Cardiovascular and hematology
Caring for client in hypovolemic shock while waiting for unit of blood nurse should administer
0.9% sodium chloride bc it's isotonic solution that's replaces lost volume in blood stream
A nurse is assess a client who has late stage heart failure and is experiencing fluid volume overload which of the following findings should the nurse expect
A weight gain of 1kg (2.2lbs) in 1 day
A nurse on a telemetry unit is caring for a client who has an irregular radial pulse which of the following ecg abnormalities should the nurse recognize as ATRIAL FLUTTER
Atrial rate of 300/min with QRS complex of 80/min
Assess for cardiac tamponade on client who had coronary artery bypass grafts which following actions should nurse take
Ausculatate blood pressure for pulsus paradoxus
Myocardial infarction and has new prescription for a beta blocker
Before taking my meds I will count my radial pulse rate / a beta blocker will induce bradycardia the client should take her pulse rate 1 min before self administration
A nurse is completing an assessment for a client who has a hx of unstable angina / which of the following findings should the nurse expect
Chest pain lasts longer than 15 minutes / due to reduced blood flow in a coronary artery due to atherosclerotic plaque and thrombus formation causing partial arterial obstruction or from an artery spasm
Client had myocardial infarction 5 days ago , suddenly sob coughing frothy pink sputum nurse hears loud bubbly sounds on inspiration she should document
Coarse crackles
Fish oil dietary supplement health benefit why
Contains omega 3 fatty acids which can help lower the risk of cardiovascular disease and stroke by decreasing triglyceride levels
Assess client who has right sided heart failure findings
Dependent edema
Client has pericarditis manifestations
Dyspnea with hiccups
A nurse is providing teaching to a client who has anemia and a new prescription for epoetin Alfa / which of the following information should the nurse include in the teaching
Hypertension is a common adverse effect of this medication - epoetin Alfa is used to treat anemia associated with kidney disease or medication therapy it increases and maintains the red blood cell level
Client has heart failure related to mitral stenosis reports shortness of breath on exertion conditions to expect
Increased pulmonary congestion / which occurs due to right sided heart failure
Client has pernicious anemia interventions
Initiate weekly injections of vitamin b12
Reviewing lab values for client with sickle cell anemia and hx of blood transfusions / complications to monitor for
Iron toxicity
A nurse is assessing a client who has fluid volume overload from a cardiovascular disorder / which of the following manifestations should the nurse expect
Jugular vein distention, moist crackles , increases heart rate
A nurse is assessing a client who has an abdominal aortic aneurysm / which of the following manifestations should the nurse expect
Lower back discomfort
Client having a PTCA per cutaneous transluninal coronary angioplasty with stent placement / post procedure plan of care ?
Monitor for bleeding
Assess client for manifestations of aplastic anemia
Petechiae and ecchymosis / in aplastic anemia all three blood components (Rbc/wbc/platelet) are reduced or absent which is known as pancytopenia
A nurse is caring for a client who is postoperative following vein ligation and stripping for varicose veins which of the following actions should the nurse take?
Position the client supine with his legs elevated when in bed/ the nurse should elevate the clients legs above his heart to promote venous return by gravity. During discharge teaching, the nurse should reinforce the importance of periodic positioning of the legs abive the heart
A nurse is caring for a client who has heart failure and whose telemetry reading displays a flattening of the t wave which of the following laboratory results should the nurse anticipate as the cause of this ecg change
Potassium 2.8 meq/L a flattened t wave or the development of u waves is indicative of a low potassium level
Client has hemophilia reports pain and swelling in joint following an injury what actions does nurse take
Prepare for replacement of missing clotting factor
A nurse is reviewing a clients repeat laboratory results 4hr after administering fresh frozen plasma (ffp) which of the following laboratory results should the nurse review
Prothrombin time bc ffp is plasma rich in clotting factors / ffp is administered to treat acute clotting disorders the desired effect is a DECREASED in the prothrombin time
Transfusing a unit of o negative ffp to client with b positive blood type what do you do ?
Remove unit of plasma immediately and start iv infusion of normal saline solution w new tubing
Assess lower extremities and ankles of client who has hx of peripheral arterial disease
Should find dry pale skin with minimal body hair
Nurse caring for client who has a deman pacemaker inserted with the rate set at 72/min findings
Telemetry monitoring shows QRS complexes occurring at a rate of 74/min with no pacing spikes // the nurse should not expect pacer spikes when the clients pulse is greater than the set rate of 72/min bc the clients intrinsic rate overrides they set rate of pacemaker
A nurse is monitoring a client who had a myocardial infarction, for which of the following complications should the nurse monitor in the first 24 hour
Ventricular dysrhythmias
Nurse prepares to transfuse a unit of packed red blood cells to client with anemia
Witness the informed consent
