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From Flashcardlet > (3) Exam 3-❤️ Evolve > Flashcards

(3) Exam 3-❤️ Evolve Flashcards

0
Q

Evolve- Ch 34
📚 What should the patient be taught to do if symptoms are unchanged or worse 5 mins after taking one tablet of nitroglycerin?

A

Seek medical attention

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1
Q

Evolve- Ch 34

😷 When planning emergent care for a patient with a suspected MI, what should the nurse anticipate administering?

A

Oxygen, Nitroglycerin, Aspirin, and Morphine

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2
Q

Evolve- Ch 34

📚 If symptoms improve, patients should be taught to repeat nitroglycerin every 5 mins for a maximum of how many doses?

A

Q5 mins for maximum of 3 doses

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3
Q

Evolve- Ch 34

🍓 Heavy meals should be avoided to prevent angina because it would divert more blood to what area?

A

Gastrointestinal System

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4
Q

Evolve- Ch 35
😰 Extreme SOB, persistent cough with pink frothy sputum, and auscultation of aS3 gallop are recognized as symptoms caused by what?

A

Acute Pulmonary Edema

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5
Q

Evolve- Ch 35

😰 The nurse notes that paroxysmal nocturnal dyspnea is a condition indicative of what more serious problem?

A

CHF

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6
Q

Evolve- Ch 3

😰 Pulmonary congestion and edema are manifestations of what type of heart failure?

A

Left-Sided Heart Failure

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7
Q

Evolve- Ch 35

😰 Edema, Ascites, and Anasarca are assessment findings that are expected with what type of heart failure?

A

Right Sided Heart Failure

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8
Q

Evolve- Ch 35
😰 Because fluid moves from the pulmonary capillary bed into the pulmonary interstitium and alveoli, crackles and wheezes are manifestations of what type of heart failure?

A

Left Sided Heart Failure

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9
Q

Evolve- Ch 35
😰 The acronym “FACES” (Fatigue, Asphyxia, Chest Congestion, Edema, SOB) are used to teach patients about symptoms of what complication?

A

Heart Failure

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10
Q

Evolve- Ch 35

😷 What is the priority intervention when caring for a patient with manifestations of Left-Sided Heart Failure?

A

Auscultate Lung Sounds

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11
Q

Evolve- Ch 35

😷 What is the treatment of choice to end ventricular fibrillation and pulseless ventricular tachycardia?

A

Defibrillation

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12
Q

Evolve- Ch 36

📈 ST segment depression and T wave inversion indicates what?

A

Myocardial Ischemia

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13
Q

Evolve- Ch 36

📈 What is identified with ST-segment elevation?

A

Myocardial Injury

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14
Q

Evolve- Ch 36

📈 What is identified with ST-segment elevation and widened and deep Q wave?

A

Myocardial Infarction

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15
Q

Evolve- Ch 36
😰 What is caused by muscle activity, electrical interference, or insecure leads and electrodes that could be caused by excessive chest wall hair?

A

Artifact

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16
Q

Evolve- Ch 34

💊 What is the treatment of choice for third-degree heart block?

A

Pavemaker

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17
Q

Evolve- Ch 36

📈 A rate of 200 beats/min and a P wave that isn’t visible is characteristic of what dysrhythmia?

A

Ventricular Tachycardia

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18
Q

Evolve- Ch 36

💊 A patient in asystole is likely to receive which drug treatment?

A

Epinephrine and Atropine

19
Q

Evolve- Ch 36

💊 What action does flecainide have on the heart?

A

Decreases conduction

20
Q

Evolve- Ch 36
📚 What instructions should be given to patients upon discharge who have underwent a cardioverter-defibillator implant (ICD)?

A

▪️Keep dry & report S&S of infection
▪️Avoid large magnets and strong electromagnetic fields
▪️Inform the cardiologist if the implant fires
▪️Don’t lift the arm on the side of the ICD until approved

21
Q

Evolve- Ch 36

💊 What is the most effective technique for the treatment of atrial flutter?

A

Radiofrequency Catheter Ablation

22
Q

Evolve- Ch 36
💊 Adenosine should be given within what amount of time via an IV site as close as possible to the heart and followed immediately by 20 mL of normal saline bolus flush?

A

Should be given within 1-2 seconds

23
Q

Evolve- Ch 37

💊 What medication should the nurse expect to implement to provide pain relief in a patient with pericarditis?

A

NSAID’s

24
Q

Evolve- Ch 37

😰 While admitting a patient with Pericarditis, the nurse will assess for what manifestations of this disorder?

A

Pulsus Paradoxus because >10 mm Hg is a sign of cardiac tamponade that should be assessed at least Q4 hrs in a patient with Pericarditis.

25
Q

Evolve- Ch 37
😰 A nurse is assessing a patient with infective endocarditis (IE). On observation, the nurse find that the patient has red, painful, pea-like lesions on the fingertips. Which term best describes the assessment findings?

A

Osler’s Nodes

26
Q

Evolve- Ch 37

😰 What is the therapeutic role of digoxin in treating myocarditis?

A

To improve myocardial contractility

27
Q

Evolve- Ch 37

♿️ What complication could result from infective endocarditis (IE)?

A

Pulmonary Embolization

28
Q

Evolve- Ch 37

😰 What findings are expected in patients with dilated cardiomyopathy?

A

Changes in Doppler echocardiography & ECG with conduction disturbance

29
Q

Evolve- Ch 37

📈 What diagnostic study helps detect the presence of vegetation on the heart valves in a patient with endocarditis?

A

Transesophageal Echocardiogram

30
Q

Evolve- Ch 37

😰 What heart sounds should the nurse expect to hear in a patient with chronic mitral valve regurgitation?

A

Third heart sound (S3) gallop & Holosystolic Murmur

31
Q

Evolve- Ch 37

💊 What are the side effects of Digoxin?

A

May result in dysrhythmias & it may cause toxicity

32
Q

Evolve- Ch 38

😰 What symptom is indicative of lipodermatosclerosis?

A

Leathery, brown-colored skin

33
Q

Evolve- Ch 38

😰 What clinical manifestation does the nurse expect the patient with Buerger’s Disease to report?

A

Leg pain with exercise and relief with rest

34
Q

Evolve- Ch 38
😰 The patient reports leg pain that occurs when they are elevated and disappears when the legs are dangled. What is the patient most likely experiencing?

A

Arterial Insufficiency

35
Q

Evolve- Ch 38

😰 How is chest pain associated with acute dissection of the ascending aorta described?

A

Ripping in nature

36
Q

Evolve- Ch 38
💊 What should the nurse do to avoid leaving medication in the needle track in the tissue when administering enoxaparin (Lovenox)?

A

Leave the air bubble in the prefilled syringe

37
Q

Evolve- Ch 38
📚 To decrease vasospasm and promote normal blood circulation in patients with Raynaud’s Phenomenon, what should the nurse teach the patient?

A

Immerse hands in warm water

38
Q

Evolve- Ch 38
📈 When the patient is being examined for venous thromboembolism (VTE) in the calf, what diagnostic test should the nurse expect to teach the patient about first?

A

Duplex Ultrasound

39
Q

Evolve- Ch 38

💉 The therapeutic range for INR is 2.0 - 3.0. The larger the INR number, the greater the amount of what?

A

Anticoagulation

40
Q

Evolve- Ch 38

😰 What finding would the nurse expect in a patient with superficial vein thrombosis?

A

Appearance of the vein as a palpable cord

41
Q

Evolve- Ch 38
😰 What manifestation involving the lower extremities should the nurse expect when doing a physical assessment on a patient with chronic venous insufficiency?

A

Brown color

42
Q

Evolve- Ch 38

😰 What assessment finding is considered a classic symptom of lower extremity PAD?

A

Intermittent Claudication

43
Q

Evolve- Ch 38

💊 What medication is contraindicated in patients diagnosed with Buerger’s Disease?

A

Nicotine Transdermal

44
Q

Evolve- Ch 38
😰 The majority of patients with an acute ascending aortic dissection report an abrupt onset of excruciating chest or back pain that radiates to what areas?

A

Neck & Shoulders

45
Q

Evolve- Ch 38

😰 What symptom is indicative of lipodermatosclerosis?

A

Leathery, brown colored skin

46
Q

Evolve- Ch 38

😷 What is the priority nursing action to maintain graft patency for patients that have had an aortic aneurysm repair?

A

IV fluids to maintain adequate BP.

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