Hondros NUR 176- Exam 2
Caring for patient scheduled for endoscopic procedure. Which statement by pt. indicates need for
further teaching? - I won't eat before the procedure but I can have fluids to drink immediately
after it is done
Aspirin - blood thinner
Administration of glycerin - Sublingual, 1 pill q5min, maximum of three pills, if pain continues call
doctor, possible HA
After surgery treatment to prevent DVT - Frequent ambulation
Check pedal pulses
SCD's/socks
Heparin (subcut)
anuric - less than 100 mL/24 hr
ARF Causes - Hemorrhage, trauma, infection, decreased cardiac output, medications
ARF S/S - mimics dehydration s/s, anorexia, h/a, edema, vomiting, nausea, lethargy,
Assessment before hemodialysis - Weight Pt before/after dialysis to know how much fluid
A BARIUM ENEMA IS CONTRAINDICATED IN PATIENTS WITH - ACUTE DIVERTICULITIS DUE TO THE
POSSIBILITY OF PERFORATION OF THE DIVERTICULUM
Assessment for AV fistula - Palpate for thrill, auscultate bruit
Assessment for Peritoneal dialysis - If not flow, reposition Pt
,Atenolol (Tenormin) - Medication for MI
atrial fibrillation - an abnormal heart rhythm characterized by rapid and irregular beating of the
atria. An irregular, often rapid heart rate that commonly causes poor blood flow can beat up to 600 BPM
AV Fistula - Is used to give hemodialysis. Vein and artery are put together (surgically done)
AV fistula precaution - Do not use the arm where Pt has the AV fistula (no B/P, blood drawn)
barium enema can - diagnosis but if acute beware
Beta blockers - medication used to treat several different types of conditions, including
hypertension (high blood pressure), angina, some abnormal heart rhythms, heart attack (myocardial
infarction)
A patient with a history of cardiac problems talks with the nurse about bowel elimination. The nurse
stresses to the patient not to strain during bowel movements. Straining can put pressure on the vagas
nerve and cause bradycardia. The nurse is explaining which physiological action? - Valsalva
maneuver
Beta blockers actions - Decreases BP and HR blocking epinephrine and nonepinephrine
Beta-blockers - Drug of choice for chronic stable angina, reduces myocardial O2 consumption,
decreases myocardial contractility, HR, SVR, and BP.
Names: Inderal, Lorpressor, Tenormin, and Coreg. All inhib sympathetic nervous stimulation of the heart,
reduce HR and contractility, and decrease afterload. (creates problems for people with asthma)
BPH - Benign Prostatic Hyperplasia (enlarge prostate constricting the urethra)
BPH treatment - TURP
, Cardiac rehabilitation orders - - Low Na+ diet
- Lifestyle education (all that pt is doing wrong and have to correct)
- Use of medications (Metoprolol -Lopresol
- Exercise
Caring for a 64 year old patient who has undergone cardiac catheterization. To predict and manage
potential complications, the nurse will implement this for safety. - Check the vital signs and the
puncture site for bleeding
Caring for patient after angiogram. What intervention should the nurse implement? - Increase
fluids to flush the contrast
Caring for patient who is recovering from a routine colonoscopy. Abnormal distention and bleeding.
What is a potential complication? - Perforation
Caring for patient with DIC. Which statement needs addressed immediately? - Pulmonary edema
Caring for patient with severe anemia. Which lab could help find the cause of the anemia? -
Hemoccult
Caring for patient with sickle cell anemia. Which statement indicates need for further teaching? - I
will need to take B12 injections for the rest of my life.
Causes of anemia - * decreased Hgb synthesis
--- iron deficiency
--- thalassemia (hereditary disorder)
* decreased RBC synthesis
--- folate deficiency
Caring for patient scheduled for endoscopic procedure. Which statement by pt. indicates need for
further teaching? - I won't eat before the procedure but I can have fluids to drink immediately
after it is done
Aspirin - blood thinner
Administration of glycerin - Sublingual, 1 pill q5min, maximum of three pills, if pain continues call
doctor, possible HA
After surgery treatment to prevent DVT - Frequent ambulation
Check pedal pulses
SCD's/socks
Heparin (subcut)
anuric - less than 100 mL/24 hr
ARF Causes - Hemorrhage, trauma, infection, decreased cardiac output, medications
ARF S/S - mimics dehydration s/s, anorexia, h/a, edema, vomiting, nausea, lethargy,
Assessment before hemodialysis - Weight Pt before/after dialysis to know how much fluid
A BARIUM ENEMA IS CONTRAINDICATED IN PATIENTS WITH - ACUTE DIVERTICULITIS DUE TO THE
POSSIBILITY OF PERFORATION OF THE DIVERTICULUM
Assessment for AV fistula - Palpate for thrill, auscultate bruit
Assessment for Peritoneal dialysis - If not flow, reposition Pt
,Atenolol (Tenormin) - Medication for MI
atrial fibrillation - an abnormal heart rhythm characterized by rapid and irregular beating of the
atria. An irregular, often rapid heart rate that commonly causes poor blood flow can beat up to 600 BPM
AV Fistula - Is used to give hemodialysis. Vein and artery are put together (surgically done)
AV fistula precaution - Do not use the arm where Pt has the AV fistula (no B/P, blood drawn)
barium enema can - diagnosis but if acute beware
Beta blockers - medication used to treat several different types of conditions, including
hypertension (high blood pressure), angina, some abnormal heart rhythms, heart attack (myocardial
infarction)
A patient with a history of cardiac problems talks with the nurse about bowel elimination. The nurse
stresses to the patient not to strain during bowel movements. Straining can put pressure on the vagas
nerve and cause bradycardia. The nurse is explaining which physiological action? - Valsalva
maneuver
Beta blockers actions - Decreases BP and HR blocking epinephrine and nonepinephrine
Beta-blockers - Drug of choice for chronic stable angina, reduces myocardial O2 consumption,
decreases myocardial contractility, HR, SVR, and BP.
Names: Inderal, Lorpressor, Tenormin, and Coreg. All inhib sympathetic nervous stimulation of the heart,
reduce HR and contractility, and decrease afterload. (creates problems for people with asthma)
BPH - Benign Prostatic Hyperplasia (enlarge prostate constricting the urethra)
BPH treatment - TURP
, Cardiac rehabilitation orders - - Low Na+ diet
- Lifestyle education (all that pt is doing wrong and have to correct)
- Use of medications (Metoprolol -Lopresol
- Exercise
Caring for a 64 year old patient who has undergone cardiac catheterization. To predict and manage
potential complications, the nurse will implement this for safety. - Check the vital signs and the
puncture site for bleeding
Caring for patient after angiogram. What intervention should the nurse implement? - Increase
fluids to flush the contrast
Caring for patient who is recovering from a routine colonoscopy. Abnormal distention and bleeding.
What is a potential complication? - Perforation
Caring for patient with DIC. Which statement needs addressed immediately? - Pulmonary edema
Caring for patient with severe anemia. Which lab could help find the cause of the anemia? -
Hemoccult
Caring for patient with sickle cell anemia. Which statement indicates need for further teaching? - I
will need to take B12 injections for the rest of my life.
Causes of anemia - * decreased Hgb synthesis
--- iron deficiency
--- thalassemia (hereditary disorder)
* decreased RBC synthesis
--- folate deficiency
