NUR 425 MedSurg 2 - Exam 3 (Study Guide)Questions and Answers Best rated A+ Guaranteed Success Latest Update

What is a good item that is low in sodium (Na) and saturated fats? -CORRECT ANSWERSkinless Chicken Breast Increased ____________ results in a more forceful contraction and __________ cardiac output. -CORRECT ANSWER-Increased preload results in a more forceful contraction and increases cardiac output. A __________ in cardiac contractility results in lower ______________ and subsequent cardiac output. -CORRECT ANSWER-A reduction in cardiac contractility results in lower preload and subsequent cardiac output. Note: Hypovolemia is a lower blood volume and will result in lower cardiac output _____________ is a lower blood volume and will result in _________ cardiac output. - CORRECT ANSWER-Hypovolemia is a lower blood volume and will result in lower cardiac output. __________ resistance increases __________ and increases the workload on the heart. - CORRECT ANSWER-Peripheral vascular resistance increases afterload and increases the workload on the heart. Diagnostic lab findings consistent with myocardial injury? -CORRECT ANSWERTroponin ** gold standard for determining if pt suffered a cardiac injury Diagnostic standard for diagnosing MI? -CORRECT ANSWER- ECG What RX is used to decrease afterload? -CORRECT ANSWER- AntihypertensivesWhat RX to decrease preload? -CORRECT ANSWER-Diuretics What RX is used to increase contractility? -CORRECT ANSWER-Inotropic Education for a patient with cardiac disease includes what teachings? -CORRECT ANSWER- 1. Lifestyle changes 2. Diet and nutrition 3. Report chest pain immediately Early intervention for newly diagnosed prehypertension? -CORRECT ANSWER-Lifestyle change- Risk reduction Hypertensive Crisis is often the result of? -CORRECT ANSWER- Not following medication dosing instructions Hypertensive crisis symptoms -CORRECT ANSWER- 1. Severe Headache 2. Blurred Vision 3. Epistaxis 4. Extremely high BP Priority nursing assessment to prevent hypertensive crisis complications? -CORRECT ANSWER-Recognize the manifestations How is HTN diagnosed? -CORRECT ANSWER-BP greater than 130/80 based on the average of two or more readings taken on separate occasionsWhen taking a patient's BP, it is higher than their baseline, what is the appropriate nursing intervention? -CORRECT ANSWER-Switch arms and retake the BP. What are the expected outcomes of effective HTN treatment? -CORRECT ANSWER-Lower BP Remember: BP at goal (typically 130/80) First line treatment for HTN? -CORRECT ANSWER-Thiazide diuretic ________ can lead to stroke which is manifested with _____ drooping and _____ speech. - CORRECT ANSWER-Atherosclerosis can lead to stroke which is manifested with facial drooping and slurred speech. If the nurse finds a patient with symptoms of stroke, what are the three priority nursing interventions/ actions? -CORRECT ANSWER- 1. Initiate Rapid Response 2. Protect Airway: Raise HOB, Turn, Suction 3. Vitals Atherosclerosis: What are four modifiable risk factors? -CORRECT ANSWER- 1. Smoking 2. Diet 3. Activity 4. Obesity What are some risk factors for Atherosclerosis? -CORRECT ANSWER• Elevated cholesterol, triglycerides, & LDL • Low HDL High BP, High Cholesterol, HA1C of 7.5 -- if all the medications are ordered which on do you administer first? -CORRECT ANSWER- BP