Hondros NUR 176 Test 2, Nur 176 Exam

Hondros NUR 176 Test 2, Nur 176 Exam

• With Complete Solutions

ARF Causes - ANSWER-Hemorrhage, trauma, infection, decreased cardiac output, medications ARF S/S - ANSWER-mimics dehydration s/s, anorexia, h/a, edema, vomiting, nausea, lethargy, Malignan hypertension - ANSWER-Is the most severe S/S of Malignant hypertension - ANSWER-- Diastolic >120

• Blurred vision
• Severe h/a
• High cholesterol
• Dyspnea
• History of hypertension

Beta blockers - ANSWER-medication used to treat several different types of conditions, including hypertension (high blood pressure), angina, some abnormal heart rhythms, heart attack (myocardial infarction) Beta blockers actions - ANSWER-Decreases BP and HR blocking epinephrine and nonepinephrine Side effects of Beta blockers - ANSWER-SOB (asthma like symptoms) Weakness Dry mouth Dizziness H/A Upset stomach Common Beta blockers - ANSWER-Metoprolol (Lopressor, Toprol-XL) Propranolol (Inderal LA, InnoPran XL) Atenolol (Tenormin) - ANSWER-Medication for MI Digoxin (Lanoxin, Digox) - ANSWER-medication used for heart failure (hf) Nursing consideration for Digoxin - ANSWER-assess hr, if it's <60 hold the medicine and call doctor Nitroglycerin - ANSWER-opens blood vessels, is used for chest pain (antiangina) 1 / 3

Administration of glycerin - ANSWER-Sublingual, 1 pill q5min, maximum of three pills, if pain continues call doctor, possible HA PTCA - ANSWER-Percutaneous Transluminal Coronary Angioplastic Pt teaching before PTCA - ANSWER-- Explain procedure: a balloon is inflated to reduce the constriction in the artery

• Contrast is used, normally in femoral
• Pt is gonna feel a flush/warm everywhere when contrast is injected
• Pt should lay flat
• Pt will be sedated but awake
• Pt should sign Informed consent for PTCA and a future CABG (Coronary Artery

Bypass Grafting) S/S of left heart failure - ANSWER-Lungs (Respiratory problems) Dyspnea, paroxysmal nocturnal dyspnea, cough, frothy-blood-tinged sputum, orthopnea, pulmonary crackles, radiographic evidence of pulmonary vascular congestion with pleura effusion S/S of right heart failure - ANSWER-Body (everything not related to lungs) Distended jugular veins, anorexia, nausea, abdominal distention, liver enlargement, ascites (peritoneal edema), edema in feet, ankles, sacrum Test for heart failure - ANSWER-- CXR

• BNP (Brain Natriuretic Peptide)

Cardiac rehabilitation orders - ANSWER-- Low Na+ diet

• Lifestyle education (all that pt is doing wrong and have to correct)
• Use of medications (Metoprolol -Lopresol
• Exercise

Non-pharmacological treatment for hypertension - ANSWER-- Diet (low Na+, low fat, high K+, CA+, and Mg+) fruits and vegetables

• Moderate aerobic exercises (walk 20 min/day/3 times/wk

High Blood Pressure - ANSWER->140/90, is called the silent killer because it doesn't show symptoms until is tissue damage S/S of high blood pressure - ANSWER-- Blurred vision

• Unexplained nose bleeding

S/S of MI for males - ANSWER-- Heavy severe chest pain, usually radiates to left arm, neck, jaw 2 / 3

S/S of MI for females - ANSWER-Like indigestion symptoms, SOB, weakness Treatment for pt with MI symptoms - ANSWER-No matter the symptoms pt gets a heart monitor and receives MONA MONA - ANSWER-Morphine O2 Nitrates Aspirin Diagnostics test for angina - ANSWER-Stress test (climbing stairs, treadmill) ECG EKG Diagnostic tests for MI - ANSWER-Serum cardiac markers (CK-MB, myoglobin) MUGA, echo gram, myocardial imaging, CXR Diet plan for CRF - ANSWER-No salt substitutes (Na+), no banana or potato (K+), high calories from Carbs and polyunsaturated fat, restriction on high Na+ and K+ DVT - ANSWER-Deep Vein Thrombosis S/S of DVT - ANSWER-Swelling Pain Warm Redness DVT treatment - ANSWER-Anticoagulant medication Bed rest, head elevated Warm compress No massages No SCDs Complications of DVT - ANSWER-Hematuria (blood in urine) Hemoptysis (coughing up blood) S/S of sickle cell crisis - ANSWER-Lots of pain Hyperventilation Sickle cells crisis treatment - ANSWER-Give pain medication and O2 Keep an eye on O2 saturation DIC - ANSWER-Disseminated Intravascular Coagulation Condition where the proteins that control blood clotting become overactive, affecting the blood's ability to clot and stop bleeding

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