Med Surge CARDIO review
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| HF - discharge teaching: nurse should report? | Weight gain of 1kg (2.2 lbs) in 24 hr. period
[indication of fluid retention resulting from worsening HF]
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| Coronary Bypass Graft + Warfarin: patient teaching? | patients taking anticoagulants such as Warfarin should discontinue at least 1 week prior to surgery [prevents excessive bleeding]
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| Digoxin - prior to surgery usually withheld? | for 12 hrs. prior to surgery
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| DM patients are at great risk for | peripheral arterial disease
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| Daily caloric intake from fat should be at least what percentage? | 25% RDA
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| Client comes in for stress test, if smoking prior, what should nurse do? | reschedule - smoking may change test outcome and place client at additional risk
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| Is pt. experiencing chest pain a reason to reschedule a stress test? | no, this is not contraindicated
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| arterial and venous ulcer pain levels | degrees of pain vary
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| DM pt. with a leg ulcer - which focused assessment should be done? | Inquire about presence or absence of CLAUDICATION
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| arterial ulcers: ___ claudication vs. venous ulcer ___ claudication | arterial ulcers - HAVE claudication
venous ulcers - DO NOT HAVE claudication
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| claudication - means? | limping, pain discomfort in legs, walking discomfort
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| patient heart rhythm changes from normal sinus to supraventricular tachycardia -expected nursing intervention | Vagal stimulation
[helps pt. return to normal sinus rhythm temporarily]
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| After coronary artery bypass graft (CABG) surgery - nurse should report? | increased BP
[may cause bleeding at incision sites]
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| After coronary artery bypass graft (CABG) surgery -mediastinal draining can be up to how many ML? | 150 mL/hr
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| Should thrombolytic therapy be an intervention after a MI surgery? | No, it is contraindicated within 10 days postoperative
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| After heart transplant pt. teaching re: chest pain? | patient may no longer be able to feel chest pain
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| How long does pt. take immunosuppressants after heart transplant? | Lifelong, to prevent rejection
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| Absence of adventitious breath sounds in a patient with pulmonary edema R/T heart failure is an indication of? | effective treatment
[indicates pulmonary edema is resolving]
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| Patient w/HF experiencing A-Fib, - nurse should report? | slurred speech
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| Is dependent edema an expected finding for clients with HF? | yes, no need to report to HCP
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| A/E of ACE inhibitors in which case medication should be discontinued if patient presents with... | a persistent cough
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| Coughing postoperative an aortic aneurysm [is / is not] associated with shock | Is Not indicative of shock
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| Urine output less than 30 mL/hr postoperative an aortic aneurysm [is / is not] associated with shock | Is indicative of shock
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| Coronary angiography is contraindicated in patient with previous allergic reaction to? | shellfish
[the contrast medium used is iodine-based]
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| C-reactive protein [falls / rises] after inflammatory process begins | rises
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| Creatine kinase-MB | the enzyme specific to the myocardium and is elevated when the muscle is injured
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| Pt. presents to ED with hypertensive crisis, - priority nursing intervention | start an IV
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| Pt. with bradydysrhythmia S/S that requires immediate intervention? | weakness and fatigue
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| Weight gain that results from decreased cardiac output, is related to ___-degree heart block? And [does / does not] require immediate intervention? | second-degree heart block; does not
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| Pulsus paradoxus is an indicator of cardiac tamponade when BP is? | 10 mmHg or higher on expiration than on inspiration
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| Left-sided HF manifestation, ___ peripheral pulses | WEAK peripheral pulses
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| Right-sided HF manifestation, distension of the ___ ___ ... | jugular vein R/T systemic congestion
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| Blood vessel - palpable vibration is called? | a thrill; turbulent blood flow through vessel
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| Blood vessel - weak, thready pulse has ___ pressure; ____ to palpate? | little pressure; hard to palpate
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| Blood vessel - bruit sound is? | an abnormal buzzing/humming sound
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| Blood vessel - bounding is? | extra full, hard; may occur with atherosclerosis/hypovolemia
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| Cardiac risk cholesterol formula? | total cholesterol / HDL; higher number; higher risk
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| Factors with values predicative of CAD or evidence of MI? | ↑C-reactive protein / ↑ troponin / ↑ lipo-protein associated phospholipase A2
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