HF | Hypertension | Heart parts | DVT | |
---|---|---|---|---|
0.25 mg
A pt. is being given digoxin (Lanoxin) to treat
heart failure. Which of the following is a usual adult daily dosage of digoxin (Lanoxin)? |
potassium
What is the priority lab to monitor
when a patient is taking a Loop diuretic? |
left ventricle
Which ventricle has the
greatest workload and most likely to fail? |
S/S of DVT
Calf or groin pain/tenderness, warmth, edema, hardness over blood vessel
s/s of DVT
|
What is Pericarditis
inflammation of the pericardium due to respiratory infection, MI, or open heart surgery. S/S fever, chest pain aggravated by breathing and coughing, friction rub
What is pericarditis?
|
2
When caring for an anxious pt. with dyspnea, which of the
following nursing actions is most helpful to include in the plan of care to relieve anxiety? 1. Increase activity levels 2. Stay at pts. bedside 3. Pull the privacy curtain 4. Close the pt. door |
Spironolactone (Aldactone)
Which medication is a
potassium sparing diuretic? |
a.Parasympathetic
Which nervous system decreases
the heart rate via the vagus nerve? a.Parasympathetic b.Sympathetic |
Diagnostic tests
doppler ultrasound, elevated d-dimer
diagnostic tests
|
What is infective endocarditis
infection of staph, strep, or fungi most common in clients with pacemakers, prostetic heart valves, invasive procedures, body piercings, tattoos-- bacteria gets into blood. S/S flu-like symptoms, murmur, petechia on trunk and mucus membranes. UTIS/RESPIRATORY INFECTIONS
What is infective endocarditis
|
4
A pt. asks the nurse what a diagnosis of heart failure
means. Which of the following is the nurse’s best response? 1. “Your heart briefly stops.” 2. “Your heart has an area of muscle that is dead.” 3. “Your heart is pumping too much blood.” 4. “Your heart is not an efficient pump. |
Thiazides
When lifestyle modification doesn’t
work to lower the BP, what is the first-line of drugs prescribed? |
LDL
Which Blood lipid is the bad
lipoprotien? a.HDL b.Triglycerides c.LDL d.Cholesterol |
Causes
sedentary lifestyle, post surgical, pregnancy, BC pills
causes
|
C. unknown cause
What is the cause of
Essential (Primary) HTN? a. Kidney abnormality b. Tumor of the adrenal gland c. Unknown cause d. Smoking |
3 nursing interventions for Left sided heart failure
Possible answers: Raise HOB, O2 therapy, limit sodium, limit fluids, monitor lung sounds, monitor I&O, Admin meds/diuretics
3 nursing interventions for Left sided heart failure
|
vasodilation
Antihypertensives lower the
blood pressure by |
B
What is Rheumatic Fever
caused from? a. Otitis Media b. Strep Throat c. Pneumonia d. Heart failure |
Meds (3)
Heparin, warfarin, lovenox
MEDS (3)
|
foods rich in potassium (3)
potatoes, orange juice, bananas, leafy greens
foods rich in potassium
|
Left-Crackles, dyspnea, orthopnea, cough with pick frothy sputum, pulmonary edema
Right- Peripheral edema, hepatomegaly, JVD, splenomegaly, abdominal swelling.
S/S of left sided HF vs. Right sided HF
|
3. Do not stop medication abruptly.
What instruction should the nurse
give to the pt taking propranolol (Inderal) for HTN? 1. Have potassium level checked. 2. Report any changes in appetite. 3. Do not stop medication abruptly. 4. Resume usual daily activities. |
B&D
What is the best way for a nurse to
hear a pericardial friction rub? Select ALL a.Have the patient lie down b.Have the patient sit up c.Have the patient hold their breath d.Have the patient lean forward |
nursing cares (3)
Encourage ambulations, anticoagulant therapy, frequent position changes, compression socks, prep for possible surgery, ROM exercises.
nursing cares (3)
|
Suffixes associated with meds
Ace-Inhibitors (-pril) Beta-blockers (-lol) Calcium channel blockers (-dipine, -zem, -amil)
suffixes associated with meds
|