Adult 2 Study guides, Class notes & Summaries

What are ACE inhibitors used for? - ️️- Hypertension - Post MI (improve LV function) - Heart failure What are the side effects of ACE inhibitors? - ️️- dry hacky cough - orthostatic hypotension What are nursing implications for ACE inhibitors? - ️️- first dose at night to reduce first dose hypotension - reduce dose in renal failure - don't give if K >5 - don't give if BP too low or hypovolemic What is adenosine used for? - ️️Convert SVT to sinus rhythm What...

which cardiac marker is preferred for diagnosis of ACS? a. CKMB B. Myoglobin C. Troponin D. ALT - ️️C Which of the following is indicative of a myocardial infarction? (select all that apply) a. ST segment elevation B. ST segment depression C. Dysrhythmias D. Increased Troponin levels - ️️A, C, D A client is scheduled for a cardiac catheterization using dye. Which of the following assessments is most critical before the procedure? a. I&O b. vital signs c. daily wei...

1. Priority during seizures? - ️️observe type 2. how to decrease risk of aspiration with dysphagia? - ️️upright position, foods on unaffected side, NO STRAWS 3. MS patient on prednisone - teaching? - ️️hyperglycemia, hypertension, weight gain 4. Patient who just had stroke, wants to brush their hair but can't recognize term - ️️agnosia 5. Joint preservation after stroke - ️️ROM exercises 6. Health history and physical assessment on MS patient - ️️question ...

Normal range for HGB in men and women - ️️14-18 men; 12-16 women Normal HCT in men and women - ️️40-54 men; 37-47 women Which anemias are microcytic and hypochromic - ️️IDA and thalassemia 3 causes of IDA - ️️blood loss, inadequate iron intake and impaired absorption of iron Serum ferritin, TIBC and RDW levels in IDA - ️️Serum Ferritin: LOW TIBC: HIGH RDW: HIGH Serum ferritin and TIBC levels in thalassemia - ️️Normal ferritiN an normal TIBC Contraindic...

What is the goal with treatment for heart failure? - ️️increase cardiac output How would a patient present with decomposition, as the heart is not working effectively? - ️️fatigue, not able to tolerate activity What are the S/S of decreased tissue perfusion that would need to be reported to the provider? (select 3/5) - ️️1. rise in CO2 2. use of accessory muscles to breath 3. decreased urine output (less than 30 mL/hr) What are the S/S of left-sided heart failure? (select ...

You are preparing to assure your arterial line is functioning properly and gives you accurate readings. Part of your assessment includes: a. Leveling the transducer to the jugular veins b. Leveling the transducer to the atrium at the phlebostatic axis c. Leveling the transducer to the side rail on the bed d. Leveling the transducer with the pt completely flat - ️️b. Leveling the transducer to the atrium at the phlebostatic axis 2. A pt is admitted with CHF, peripheral edema, and SOB...

What nursing interventions can be done to relieve pain associated with a lower UTI? - ️️analgesics & antispasmodics, heat to perineum, increase fluid intake, avoid caffeinated drinks, spicy food, and alcohol frequent voiding What complications can arise from a lower UTI? - ️️Renal failure urosepsis strictures obstructions What nursing interventions should be implemented to avoid complications of lower UTI? - ️️educate patient to recognize early symptoms, test for bacteriu...

what *three* things can hemodynamic monitoring assess? - ️️1. Assess fluid status (is the volume the problem?) 2. Assess cardiac function (is the heart the problem?) 3. Assess effect of interventions (medications) *side note:* • Monitoring used in patient assessment and decision making • Measurement of pressure, flow & oxygenation within the cardiovascular system what is the goal of hemodynamic monitoring? - ️️Adequate Tissue Perfusion and Oxygenation! (ALWAYS LOOKING AT CO...

the emergency department nurse is giving discharge instructions to the mother of a child who bumped his head on a table. which statement by the mother indicates understanding of the instructions? a) "he can run and play as he usually does, as long as he doesn't climb" b) "i should take him back to the ED for weakness or slurred speech" c) "there is really nothing to worry about. it was just a bump on his head" d) "i should not let him fall asleep today or during the early evening" -...

A nurse is caring for a client who is acidotic. The nurse asks the charge nurse why the client is breathing rapidly. What response by the charge nurse is best? A. anxiety is causing the client to breathe rapidly B. the client is trying to get rid of extra body acids C. the rapid respirations cause buildup of bicarbonate D. an increased respiratory rate is due to increased metabolism - ️️B resp system is trying to compensate for build up of extra acid A client has urinary incontinence...