Nclex

Front 1

heart attack

Back 1

occurs when the blood flow to a part of the heart is blocked by a blood clot.

Front 2

heart attack tx

Back 2

medication
lifestyle changes
coronary angioplasty
coronary artery bypass graft

Front 3

warning signs of heart attack

Back 3

chest discomfort
SOB

Front 4

ischemic stroke

Back 4

occurs when a blood vessel that feeds the brain gets blocked, usually from a blood clot.

Front 5

ischemic stroke result

Back 5

inability to carry out some of the previous functions as before like walking or talking

Front 6

warning signs ischemic stroke

Back 6

sudden numbness or weakness of the face
sudden confusion
trouble speaking or understanding
sudden trouble seeing in one or both eyes
sudden trouble walking
sudden severe h/a

Front 7

hemorrhagic stroke

Back 7

occurs when a blood vessel within the brain bursts

Front 8

cause hemorrhagic stroke

Back 8

uncontrolled HTN

Front 9

treatment for stroke

Back 9

medications (clotbusters within 3 hours from ONSET of symptoms)
carotid endarterectomy

Front 10

heart failure

Back 10

means the heart is not pumping blood as well as it should.

Front 11

arrhythmia

Back 11

an abnormal rhythm of the heart

Front 12

treatment for arrhythmia

Back 12

medications
pacemaker
cardiac defibrillation

Front 13

bradycardia

Back 13

less than 60 BPM

Front 14

tachycardia

Back 14

greater than 100 BPM

Front 15

stenosis

Back 15

occurs when the heart valves do not open enough to allow the blood to flow through

Front 16

regurgitation

Back 16

heart valves do not close properly and allow blood to leak through

Front 17

mitral valve prolapse

Back 17

valve leaflets bulge or prolapse back into the upper chamber which allows blood to flow backward through them.

Front 18

tx for Mitral valve prolapse

Back 18

medications
heart valve surgery

Front 19

air/pulmonary embolism
s/s

Back 19

chest pain
difficulty breathing
tachycardia
pale/cyanotic
sense of impending doom

Front 20

air/pulmonary embolism
treatment

Back 20

turn pt to left side and lower the HOB

Front 21

woman in labor with unreassuring FHR
s/s

Back 21

late decels, decreased variability, fetal bradycardia

Front 22

woman in labor with unreassuring FHR
treatment

Back 22

turn on left side and give oxygen, stop pitocin, increase IV fluids

Front 23

tube feeding with decreased LOC
tx

Back 23

position patient on right side to promote emptying of the stomach with the HOB elevated to prevent aspiration

Front 24

position of patient for epidural puncture

Back 24

side lying

Front 25

tx after lumbar puncture and oiled based myelogram

Back 25

pt lies in flat supine postition to prevent h/a and leaking of CSF

Front 26

nursing care during continuous bladder irrigation (CBI)

Back 26

catheter is taped to thigh so leg should be kept straight
no other position restriction

Front 27

care after myringotomy

Back 27

postiion on side of affected ear after surgery to allow drainage of secretions

Front 28

care after cataract surgery

Back 28

pt will sleep on unaffected side with a night shield for 1 - 4 weeks

Front 29

care after thyroidectomy

Back 29

pt is in low or semi-fowler's position, support head, neck and shoulders

Front 30

anhydration

Back 30

the absence of water

Front 31

exsiccation

Back 31

removal of water crystallization and desiccation

Front 32

absolute hydration

Back 32

a deficit of water in relation to solutes

Front 33

voluntary dehydration

Back 33

occurs when an individual does not have a thirst

Front 34

anticoagulation

Back 34

reduces blood clot formation

Front 35

calcium channel blockers

Back 35

relax smooth muscle and increase oxygen delivery from the heart

Front 36

prostacyclin

Back 36

dilates the blood vessels

Front 37

treprostinil

Back 37

relaxes and dilates blood vessels

Front 38

bosentan

Back 38

widens the lung arteries and reduces blood pressure

Front 39

nitric oxide inhalation

Back 39

causes the pulmonary arteries to widen or open

Front 40

sildenafil (viagra)

Back 40

causes the pulmonary arteries to open; used for tx of pulmonary HTN and Erectile dsyfunciton

Front 41

diuretics

Back 41

increase urine output to reduce edema; thought to ease the symptoms and improve the heart's performance

Front 42

temperature for C

Back 42

5/9 * (F-32)

Front 43

temperature for F

Back 43

(1.8 * C) + 32

Front 44

normal b/p

Back 44

120/80

Front 45

wheezes

Back 45

high-pitched musical sound during both inspiration and expiration

Front 46

wheezes indicate

Back 46

emphysema, asthma, foreign bodies

Front 47

pleural friction rub

Back 47

produced by pleural inflammation and is heard on both inspiration and expiration; rough or grating sound

Front 48

pleural friction rub indicates

Back 48

pleurisy, pneumonia, pleural infarct

Front 49

rhonchi

Back 49

produced by passage of air through fluid filled narrow air passages. musical, squeaky, rattling, high-pitched or low-pitched

Front 50

rhonchi indicates

Back 50

pneumonia, emyphsema, bronchitis, bronchiectasis

Front 51

crackles or rales

Back 51

popping, crackling, bubblinb, moist sounds on inspiration

Front 52

crackles or rales indicates

Back 52

pneumonia, pulmonary edema, pulmonary fibrosis

Front 53

dobutamine

Back 53

dilates the peripheral vessesl to decrease work load of left ventricle

Front 54

informed consent

Back 54

must be signed and acknowledged by both the physician and the patient

Front 55

can nurses witness an informed consent

Back 55

yes

Front 56

GERD

Back 56

describes the return of gastric content into the esophagus

Front 57

GERD s/s

Back 57

cough, burning sensation in the stomach or chest, red or sore throat and pain in the gastric region

Front 58

GERD usually occurs

Back 58

at bedtime

Front 59

common causes of GERD

Back 59

caffeine, large meals before bedtime, overeating, spicy or fatty foos, binding clothing, acidic drinks, lack of mastication with meal consumption and constipation.