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Exam (elaborations)

UWorld NCLEX-PN Rationale-based Flashcards with Complete Solutions

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UWorld NCLEX-PN Rationale-based Flashcards with Complete Solutions 1. B/P Medication side effects? 2. Angina pectoris risk factors? 3. Define angina pectoris 4. Purpose of an ICD (implantable cardioverter de- fibrillator)? 5. Postoperative teaching for ICD? 6. Where is an ICD placed? 7. Home care in- structions for discharging a pa- tient with heart failure following myocardial in- farction? 8. Chronic Ve- nous Insufficien- cy (CVI) s/sx? - fatigue - erectile dysfunction - dizziness - Smoking - Extreme temperatures - Physical exertion (including sex) - Intense emotion

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UWorld NCLEX-PN Rationale-based Flashcards with Complete Solutions

1. B/P Medication - fatigue
side effects? - erectile dysfunction
- dizziness

2. Angina pectoris - Smoking
risk factors? - Extreme temperatures
- Physical exertion (including sex)
- Intense emotion
- Coronary artery narrowing
- Stimulants (cocaine, amphetamines)

3. Define angina Chest pain due to myocardial ischemia (decreased blood
pectoris flow to heart).

4. Purpose of an - sense and defibrillate life-threatening dysrhythmias.
ICD (implantable - overdrive pacing for rapid heart rhythms
cardioverter de- - back-up pacing for bradycardia that may occur after
fibrillator)? defibrillation.

5. Postoperative Don't lift arm of affected side above the shoulder unless
teaching for ICD? cleared by the health care provider.

6. Where is an ICD In the endometrium via the subclavian vein.
placed?

7. Home care in- - How to take own pulse
structions for - Monitoring weight daily
discharging a pa- - Reduction of sodium in diet
tient with heart - Take blood pressure and keep record of it
failure following - Avoid temperature extremes
myocardial in- - Increase walking, but plan for rest periods
farction?

8. Chronic Ve- - Brownish skin discoloration on lower extremities
nous Insufficien- - Chronic edema
cy (CVI) s/sx? - Inflammation
- Leathery skin
- Venous leg ulcers inside of ankle

9. Sit up and lean forward
1/8

, UWorld NCLEX-PN Rationale-based Flashcards with Complete Solutions

How to improve
pain due to acute
pericarditis?

10. Pericarditis treat- NSAIDs or aspirin plus colchicine.
ment?

11. Pericarditis is Pleuritic chest pain.
characterized by
what symptom?

12. Pericarditis is Inspiration and coughing.
known to be ag-
gravated by what
actions?

13. Normal urinary 30 mL/hr
output?

14. Urinary out- - low vascular volume
put below 30 - decreased renal perfusion
ml/hr may signify - intrinsic kidney injury
what? - urine outflow obstruction

15. A client with Auscultate for lung sounds to assess for crackles due
heart failure with to decreased cardiac function and buildup of fluid in the
decreased urine lungs.
output, what ac-
tion is the priori-
ty?

16. Anticipated treat- Loop diuretics.
ment for a client
with decreased
urine output r/t to
heart failure?

17. Critical and > 100 sec.
life-threatening
PTT value?
2/8

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