NUR 257 Exam 3
Study online at https://quizlet.com/_gdb7by
1. Pt has a hx Raise the head of the bed and assess
of PE with sud-
den onset of CP
and SOB, what
should you do?
2. A patient with a Notify the surgical/anesthesia team. Assess the curve. Work with the surgical team
spinal curve may on positioning.
have issues lying
flat. This is new
info what should
you do with a
pending surgery.
3. What valvular Mitral valve stenosis indicative of pulmonary hypertension presenting with fatigue
disorder is asso- hemoptysis and SOB.
ciated with pul-
monary HTN and
hemoptysis?
4. Bacterial Endo- Antibiotic therapy until complete eradication achieved
carditis Treat-
ment
5. Patient starting Blood pressure (both medications can affect bp, monitor for effectiveness and
an ACE-inhib or safety)
diuretics. What
VS is a primary
assessment?
6. Labs...pt should Lipid profiles and lab work require at least 12 hr fasting time for accuracy. BNP
do what prior? can give preliminary diagnosis of heart failure. Cholesterol findings could lead to
, NUR 257 Exam 3
Study online at https://quizlet.com/_gdb7by
finds of atherosclerosis. High levels of CPK usually indicate some sort of stress or
injury to your heart or other muscles.
7. Mechanical valve lifetime use of warfarin
education prophylactic antibiotics
Anticoagulation therapy (warfarin: take as prescribed, monitor INR 2.5-3.5, no
grapefruit juice), Dietary: Vit K can affect INR levels, no grapefruit juice, limit
alcohol. Prevent infection: endocarditis risk (oral hygiene, prophylactic antibiotics)
Recognize complications (blood clots, valve malfunction, signs of bleeding.)
8. Cardiac stress CAD, arrhythmias, HF, Ischemic heart disease, valvular heart disease, cardiomy-
test looks for opathy, pulmonary HTN, peripheral artery disease.
what diseases
9. What do you do if Stop the test and assess the pt
during the stress
test pt develops
cp?
10. Frequency of car- Serial labs are typically every 3 -4 hours when trending cardiac enzymes like
diac labs for a troponin and CK-MB. This normally runs for 12 hrs.
MI?
11. What does peri- friction rub (like sandpaper rubbed on wood)
carditis sound
like?
12. What are the Improve cardiac output and peripheral blood flow, increase activity tolerance and
goals of interven- improve gas exchange, reduce anxiety. (cluster activities; legs down/monitoring
tion? edema)(slide 58)
13. Third and fourth heart sounds s3, s4. murmurs. crackles (rales)
, NUR 257 Exam 3
Study online at https://quizlet.com/_gdb7by
Heart failure
what might you
hear?
14. Dilated Muscle fibers have stretched heart chambers enlarged. (walls of the heart become
cardiomyopathy thin and the heart gets larger)
(DCM) is what
(phys. Descipt.
Of the heart)
15. Can your HF in- Yes. Physical limitations, medication side effects, medical appointments, emotion-
tervention inter- al and cognitive effects all affect a persons job.
vene with a per-
sons job?
16. Cardiomyopathy Hypertrophic cardiomyopathy (HCM)(condition where heart muscles become
related to abnormally thick, makes it hard for the heart to pump blood) is what we are seeing
young/athletes? in young athletes who are falling out on the field.
17. What do we ex- Cardiac tamponade is the restriction of heart function because of this fluid,
pect to hap- resulting in decreased venous return and decreased CO. Cardinal signs of cardiac
pen/treat cardiac tamponade: falling systolic BP, narrowing pulse pressure, rising venous pressure,
tamponade? distant heart sounds. Pulsus paradoxus, SOB, chest pain, engorged neck veins.
Treatment: pericardiocentesis (removing the fluid from around the heart)
18. Definitive test to blood cultures are needed to verify abx type in treating endocarditis.
treat endocardi-
tis (ID ABX)?
19. Valvuloplasty can OR, or cathlab
be done where?
20.
Study online at https://quizlet.com/_gdb7by
1. Pt has a hx Raise the head of the bed and assess
of PE with sud-
den onset of CP
and SOB, what
should you do?
2. A patient with a Notify the surgical/anesthesia team. Assess the curve. Work with the surgical team
spinal curve may on positioning.
have issues lying
flat. This is new
info what should
you do with a
pending surgery.
3. What valvular Mitral valve stenosis indicative of pulmonary hypertension presenting with fatigue
disorder is asso- hemoptysis and SOB.
ciated with pul-
monary HTN and
hemoptysis?
4. Bacterial Endo- Antibiotic therapy until complete eradication achieved
carditis Treat-
ment
5. Patient starting Blood pressure (both medications can affect bp, monitor for effectiveness and
an ACE-inhib or safety)
diuretics. What
VS is a primary
assessment?
6. Labs...pt should Lipid profiles and lab work require at least 12 hr fasting time for accuracy. BNP
do what prior? can give preliminary diagnosis of heart failure. Cholesterol findings could lead to
, NUR 257 Exam 3
Study online at https://quizlet.com/_gdb7by
finds of atherosclerosis. High levels of CPK usually indicate some sort of stress or
injury to your heart or other muscles.
7. Mechanical valve lifetime use of warfarin
education prophylactic antibiotics
Anticoagulation therapy (warfarin: take as prescribed, monitor INR 2.5-3.5, no
grapefruit juice), Dietary: Vit K can affect INR levels, no grapefruit juice, limit
alcohol. Prevent infection: endocarditis risk (oral hygiene, prophylactic antibiotics)
Recognize complications (blood clots, valve malfunction, signs of bleeding.)
8. Cardiac stress CAD, arrhythmias, HF, Ischemic heart disease, valvular heart disease, cardiomy-
test looks for opathy, pulmonary HTN, peripheral artery disease.
what diseases
9. What do you do if Stop the test and assess the pt
during the stress
test pt develops
cp?
10. Frequency of car- Serial labs are typically every 3 -4 hours when trending cardiac enzymes like
diac labs for a troponin and CK-MB. This normally runs for 12 hrs.
MI?
11. What does peri- friction rub (like sandpaper rubbed on wood)
carditis sound
like?
12. What are the Improve cardiac output and peripheral blood flow, increase activity tolerance and
goals of interven- improve gas exchange, reduce anxiety. (cluster activities; legs down/monitoring
tion? edema)(slide 58)
13. Third and fourth heart sounds s3, s4. murmurs. crackles (rales)
, NUR 257 Exam 3
Study online at https://quizlet.com/_gdb7by
Heart failure
what might you
hear?
14. Dilated Muscle fibers have stretched heart chambers enlarged. (walls of the heart become
cardiomyopathy thin and the heart gets larger)
(DCM) is what
(phys. Descipt.
Of the heart)
15. Can your HF in- Yes. Physical limitations, medication side effects, medical appointments, emotion-
tervention inter- al and cognitive effects all affect a persons job.
vene with a per-
sons job?
16. Cardiomyopathy Hypertrophic cardiomyopathy (HCM)(condition where heart muscles become
related to abnormally thick, makes it hard for the heart to pump blood) is what we are seeing
young/athletes? in young athletes who are falling out on the field.
17. What do we ex- Cardiac tamponade is the restriction of heart function because of this fluid,
pect to hap- resulting in decreased venous return and decreased CO. Cardinal signs of cardiac
pen/treat cardiac tamponade: falling systolic BP, narrowing pulse pressure, rising venous pressure,
tamponade? distant heart sounds. Pulsus paradoxus, SOB, chest pain, engorged neck veins.
Treatment: pericardiocentesis (removing the fluid from around the heart)
18. Definitive test to blood cultures are needed to verify abx type in treating endocarditis.
treat endocardi-
tis (ID ABX)?
19. Valvuloplasty can OR, or cathlab
be done where?
20.
