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set 1 Flashcards | StudBud
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set 1
set 1
42 terms
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StudBud Administration
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1
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place the client in Fowler's position, leaning forward
remind the client to request opioid pain meds
ask the client to stay supine, elevating their knees
instruct the client to take deep slow breaths
2
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educate the family of the potential causes of delirium in the hospital
administer the prescribed does of IV lorazepam
Perform an assessment using the CM-ICU tool
request that familt remain with the client during the hospitalization
3
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numeric rating scale
visual analog scale
pain observation scale
vital sign scale
4
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the client requires frequent increases of vasopressors
the clients pulse ox is 95% on 2L nasal cannula
the client is easily able to follow commands and directions
the clients telemetry shows NSR
5
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syncope
dyspnea on exertion
angina
increased BP
6
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I should call 911 if my chest pain continues after. nitro
I should keep the tablet in the original dark colored bottle
I should keep the nitro bottle with me at all times
I should place the nitro on the surface of my tongue
7
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48 year old with HF diagnosis
68 year old with history of alc abuse
55 year old with mitral valve stenosis
30 year old with asthma exacerbation
8
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restricting use of BB meds
Managing the clients anxiety about long term effects
teaching the client about risks of anticoagulation
Nursing measures to improve cardiac output
9
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use the glasgow coma scale
encourage family presence
provide frequent reorientation
implement a sleep protocol
10
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use an alcohol prep for electrode placement
replace telemetry electrodes daily
suspend the alarms when client is sleeping
customize heart rate alarm parameters to client needs
11
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palpations and fatigue are normal and expected
I should develop a regular exercise routine
I need to avoid the use of caffinated drinks
I should take my meds as prescribed
12
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Vigorous activities should be carried out daily
Avoid scheduling regular visits with the dentist
Lifelong administration of antibiotics is required
Avoid people with respiratory tract infections
13
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development of atrial fib on cardiac monitor
incision pain reported as 3 on numeric rating scale
ausultation of rhonchi that clears when client coughs
sternotomy incision is well approximated, pink and tender
14
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assess the clients pain level
Obtain a blood pressure in both arms
Attach the cardiac monitor to the client
Auscultate the clients lung sounds
15
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instruct the client to remain on NPO status
neurovascular assessment of involved extremity
monitor cardiac tele for dysrhythmias
assess arterial site for bleeding or hematoma
16
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Perform a 12 lead EKG
Apply direct pressure and call for help
Administer a fluid bolus
Mark the drainage and recheck in 1 hour
17
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do you have a history of hypertension
do you take aspirin on a daily basis
what time did your chest pain begin
are you a current or past smoker
18
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Palpate bilateral brachial and radial artery pulses
Auscultate heart sounds for a pericardial friction rub
Inspect lower extremities for the presence of edema
Percuss bilateral anterior and posterior lung fields
19
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aspirin 81mg chewable tablet
Morphine sulfate 2mg intravenously
atorvastatin 80mg orally
Lisinopril 10mg orally
20
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HR of 95 BPM
Pulse Ox of 95% on 2L nasal cannula
new ST segment elevation on the ECG
temp of 99.8 degrees F
21
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explain the purpose of all equipment attached to the patient
clarify info for the daughter by answering her questions
ask the daughter to refrain from crying at bedside
describe the clients appearance and environment
22
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hypoactive bowel sounds in al quadrants
absent peal pulse and cool mottled llg
complaints of pain at the incisional site
A temp of 99 degrees F
23
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mitral stenosis
mitral regurgitation
aortic stenosis
aortic regurgitation
24
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salmon and grilled veggies
wheat bread with avocado
whole grain cereal with berries
sirloin steak and baked potato
25
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the chest pain resolves after I take one nitro pill
the chest pain feel like a tight band that doesnt go away
the chest pain goes away when I lean forward
the chest pain feels heavy but it subsides with rest
26
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I have only used my nitro tablet twice over the past year
my chest pain goes away when i am resting in the bed or chair
I only have chest pain for a few mins after I mow the lawn
my chest pain has been lasting longer and longer each day
27
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Bi-basilar crackles
inspiratory wheezes
diminished sounds
coarse rhonchi
28
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creatinine kinase enzymes
troponin T
Lactate dehydrogenase (LDH)
myoglobin
29
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cold and pale leg
headache
fever and nausea
back pain
30
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I need to perform strenuous activity 30 min daily
I need to have my blood drawn to measure inr levels
I should try to develop a plan to quit smoking
I should notify my health care providers of the valve implant
31
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Does your chest pain resolve at rest?
Do you have a history of DM?
Do you have a history of migraines?
Does your fatigue worsen with activity?
32
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check bp every hour
ask the client to rate the chest pain
assess for the presence of orthostatic hypotension
perform an analysis of the clients tele strip
33
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ST elevation MI
findings of chronic stable angina
artifact due to loose electrodes
symptoms of acute pericarditis
34
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"sudden cardiac death is rare an will not happen to me again"
"I will encourgae my family to learn basic CPR"
"meds will work better than defibrillation to treat lethal dysrhythmias"
" I can immediately return to my normal activity level during the day time"
35
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pulm function test
chest x-ray
EKG
Echo
36
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serum potassium of 3.0 mEg/dL
WBC 130000/mm3
hgb 9g/dL
INR level of 3.0
37
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severe back pain
hoarseness
hypotension
hematoma on flank area
38
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the client easily follows commands and directions
the clients pulse ox is 95% on 2L nasal cannula
the client requires frequent increase of vasopressors
The clients telemetry shoes normal sinus rhythm
39
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chronic stable angina
silent ischemia
variant angina
unstable angina
40
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prinzmetal angina
chronic stable angina
microvascular angina
unstable angina
41
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review cardiac meds and side effects
encourage the client to enjoy 3 glasses of wine daily
avoid eating large, heavy meals before exercise
advise the client to eat a low in salt and sat fat diet
42
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"Are your stools black or tarry?"
"Do you have frequent headaches?"
"Are your legs and arms itching?"
"Do you have severe back pain?"
