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30 Cards in this Set
- Front
- Back
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Dietary mgmt of hypokalemia is important to the cardiac client. Nursing intervention should include teaching the client which foods to consume that are high in potassium, provided their renal function is adequate.
List 6 food items that are high in potassium |
apricots, bananas*, figs, orange juice*, potatoes*, prunes, raisins, spinach, tomatoes*
* Remember these! |
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Classify these diuretics as thiazides, loop or potassium sparing:
spironolactone furosemide (lasix) hydrochlorothiazide triamterene |
spironolactone - potassium sparing
furosemide - loop hydrochlorothiazide - thiazide triamterene - potassium sparing |
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To prevent digoxin therapy, what 3 things must the nurse assess for?
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check client's heart rate
check digoxin level check potassium level |
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What effect does digoxin have on:
cardiac output heart rate venous pressure myocardial contractility |
increases cardiac output
decreases heart rate decreases venous pressure increases myocardial contractility |
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Indicative or left- or right-side failure?
ascites |
right
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Indicative or left- or right-side failure?
coughing |
left
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Indicative or left- or right-side failure?
dependent edema |
right
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Indicative or left- or right-side failure?
distended neck veins |
right
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Indicative or left- or right-side failure?
dyspnea |
left
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Indicative or left- or right-side failure?
hemoptysis |
left
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Indicative or left- or right-side failure?
hepatomegaly |
right
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Indicative or left- or right-side failure?
nocturia |
right
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Indicative or left- or right-side failure?
orthopnea |
left
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Indicative or left- or right-side failure?
pulmonary congestion |
left
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Indicative or left- or right-side failure?
S3 heart sounds |
left
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Indicative or left- or right-side failure?
tachycardia |
left
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Indicative or left- or right-side failure?
visceral/peripheral congestion |
right
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List 8 factors for coronary artery disease
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diabetes, hyperglycemia
physical inactivity hyperlipidemia hypertension increasing age obesity family history smoking stress use of oral contraceptives |
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Located between the right ventricle and pulmonary artery
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pulmonary valve
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located between the right atrium and the right ventricle
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tricuspid valve
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Located between the left atrium and the left ventricle
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mitral valve
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Pacemaker of the heart
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sinoatrial node
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created by the flow of blood through narrow valves or incomplete closure of valves, resulting in prolonged sounds
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murmurs
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Transient sounds heard during systole and diastole, associated with an impedance to blood flow
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gallops
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caused by the abrasion of pericardial surfaces secondary to inflammation
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friction rubs
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Heard over the mitral area; created by the closure of the mitral and tricuspid valves
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S1
"lub" |
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Heard at the base of the heart; created by the closure of the aortic and pulmonary valves
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S2
"dub" |
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Heard during atrial contractions and often associated with ventricular hypertrophy and resistance to filling' also associated with coronary artery disease, hypertension, aortic stenosis
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S4
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Heard during rapid ventricular filling and can be a normal finding in young children; often associated with congestive heart failure and failure of ventricles to eject blood
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S3
"3 strikes and you're out" - heart failure |
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When auscultating heart sounds, S1 is loudest at which area of the heart?
A. pulmonic B. tricuspid C. aortic D. mitral |
D. S1 which corresponds to the closure of the mitral and tricuspid valves, is loudest at the mitral area
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