Perfusion
pumping
Digoxin helps improve ________ efficacy of the heart.
CNS; hypokalemia
Furosemide: Tinnitus is a _______ side effect; weakness and leg cramps result from __________ caused by an overload of furosemide.
hemolytic anemia
Hemoglobin in the urine suggests _______ _________.
2
Arterial perfusion must be assessed at least every _____ hours to prevent complications or to identify problems early.
tinnitus; weakness; leg cramps
Intravenous furosemide has been prescribed for a patient with severe edema and hypertension. What subject manifestations lead the nurse to suspect that the furosemide is infusing too rapidly?
45
Before the age of _____, men are at highest risk for HTN than women.
adenoma
A benign tumor formed from glandular structures in epithelial tissue.
hypovolemia
A decreased volume of circulating blood in the body.
checked by a second nurse
A health care provider prescribes milrinone for a patient with congestive heart failure. What action would the nurse perform first? Have the prescription, dosage calculations, and pump settings ____________________.
general anesthesia
After a cardiac catheterization, encouraging frequent coughing and deep breathing is NOT necessary b/c the patient did not have __________ _________ and will soon be ambulatory.
tachycardia; hypotension
After a cardiac catheterization, pulse rate and BP are monitored to detect ___________ and ________, which may indicate post-procedure bleeding.
semi-Fowler
After a cardiac catheterization, the ___________ position is contraindicated (flexion of the groin may compromise the clot at the femoral insertion site).
hypervolemia
Also called fluid overload; condition of having too much water in your body
aldosteronoma
An aldosterone-secreting adenoma of the adrenal cortex
second nurse; 10; dysrhythmias; vital signs
Milrinone: 1. Check accuracy with _____ ______. 2. Administer loading dose over _____ minutes. 3. Monitor for _________ (they are common with this drug and may be life-threatening). 4. Take _______ ______ continuously (b/c does needs to be slowed or discontinued if the BP decreases excessively)
cardiac output
Multiplying the heart rate by the stroke volume is the:
dehydration
Nausea and anorexia and dry mouth are side effects of __________ that may occur with an overload of furosemide.
cyanosis
Occurs due to an increased amount of deoxygenated hemoglobin in the blood (results in a bluish discoloration of skin around the lips).
peripheral arterial occlusive disease
Pain that develops during exercise (intermittent claudication) is a classic symptom of _________ ___________ ________ ____________. Arterial occlusion prevents adequate blood flow to the muscles of the legs, causing ischemia and pain.
myocardial ischemia
ST-segment depression is an indication of ___________ ____________. The nurse would have the patient stop exercising and monitor the ECG and BP.
nesiritide
Side effects of _________ may include headache, insomnia, and hypotension.
aspirin; nonsteroidal anti-inflammatory drugs (NSAIDS); prednisone
Some medications, such as _____, ___________________, and _________, irritate the stomach lining and may cause bleeding with prolonged use.
medical alert bracelet; bleeding; estrogen; prothrombin times; anticoagulation
What actions would the nurse include in the plan of care for a patient who had an ischemic stroke caused by atrial fibrillation and has been placed on anticoagulation therapy to prevent further strokes from occuring? 1. Wearing a _______________. 2. Initiating ________ precautions. 3. Refraining from _______ therapy. 4. Obtaining routine __________ _________. 5. Notifying providers of ___________.
hypotension
What clinical manifestation occurs in a patient with vasopressin deficiency?
Frequent oral fluids for several hours
What collaborative action would be best to rehydrate an alert patient seen in the urgent care center with dehydration, a heart rate of 100 bpm, and BP of 104/62 mm Hg?
dyspnea on exertion (DOE)
What condition is consistent with a diagnosis of heart failure?
Uterine tenderness and increased fetal activity
What would the nurse expect to find when assessing a patient suspected of having abruptio placentae?
Bear down because of constipation
When a patient is seen for follow-up in the clinic after rhinoplasty and reports several episodes of epistaxis (nosebleeds), what should the patient not do?
physical activity
________ ___________ would not be restricted in a patient who recently had a MI.
shock
________ occurs with hemorrhage because the body doesn't have time to adapt to the sudden loss of blood.
spironolactone
___________ may cause edema.
cardiac catheterization (CC)
passage of thin tube (catheter) through veins or arteries (in groin, neck, or arm) leading into heart; used to detect heart abnormalities, to collect cardiac blood samples, and to determine pressure within heart
hypovolemic shock
shock resulting from blood or fluid loss
Swallow the capsule whole on an empty stomach
A patient is discharged with a prescription for sustained-release nitroglycerin. What information will the nurse provide the patient?
cardiac decompensation
A 3-year-old child is admitted to the pediatric unit with a hemoglobin level of 6.4 mg/dL. What would the nurse's priority assessment be? Signs of _____________ _________.
Digoxin (Lanoxin)
A child being treated with cardiac medications developed vomiting, bradycardia, anorexia, and dysrhythmias. The nurse understands which medication toxicity is responsible for these symptoms?
Medications taken routinely or recently
A patient develops gastric bleeding and is hospitalized. What area would the nurse assess most closely during the history?
Assess the affected leg every 2 hours to ensure adequate tissue perfusion
A patient with a fractured head of the right femur is placed in Buck extension. What action would the nurse take?
Continue current plan of care
A postoperative patient has these changes in HR and BP with position changes: Lying HR = 70 bpm, BP = 110/70 mm Hg; Sitting HR = 78 bpm, BP = 106/66 mm Hg; Standing HR = 85 bpm, BP = 108/64. What collaborative intervention will the nurse anticipate?
Raynaud phenomenon
Intermittent episodes of constricted arteries and arterioles in response to extreme cold or emotional stress, causing pallor, paresthesias, and pain.
ST-segment depression
When a patient with chest pain is having an exercise electrocardiogram (ECG), what finding by the nurse would require the most rapid action?
erythema
While assessing the patient's skin, the nurse notices a skin condition. The nurse realizes the pathophysiology involved increased visibility of oxyhemoglobin caused by an increased blood flow due to capillary dilation. What skin condition is associated with this patient?
vasopressin
________ regulates fluid level and blood pressure.
rheumatoid arthritis
__________ ___________ is associated with joint pain, erythema, and swelling; pain may be present with or without activity, particularly when one is awakening.
adequate blood flow; oxygen; nutrients; exercise; rest
Intermittent claudication is pain that results when the arterial system is unable to provide ___________ ________ _____ to the tissues in the presence of increased demands for __________ and __________ during ________; it is relieved by ________.
intermittent claudication (IC)
When a patient with peripheral arterial disease tells the nurse about having leg pain and weakness after walking a short distance, how will the nurse document this information?
intraosseous (IO) infusion
When rapid fluid infusion is needed and no IV access is available, ____________ _______ of fluids results in the same rate of absorption as IV infusion.
hyperactive
When the placenta initially separates from the uterus, the fetus may become _________ as a response to acute hypoxia.
Buerger disease
_________ ________ is associated with foot pain and cramping; rubor may be present, and pedal pulses may be absent.
African Americans
_________ have the highest risk for hypertension.
vesicular
_________ sounds are relatively soft, low-pitched, gentle, rustling sounds.
Mexican-American
__________ patients are less likely to seek treatment for HTN.
dobutamine
___________ may cause hypertension and hypotension.
bronchial
___________ sounds are louder and higher pitched and resemble air blowing through a hollow pipe.
hypodermoclysis
_____________ is used to slowly infuse fluids through the subcutaneous route (IV fluids would not be absorbed rapidly).
bronchovesicular
_______________ sounds have a medium pitch and intensity and are heard over the mainstem bronchi on either side of the sternum and posteriorly between the scapulae.
dark
With abruptio placentae, the uterus is tender because of the accumulation of blood at the abrupted placental site. If bleeding occurs, it is ______ red and usually does not clot.
adrenal cortex
What gland is affected in aldosteronoma?
Keep a diary of activities during the day
What instruction will the nurse give a client with dysrhythmias who is scheduled to wear a Holter monitor for 24 hours?
Monitoring the insertion site for bleeding
What is involved in the post-procedure nursing care of a child after left-side cardiac catheterization?
clot
A patient taking anticoagulants should be advised to refrain from estrogen therapy because this can lead to ______ formation.
Intermittent claudication (IC)
A patient tells the nurse, "My legs begin to hurt after walking for several blocks. The pain goes away when I stop walking, but it comes back again when I resume walking." What condition would the nurse consider at the most likely cause of the patient's pain?
pulse deficit
Calculating the difference between the apical and radial pulse is the:
increasing
Cardiac decompensation results because the heart attempts to maintain tissue oxygenation by __________ its workload.
hemorrhage
Post-procedure __________ is a life-threatening complication after cardiac catheterization (possible because arterial blood is under pressure and the catheter has entered an artery).
20; 10
Postural hypotension (aka orthostatic hypotension) is a decrease of _____ mm Hg of systolic pressure or more than _____ mm Hg of the diastolic pressure.
intraosseous
The health care provider in the emergency department prescribes an infusion of 1 liter of normal saline over an hour for a patient with a traumatic injury, and no peripheral intravenous (IV) line is available. What action would the nurse anticipate taking next? Insert an _________ line and start the prescribed infusion.
nutrition
The lab values of a patient with a new esophageal cancer diagnosis include a hemoglobin of 7 g/dL, hematocrit of 25%, and a RBC count of 2.5 million/mm 3 (2.5 x 10 12/L). What priority goal would the nurse add to the plan of care? The patient will demonstrate improved ________.
adventitious
The nurse describes a patient's abnormal breath sounds and included crackles, rhonchi, wheezes, and pleural friction rubs. Which breath sounds did the nurse hear?
anterior; lateral
To check a patient's carotid pulse, where would the nurse palpate? At the _________ neck, ________ to the trachea.
Monitor the pulse and BP
What action is included in nursing care for a patient who just had a cardiac catheterization?
Subtract the diastolic from the systolic reading
What action will the nurse take to determine a patient's pulse pressure?
