because of what characteristic?
“Spike” on the rhythm strip
which has less salt? hot dog or chicken
chicken
One of the students asks what the consequences of uncorrected, left-sided heart failure would be. What would be the nursing instructor's best response?
Right Sided heart failure
A client needs additional information about her heart condition. The client states to the nurse, “What is considered the pacemaker of the heart?”
The SA node
your client has aortic stenosis. She reports dizziness and fainting (common side effects). This would put your patient at risk for?
falls!
The nurse is caring for a client who has premature ventricular contractions. What sign or symptom is observed in this client?
Fluttering
hypertension increases your risk for what?
heart disease/stroke
The nurse is administering captopril to a client with a diagnosis of heart failure. What type of medication does the nurse inform the client is taking?
ACE inhibitor
you patient is undergoing a stress test and reports chest pain. As a nurse, what do you do?
stop the test and monitor your patient!
What is the best technique to identify structural changes in the mitral valve?
echocardiogram
your shopping and see a person slumped over with no pulse. what piece of equipment might you want?
AED
What ethnic background, generally speaking, is at higher risk for HTN?
African Americans
pulmonary edema
your patient is having a cardiac cath. In your discharge teaching, you include symptoms the patient should report. what symptoms should your patient report?
numbness, tingling, pain, bleeding,
A young mother brings her 4-year-old in to the pediatric clinic with a mild fever and a red, spotty rash that is beginning to fade. The child's heart rate is rapid, and the rhythm is abnormal. The mother states the child has been healthy until about 3 weeks ago when the child had a sore throat. The nurse suspects rheumatic carditis. What organism causes rheumatic carditis?
Group A Strep
The nurse is volunteering at a community blood pressure screening. A client, never diagnosed with hypertension, presents with a blood pressure of 158/90 mm Hg. Which assessment questions, asked by the nurse, are appropriate?
caffeine, smoking, diet
A client has just been diagnosed with prehypertension. What would the nurse instruct this client to do to restore his blood pressure below hypertensive levels?
low salt intake
The physician is ordering a test for the hypertensive client that will be able to evaluate whether the client has experienced heart damage. Which diagnostic test would the nurse anticipate to determine heart damage?
MUGA scan
After 2-hour onset of acute chest pain, the client is brought to the emergency department for evaluation. Elevation of which diagnostic findings would the nurse identify as suggestive of an acute myocardial infarction (MI) at this time?
Myoglobin (the hours is the key here)
you patient eats a high fat diet. is this a modifiable risk factor or a non modifiable risk factor?
Your monitoring cardiac rhythms. Who do you see first?
1-room a with sustained asystole
2-Room B with super ventricular tachycardia
3-Room c with atrial fibrillation
4- Room D with ventricular fibrillation
your patient is on an alpha blocker for hypertension and reports dizziness. what is some education you could provide to assist this patient?
rise slowly
A client is scheduled for a multiple gated acquisition (MUGA) scan the following day. What medication should the nurse be sure not to administer the morning of the procedure?
Diuretics