Deck 2 Flashcards
Client teaching for cardiac enzyme studies.
Looking for ischemia and it tells us the level of heart damage.
Nursing action for a client s/p cardiac cath via femoral artery.
Pulse pallor, pain, parenthesis, paralysis (neurovascular assessment) and then you want to take vitals.
Anticipated action for client with V-Tach.
Cardioversion-deliver a shock-correct electrolyte imbalances.
Emergency response for client experiencing symptomatic bradycardia.
Atropine, or pacemaker.
Client teaching for overlapping anticoagulant therapies
Coagulation therapy to achieve therapeutic range. (warfarin and heparin)
Expected lab for warfarin
PT/INR, Therapeutic INR is 2-3. Antidote is vitamin K.
Client s/p cardiac cath via femoral artery.
Groin area
Nurse action for IV therapy for hypernatremia client, NPO.
(a lot of sodium floating around so we want to give 0.45 sodium chloride to guide it back into the cell)
Determine clarity of dietary teaching: atherosclerosis client.
Narrowing of the arteries caused by high cholesterol. (know what foods are high in cholesterol-fried foods)
Client teaching: Risk factors for CAD [Select All]
I will stop smoking, I will stop eating fried foods, and exercise more.
Client teaching: Nitro SQ tabs:
Vasodilator(it allows for more oxygen to enter the heart)
Client teaching: Nitro SQ tab Side effects
Side effects include getting a headache.
Nursing action: Assessing client potassium level.
Therapeutic Range: 3.5 – 5.0 mEq/L Contact the provider if potassium is too low, or too high.
Nursing action: Assessment & f/u pre-op client labs:
Look at the platelet count
Nurse instruction: Client receiving extended-release potassium.
Don’t crush it(take it whole).
Nurse Assessment: Manifestation of older client with pneumonia
Confusion
Nurse Understanding: post-op client w/ Ileus & NG tube- Imbalances-
Hypokalemia
Nurse Assessment: Manifestation of client with Hypervolemia [Select all]
Fluid volume excess overload), examples: edema
EKG Complex Abnormalities: Hypokalemia
U-wave (extra wave)
Analyzing Lab(s): WBC w/ Differential.
Increased risk for infection with low WBC.
Dietary Planning: Iron deficient client.
Increase iron in diet, eat some meat (red meat).
Expected lab deviation(s): Client with fluid volume deficit.
Increased BUN
Expected s/s: Client in sickle cell crisis.
Pain
