MDC III Exam 3 || with Error-free Solutions.
Neurovascular checks correct answers pain, pallor, paresthesia, paralysis, pulselessness,
pociothermia
Discharge on sickle cell correct answers educate on avoiding future crisis by staying hydrated,
rest, no smoking, avoid stress, extreme exercises
What does stress do to the vessels when we are stressed out? correct answers vasoconstriction
what do you see with regular anemia correct answers low hgb/hct, fatigue, pallor, anxiety,
tachycardia, low O2, and intolerance to cold
how to treat anemia correct answers Iron-take with vitamin C, can cause constipation, iron rich
foods
what do you see with L heart failure correct answers Crackles, wheezing, pink-frothy sputum,
fatigue, orthopnea, dyspnea, coughing at night
How to prevent coughing attack in HF correct answers place pillow behind patient
loop diuretics correct answers Furosemide (Lasix)
monitor K+/Na,
dehydration
BP
give IV push slow over 1 minutes
A/E: Tinnitus
Thiazide diuretics correct answers Hydrochlorothiazide (HCTZ)
Potassium sparing diuretics correct answers Spironolactone
Monitor K+ intake
how do we know if they are taking diuretics correct answers check weight daily
what do you see with decreased cardiac output correct answers confusion, hypotension,
tachycardia
patient with heart failure what do we teach before discharge correct answers monitor weight
daily, medication adherence, diet modifications, limits activity but stay active, avoid NSAIDs
patient comes in and what labs do you monitor correct answers BNP- if elevated order diuretics.
BNP correct answers measures vasoconstriction, show that the heart is stressed and HF is
worsening and have more fluid
, how do you know the difference between L and R correct answers R will have fluid in the body
what else can lead to HF correct answers HTN, valve disorders, drugs, CAD, DM, Afib
Mitral valve disorders correct answers Mitral on L
Can lead to L sided HF
Predispose to mitral valve stenosis correct answers Rheumatic fever
what is mitral valve stenosis correct answers thickening/hardening of the valve which causes
narrowing
what are you going to see in mitral valve stenosis correct answers AFIB, turbulence, fluid back
up, decreased CO
fatigue, low bp, orthopnea, poor turgor, and difficulty breathing
treatment for mitral valve stenosis correct answers valve replacement or repair, anticoagulants,
balloon valvuloplasty
what do you educate your patient who has prosthetic mitral valve correct answers will be on
anticoagulants forever
decreased cardiac output, what do the vitals look like correct answers decreased bp, increased
HR
tachycardia, hypotension
end stage heart failure what is their last treatment correct answers heart transplant
educate on rejection signs, med adherance, will be on immunosuppresants
what will you see with mitral regurgitation correct answers High pitched holosystolic murmur,
decreased HR, r sided HF (JVD, edema)
R sided HF vitals correct answers hypertension, bounding pulses
if we have tachycardia what is the best drug correct answers beta blockers
Hypertension correct answers ACE are first responders
ARBs are 2nd responders
Assessing patients lung and hear crackles, what do you ask them correct answers cough, recheck
ask to cough to see if it subsides
when doing assessment and hear something abnormal, and going to do an intervention... correct
answers Reassess, reassess after any changes or not enough info
Aortic stenosis, what do you hear correct answers systolic crescendo-decrescendo
Neurovascular checks correct answers pain, pallor, paresthesia, paralysis, pulselessness,
pociothermia
Discharge on sickle cell correct answers educate on avoiding future crisis by staying hydrated,
rest, no smoking, avoid stress, extreme exercises
What does stress do to the vessels when we are stressed out? correct answers vasoconstriction
what do you see with regular anemia correct answers low hgb/hct, fatigue, pallor, anxiety,
tachycardia, low O2, and intolerance to cold
how to treat anemia correct answers Iron-take with vitamin C, can cause constipation, iron rich
foods
what do you see with L heart failure correct answers Crackles, wheezing, pink-frothy sputum,
fatigue, orthopnea, dyspnea, coughing at night
How to prevent coughing attack in HF correct answers place pillow behind patient
loop diuretics correct answers Furosemide (Lasix)
monitor K+/Na,
dehydration
BP
give IV push slow over 1 minutes
A/E: Tinnitus
Thiazide diuretics correct answers Hydrochlorothiazide (HCTZ)
Potassium sparing diuretics correct answers Spironolactone
Monitor K+ intake
how do we know if they are taking diuretics correct answers check weight daily
what do you see with decreased cardiac output correct answers confusion, hypotension,
tachycardia
patient with heart failure what do we teach before discharge correct answers monitor weight
daily, medication adherence, diet modifications, limits activity but stay active, avoid NSAIDs
patient comes in and what labs do you monitor correct answers BNP- if elevated order diuretics.
BNP correct answers measures vasoconstriction, show that the heart is stressed and HF is
worsening and have more fluid
, how do you know the difference between L and R correct answers R will have fluid in the body
what else can lead to HF correct answers HTN, valve disorders, drugs, CAD, DM, Afib
Mitral valve disorders correct answers Mitral on L
Can lead to L sided HF
Predispose to mitral valve stenosis correct answers Rheumatic fever
what is mitral valve stenosis correct answers thickening/hardening of the valve which causes
narrowing
what are you going to see in mitral valve stenosis correct answers AFIB, turbulence, fluid back
up, decreased CO
fatigue, low bp, orthopnea, poor turgor, and difficulty breathing
treatment for mitral valve stenosis correct answers valve replacement or repair, anticoagulants,
balloon valvuloplasty
what do you educate your patient who has prosthetic mitral valve correct answers will be on
anticoagulants forever
decreased cardiac output, what do the vitals look like correct answers decreased bp, increased
HR
tachycardia, hypotension
end stage heart failure what is their last treatment correct answers heart transplant
educate on rejection signs, med adherance, will be on immunosuppresants
what will you see with mitral regurgitation correct answers High pitched holosystolic murmur,
decreased HR, r sided HF (JVD, edema)
R sided HF vitals correct answers hypertension, bounding pulses
if we have tachycardia what is the best drug correct answers beta blockers
Hypertension correct answers ACE are first responders
ARBs are 2nd responders
Assessing patients lung and hear crackles, what do you ask them correct answers cough, recheck
ask to cough to see if it subsides
when doing assessment and hear something abnormal, and going to do an intervention... correct
answers Reassess, reassess after any changes or not enough info
Aortic stenosis, what do you hear correct answers systolic crescendo-decrescendo
