condensed exam review
signs and symptoms of hemorrhage
Decreased BP; increased pulse rate; increased respirations; restlessness; diaphoresis; cold, clammy skin
true
If acetylcholine is not inactivated; there is hyperstimulation of the nerve endings true or false
risk for septic shock
PICC line, long term foley catheter use
Asystole
absence of contractions of the heart
pneumothorax
accessory muscle use, chest pain, shortness of breath, absent or diminished breath sounds
Chvostek sign
*indicator of hypocalcemia* twitching of facial muscles elicited by tapping on facial nerve
mechanical valve replacement
-long lasting -will require anticoagulation long term
neurogenic shock
Circulatory failure caused by paralysis of the nerves that control the size of the blood vessels, leading to widespread dilation; seen in patients with spinal cord injuries.
Assess peripheral pulses
If burns are on the thigh & knees; during the dressing change, what is a priority nursing action?
hemodynamic instability
What is the first systemic even after a burn?
carbon dioxide narcosis and hypoxemia
Using oxygen may result in the client developing
mitral stenosis treatment
anticoagulants
anthrax priority
assess respiratory status
chest tube
set to 20
beta adnergic blocker
A client is diagnosed with systolic heart failure. What medication should the nurse anticipate administering?
daily aspirin
A client who is at high-risk for a cerebrovascular accident has medication ordered to lower their cholesterol and to prophylactically anticoagulate them. What specific agent might be diagnosed for this client?
oxygen toxicity
A condition of excessive oxygen consumption resulting in cellular and tissue damage.
compartment syndrome
For a client in hypovolemic shock (after a postpartum bleed); what serious complication should the nurse monitor?
repolarization
Return of the cell to resting state, caused by reentry of potassium into the cell while sodium exits the cell.
Hypophosphatemia
TPN must be delivered slowly in order to prevent
Depolarization
The process during the action potential when sodium is rushing into the cell causing the interior to become more positive.
friction rub
What breath sounds are consistent with pericarditis?
Combination of hydralazine and isosorbide dinitrate
What combination of drugs should be used for systolic heart failure if ace inhibitors caused a reaction?
Insertion of an implantable cardioverter defibrillator
What intervention can assist with severe left ventricular dysfunction?
patient controlled analgesia
What is the best way to assist with managing uncontrolled pain in a burn injury?
Position the client in the prone, left lateral position
What is the most appropriate action if you suspect an air embolus?
atropine
What medication should be administered after exposure to a nerve agent?
mitral stenosis
What valve disorder corresponds with pulmonary venous hypertension?
assess the client's skin
When using restraints, you should frequently
What does specific gravity measure?
concentration of urine and fluid volume status
safety assessment
do you feel safe at home
decrease pulmonary embolism risk
early ambulation
first step in emergency care
establish open airway
NC O2
for a patient immediately post-op with SOB
venturi mask
for reliable & precise oxygen therapy
enteral nutrition
giving nutrients into the gastro-intestinal tract through a feeding tube
Cardiac Catheter
is usually done to assess how blocked or open a client's coronary arteries are.
pulmonary artery catheter
left ventricular preload
hemodyalisis
may increased the risk of hospital acquired endocarditis
suicide assessment
plan? means available to carry out plan? how lethal is plan? Can you control your behavior and refrain from acting on suicidal thoughts and impulses? SI is highest priority for nurse SI passive (thoughts with no intent to act) vs active (has plan and thoughts)
sympathetic reaction
stimulates the renin-angiotensin aldosterone system
should rise and fall with respirations
the water level in a chest tube
bubbling
what indicates a leak in the water seal chest tube
12 hour fast
what is the best time to do a lipid profile