Cardiac assessments and meds
Which vital sign must be reassessed before administering lisinopril
Blood pressure
This medication is required before placing a client on cardiopulmonary bypass for a mitral valve replacement.
Anticoagulant.
Clients with malignant hypertension require this frequent monitoring.
What is blood pressure monitoring?
Defibrillation is used to eliminate this type of arrhythmia.
What is a ventricular arrhythmia?
This this risk factor puts a client with deep vein thrombosis is at higher risk for further complications
What is immobility?
This medication can relieve anxiety and slow respiratory rate in clients with cardiogenic pulmonary edema.
What is morphine sulfate?
These heart patterns often develop into life-threatening arrhythmias.
What are altered rhythmic patterns?
The nurse should do this immediately before pressing the discharge button on a defibrillator.
Shout "All clear."
This symptom indicates left-sided heart failure with impaired renal perfusion.
decreased urine output
This teaching point helps clients with heart failure monitor fluid retention at home.
What is daily weight measurement?
This test result must be monitored closely in clients receiving digoxin.
What is potassium level?
This priority action should be taken when the apical heart rate is 110 beats/minute after a cardiac transplant client.
What is no action, as a transplanted heart beats faster than a natural heart?
Warfarin helps prevent what serious complication in clients with atrial fibrillation?
Stroke.
This is the most common vessel used for grafting during coronary artery bypass surgery.
Saphenous vein.
Clients with left-sided heart failure may experience this respiratory condition.
What is dyspnea?
This common consequence can result from untreated chronic hypertension.
What is stroke?
The client's blood pressure of 80/46 mm Hg indicates this in a client with heart failure.
What is decreased cardiac output?
The nurse should monitor for this complication in clients post-CABG surgery when encouraging deep breathing.
What is wound dehiscence?
This condition is a potential side effect when monitoring a client on atenolol.
Bradycardia.
This body system primarily regulates arterial blood pressure.
The kidney.
This position is best for a client experiencing difficulty breathing with left-sided heart failure.
What is high-Fowler's position?
This symptom in clients post-myocardial infarction with an 88% pulse oximetry suggests pulmonary edema.
What is pink, frothy sputum?
This action should be taken when a client has a heart rate of 52 beats per minute before administering digoxin.
What is withholding the medication and notifying the physician?
This advice should be given to a client post-CABG surgery regarding holding their grandchild.
What is refraining from lifting anything over 10 lb for at least 6 to 12 weeks?
Clients on digoxin with which electrolyte imbalance are at risk for digoxin toxicity?
Low potassium.
The primary rationale for a low-sodium diet in a client with heart failure is to improve this.
What is cardiac output?
This is a common nursing intervention for premature ventricular contractions (PVCs).
What is monitoring for irregular beats?
Clients with right-sided heart failure may experience this symptom.
What is peripheral edema?
The client should be instructed to contact the physician if weight gain exceeds this amount in 24 hours.
What is 2 pounds?
Which respiratory symptom is commonly found in clients with left-sided heart failure?
Orthopnea.