Test 2

Question 0

Emergency care with chest pain

Answer 0

Stay with pt
Hob > 15%
Vs/pain
Call bell
Emergency response 
Iv assess
Labs

Question 1

Risks for mi

Answer 1

Post-Menopause

Question 2

Chest pain meds

Answer 2

Aspirin
Morphine
Nitro

Question 3

Nursing dx

Answer 3

Decreased cardiac out rt ischemia

Question 4

Assessment for mi

Answer 4

Bp/hr elevated
Pallor
Diaphoresis

Question 5

Heart sounds

Answer 5

S1 loudest mitral tricuspid

Carotid Pulse helps identify rhythm

Question 6

Apex assessment

Answer 6

Left side
Bell of steth
Squeeze left hand helps s4 identification

Question 7

Murmur assess

Answer 7

Labored breathing
Lung sounds- crackles from regurgitation
Swishing murmur
High fowlers
Valves with bell/diaphragm

Question 8

S3

Answer 8

Left sidelying
Bell at 5th. Bell harder quiets s3
45* angle for jvd
Peripheral edema from right side hf

Question 9

S3 failure

Answer 9

Dec output
Orthopnea
Le edema
Crackles
Jvd

Question 10

Nitro

Answer 10

Short acting for mi
Patch for long
Stored dark

Question 11

Nitro admin

Answer 11

Nitro, wait 5, repeat, repeat, call Doc
Rapid vs down
Lying down
No food, water, smoke

Question 12

Nitro patch

Answer 12

12 on/off

Clean dry hairless site

Question 13

Beta blocker, long term nitro

Answer 13

Not dc suddenly

Question 14

Intermittent claudication

Answer 14

Pain when walking

Question 15

Pad

Answer 15

Pain worse when cold

Not necessarily edema

Question 16

Chronic venous insuffiency

Answer 16

Know all
Mild aching
Not white border

Question 17

Affect

Answer 17

Visible behavior expressing emotions

Question 18

Stage 2/3 schizo

Answer 18

Structure, meds, healthy relationships

Question 19

Neurocog symptoms

Answer 19

Impairment in healthy relationships, job, focus

Question 20

Disorganized thinking

Answer 20

Speech behavior and memory

Good memory is good indicator healthy functioning is achievable

Question 21

Prodromal phase

Answer 21

Symptoms leading up to acute phase

Question 22

Psychosis

Answer 22

Can’t interpret reality

Question 23

Paranoia

Answer 23

Strongly defended irrational feeling

Question 24

Schiz assessment

Answer 24

``` Is it a: Medical problem Substance problem Hallucinations? Describe Delusions? Describe Comorbid? Using correct Medication? Support system? ```

Question 25

Speaking to paranoid pt

Answer 25

Clear, nonjudgmental, concise

Question 26

Antipsychotics

Answer 26

3-6 weeks | FGA/Sga

Question 27

Sga

Answer 27

Second generation antipsychotics More used now Weight gain Seizure risk

Question 28

Fga

Answer 28

``` Less used Dop receptors Cause extrapyramidal Don't treat negative Cheaper ```

Question 29

Haldol

Answer 29

Larger doses Least sedating Help with violent Lots of EPS

Question 30

Thorazine

Answer 30

Most sedating Hypotension Fewer eps

Question 31

Nms

Answer 31

``` Neuroleptic malignant syndrome Htn, tachy, fever Diaphoresis, incont, Rigid, eps Give congentin ```

Question 32

Nms treatment

Answer 32

``` Dc med Give Congentin Vitals Transfer to med/surg F/e balance ```

Question 33

After load

Answer 33

Force needed to overcome resistance to eject from LV

Question 34

Preload

Answer 34

Volume in ventricle after diastole

Question 35

Pad assessment

Answer 35

``` Pulse weakens when leg elevated Pain when at rest Blue grey skin Thick brittle nails Loss of hair in area Defined ulcers with white border ```

Question 36

Pad education

Answer 36

Keep extremities warm Restrict vasoconstrictors Proper shoes and socks Exercise

Question 37

Pad meds

Answer 37

Placid aspirin trental cholesterol and htn

Question 38

Pad revasc

Answer 38

Inflow above femoral | Outflow below

Question 39

Cvi

Answer 39

``` Edema worse at standing Shiny skin Brown dis colorations on lower foot Ulcer on ankles Thick subq Homans Pain fever ```

Question 40

Cvi meds

Answer 40

Hep Love Debride

Question 41

Civ intervention

Answer 41

``` Legs above heart Ted hose Protect feet, clean, and soft Excercise Don't cross legs Proper shoes. ```

Question 42

Virchow triad

Answer 42

Stagnant Injury Clot

Question 43

Varicose veins

Answer 43

Dull pain Wear stockings Exercise Don't rub/pat

Question 44

Cholesterol levels

Answer 44

Total 200 Tri 150 Ldl>70 Hdl>40

Question 45

Statin labs

Answer 45

Elevated livers Diabetic risk pain assess

Question 46

Statin contras

Answer 46

No pregnant or liver/kidney failure

Question 47

Alt cholesterol therapy

Answer 47

Low level Niacin | fish oil

Question 48

Cad

Answer 48

40% before symptoms | Thrombus cause mi

Question 49

Cv Assessment stable

Answer 49

Hx, fam hx, needs

Question 50

Unstable cv assessment

Answer 50

Meds allergies cardiac hx | Current symptoms

Question 51

Mi random signs

Answer 51

Int claud Jaw shoulder pain Numb Tired

Question 52

Heart phy assess

Answer 52

``` Cog BP/pulse Jvd Apical Ext Skin color Eye fat xanth ```

Question 53

Pulse pressure

Answer 53

Diff in Sd

Question 54

Pulse pressure ranges

Answer 54

Difference in 30-40 normal > 40 anxiety exc brady < 30 obstruction BAD

Question 55

Map

Answer 55

2(dias)+sys -------------- 3

Question 56

Orthostatic

Answer 56

20/10 drop | Take BP in 3 positions and 1-3 min between

Question 57

Max impulse point

Answer 57

Lauder lie | 5 space below nipp

Question 58

A pet monkey

Answer 58

Aortic pulm erb tri mitral apical

Question 59

Jvd check

Answer 59

45* bed Highest point Jv ruler straight (1-2cm normal)

Question 60

Children heart

Answer 60

Infants highest risk for hf Bp at adult levels at pub Apical/brachial <3

Question 61

Cardiac cath

Answer 61

Assess allergic reaction Glu renal test Flat 6 hours distal pulses