evolve adaptive quizes

Thallium scan

establish the viability of myocardial muscle after an MI

Hemophilia A

factor VIII

spinal shock

brady hypotension bladder dysfunction (oliguria)

major cause of right ventricular failure

COPD

Milrinone (Primacor) for congestive HF

FIRST have the prescription, dosage calculation, and pump settings checked by another nurse accidental overdose --> death

non-hodgkin's lymphoma

OLDER adults

ventricular dysrhythmias

QRS wide polarity of T is opposite QRS no apparent P wave

position to promote venous return

allowing gravity to take hold- legs elevated 15 degrees

first heart sound

atrioventricular valves closing (mitral and tricuspid)

thrombus formation postoperative independent nursing considerations

avoid crossing legs dorsiflex feet routinely dependent nursing considerations: fluid increase, pneumatic stocking prescriptions

simvastatin teaching

avoid prolonged exposure to the sun schedule regular ophthalmic exams contact HCP if skin becomes gray-bronze (sign of rhabdomyolysis) most effective if taken at bedtime when cholesterol is the highest simvastatin increases photosensitivity

pacemaker: teach to avoid what

avoid touring a power plant avoid MRI CT scans, water, and microwaves are okay!

addisonian crisis

can occur with an abrupt withdrawal from cortisone medication - tachypnea - hypotension - tachycardia - pallor - weakness

postoperative complication following pneumonectomy

cardiac overload

A client with an inferior myocardial infarction has a heart rate of 120 beats per minute. What is the goal of the medical regimen for this client?

decrease cardiac workload and promote maximum coronary artery filling

A client who had a myocardial infarction experiences a noticeably decreased pulse pressure. The nurse determines that this is a possible indication of:

decreased force of contractions

when he does not reach his mark, he forcefully kicks the door of his locker. What defense mechanism does his outburst demonstrate?

displacement discharging pent-up feelings on a less threatening object

which activity would the nurse expect to indicate the greatest risk for HF

distress after climbing a flight of stairs because increases oxygen consumption and therefore the workload of the heart.

ABG issues & shock

early shock: resp. alkalosis r/t hyperventilation progressive shock: metabolic acidosis r/t accumulated lactic acid late shock: respiratory acidosis r/t decreased respiratory function

early v. late hypovolemic shock ABG

early: respiratory alkalosis r/t rapid, shallow breathing late: metabolic acidosis r/t conversion of pyruvic to lactic acid

admission hx of a client with right ventricular failure

edema dyspnea hepatomegaly tachycardia fatigue ascites decreased urine output

position of client's feet with peripheral venous insufficiency

elevated to facilitate in venous return

hemophilia type A signs of bleeding

epistaxis hematuria hemarthosis easy bruising dark colored tarry stools

when administering albumin IV, the nurse considers that body water will shift from...

from the intracellular compartment to the intravascular compartment. albumin increases colloid osmotic pressure --> pulls interstitial and intracellular compartments to the intravascular.

most common side effect of nitro

headache tachy, hypotension, dizziness

vitamin E

hinders oxidative breakdown of structural lipid membranes in body tissues called free radicals in the cells

common findings of a patient with polycythemia and a patient with prolonged anemia

increased cardiac workload! anemia has to work harder to compensate for the reduced oxygen carrying capacity polycythemia has to work harder to propel more viscous blood

difference between inflamed or infiltrated IV site

infiltrated will be cool and inflamed will be warm

A client with a history of sleeplessness, lack of interest in eating, and excessive purchases on charge accounts is seen in the mental health clinic. The adaptation that the nurse should expect the client to exhibit is:

intrusive involvement with environmental activities (hyperactive/manic phase of bipolar I)

PVC

irregular rhythm absent p waves wide, distorted QRS

femoropopliteal bypass for PVD

lower extremity color! and temp! this provides information about perfusion.

stress echocardiogram

noninvasive approach to assess cardiovascular status

the nurse should expect what when assessing a patient that just had a splenectomy

pain on inspiration due to the location of the spleen

expectations after abdominoperineal resection

permanent colostomy and impotence

TPN nursing care

place client supine before changing the tubing to decrease pressure in the vena cava to prevent an air embolus when the catheter is d/c

position of the client's feet with peripheral arterial insufficiency

placed dependent to the torso to utilized gravity to get the blood to the feet

vitamin K

promotes the liver's synthesis of prothrombin (an important clotting factor) will reverse the effects of warfarin

early clinical indicator of shock

reduced peripheral pulses cool, pale skin and narrowed pulse pressure and then LOC

venous thrombosis

result of inflamed vein, hypercoagulability, or venous stasis (VIRCHOW'S TRIAD) bed rest and hip fractures are two major risks!!!

hypertension after a femoral popliteal bypass graft may indicate what post op complication

rupture of the graft

wound dehiscence

sharp increase in sero-sanguineous drainage

vincristine

side effect: paralytic ileus --> constipation SO DRINK LOTS OF FLUIDS and EAT FIBER

bone marrow depression management

wash hands soft tooth brush report fever immediately