Adult 1 Final - Cardiac

Front 1

pt with anemia experiencing weakness and malaise manifested by difficulty tolerating acitivity. Appropriate nursing actions include:

Back 1

plan a schedule of alternating activity and rest periods; monitor vital signs before and after activity; limit visitors

Front 2

Pt teaching for Iron supplements

Back 2

stools may be dark green or black; increase fluid intake if become constipated; take with OJ.

Front 3

pt w/ sickle cell anemia, pain is caused by

Back 3

clumping of cells cause occlusion of small artiers leading to tissue necrosis.

Front 4

Contributing risk factor for thrombophlebitis

Back 4

taking birth control pills

Front 5

Hypotensive pt - what effect from baroreceptor stimulation on the heart rate is to be expected?

Back 5

the heart rate would increase.

Front 6

Hypertensive patient has stopped taking meds b/c interferes with social life. Best response:

Back 6

BP meds can cause changes in energy, sexual function. Can you tell me about any problems you might have?

Front 7

Explain Cardiac catherization with coronary angiography with possible PCTA (percutaneous transluminal coronary angioplasty) to a pt.

Back 7

Used to visualize any blockages in the coronary arteries and if necessary dilate an obstructed artery with the use of a small balloon.

Front 8

Type of data collected to assess for thrombophlebitis

Back 8

measure calf diameter

Front 9

Pt during hypertensive crisis could have been precipitated by

Back 9

abrupt withdrawal of drug therapy

Front 10

Pt with high normal BP, smoker, Hx of corornary heart diseases. Initial treatment would include:

Back 10

lifestyle modifications

Front 11

Relationship between diabetes and hypertension is

Back 11

diabetes contributes to the fat and plaque in the arteries increasing vascular resistance.

Front 12

Pt asks why is she on coumadin and heparin at the same time? Best response:

Back 12

It takes several days for the coumadin to have an effect, so we need to keep yo on the heparin for a day or two more, checking your INR daily.

Front 13

Pt with hx of migraines now having episodes of chest pain. Nurse recongnizes that

Back 13

he may be suffering from Prinzmetal’s angina.

Front 14

Pt with thin, shiny, hairless skin on the lower extremities. Nurse recognizes this as

Back 14

symptoms of Peripheral vascular disease (PVD)

Front 15

Pt with acute DVT. NIs include

Back 15

the use of elastic stocking to promote venous return, use of intermittent pneumatic compression devices and the used of heparin to prevent further clotting.

Front 16

Pt taking Propanolol (Inderal), a beta-adrenergic blocking agent for tx of stable angina. Nurse recognizes this drug may also

Back 16

decrease blood pressure.

Front 17

pt w/ aching pain, cramping sensation that occurs after walking for 15 minutes or more in both legs. Nurse suspects:

Back 17

intermittent claudication

Front 18

pt w/ stable angina now reports waking from sleep with chest pain. Nurse recognizes

Back 18

he may have progressed from stable to unstable angina.

Front 19

A NTG patch has been effective

Back 19

when the pt reports no episodes of chest pain.

Front 20

An NI for health promotion for a pt recently dx w/ hypertension

Back 20

design a wt control program consistent with her lifestyle

Front 21

Three BP readings consistent with HTN

Back 21

144/94, 156/90 and 142/88.

Front 22

pt with deep vein thrombophlebitis c/o chest pain/difficulty breathing. HR 142, BP 100/60 and R 42. Appropriate action

Back 22

elevate HOB, administer O2 and call doc.

Front 23

pt during blood transfusion dev. tachycardia, tachypnea, chills and low back pain. this is characteristic of

Back 23

an anaphylactic reaction

Front 24

pt w/ venous stasis ulcer on leg. NI necessary to promote healing of the ulcer

Back 24

Keep the ulcer moist to promote epithelialization

Front 25

pt’s BP not responding consistently to the meds for HTN. First cause...

Back 25

patient now adhering to medication therapy.

Front 26

Breakfast foods that would be most approriate for a pt on a low cholesterol...

Back 26

banana, decaf coffee, etc

Front 27

pt w/ newly diagnosed HTN, dietary ed should include to

Back 27

avoid processed foods.

Front 28

Pt w/ hx of CAD and angina c/o of chest pains walking to bathroom. Nurse should first

Back 28

administer nitroglycerin

Front 29

pt with elevated cholesterol and LDL levels. Nurse educates pt to

Back 29

switch from whole to 1%milk.

Front 30

Pt w/ HTN hasnt been able to lose the 30 lbs he’s gained over last 10 years. Appropriate ND

Back 30

Ineffective Health maintenance r/t lack of knowledge of disease process and mgmt.

Front 31

Thromboplastin times (aPTT) indicates coagulation is adequate

Back 31

the pt’s aPTT is twice the control value

Front 32

Teaching regarding precipitating factors of angina

Back 32

avoid strenuous exercise after eating for two hours.

Front 33

Pt w/ Reynaud’s disease - NI to prevent complication

Back 33

Wear gloves when exposed to cool temperatures

Front 34

Pt w/ CAD needs more teaching when

Back 34

he says “I usually wait about 2 hours after I feel chest discomfort before calling doc.”

Front 35

Stage III HTN

Back 35

average BP of 182/106

Front 36

Prior to blood transfusion, nurse needs to double check

Back 36

blood unit number and blood type.

Front 37

To ensure pt safety during heparin therapy, the nurse should have immediate access

Back 37

to protamine sulfate

Front 38

Pt with pernicious anemia shows understanding when they say

Back 38

I will go to my doctor’s office once a month for cobalamin (vit B12) injections.

Front 39

Risk factor for CAD

Back 39

smoking

Front 40

ND least likely for pt w/ Primary HTN

Back 40

Pain r/t increased vascular resistance and cardiac output

Front 41

Priority ND for pt with inadequate platelet production

Back 41

Ineffective protection r/t bleeding tendency

Front 42

Pt w/ numerous petechiae on the skin, nurse specifically ask about

Back 42

aspirin compounds

Front 43

Non modifiable RF for CAD

Back 43

genetic predisposition

Front 44

Dietary modifications for pt w/ CAD

Back 44

fish and skinless chicken are preferable to red meats as protein sources

Front 45

pt on SQ heparin therapy; nurse should report to the physician

Back 45

two nose bleeds during shift

Front 46

Pt on coumadin therapy needs more pt ed when they say

Back 46

“I should change my diet to include more green, leafy veggies.”

Front 47

pt w/ stable angina and is starting NTG, most important expected outcome

Back 47

is for the patient to identify the need to seek medical attention if chest pain is unrelieve by three NTG tabs at 5 min. intervals

Front 48

Seconday HTN is differentiated from Primary HTN ..

Back 48

in that sec. HTN has a specific cause, such as in renal disease or sleep apnea.

Front 49

pt w/ unstable angina. O2 is ordered and is related to which pathophysiology?

Back 49

myocardial hypoxia

Front 50

pt w/ neutropenia, to assess for presence of infection monitor

Back 50

temperature q4h