Deck 2

Question 1

Client teaching for cardiac enzyme studies.

Answer 1

Looking for ischemia and it tells us the level of heart damage.

Question 2

Nursing action for a client s/p cardiac cath via femoral artery.

Answer 2

Pulse pallor, pain, parenthesis, paralysis (neurovascular assessment) and then you want to take vitals.

Question 3

Anticipated action for client with V-Tach.

Answer 3

Cardioversion-deliver a shock-correct electrolyte imbalances.

Question 4

Emergency response for client experiencing symptomatic bradycardia.

Answer 4

Atropine, or pacemaker.

Question 5

Client teaching for overlapping anticoagulant therapies

Answer 5

Coagulation therapy to achieve therapeutic range. (warfarin and heparin)

Question 6

Expected lab for warfarin

Answer 6

PT/INR, Therapeutic INR is 2-3. Antidote is vitamin K.

Question 7

Client s/p cardiac cath via femoral artery.

Answer 7

Groin area

Question 8

Nurse action for IV therapy for hypernatremia client, NPO.

Answer 8

(a lot of sodium floating around so we want to give 0.45 sodium chloride to guide it back into the cell)

Question 9

Determine clarity of dietary teaching: atherosclerosis client.

Answer 9

Narrowing of the arteries caused by high cholesterol. (know what foods are high in cholesterol-fried foods)

Question 10

Client teaching: Risk factors for CAD [Select All]

Answer 10

I will stop smoking, I will stop eating fried foods, and exercise more.

Question 11

Client teaching: Nitro SQ tabs:

Answer 11

Vasodilator(it allows for more oxygen to enter the heart)

Question 12

Client teaching: Nitro SQ tab Side effects

Answer 12

Side effects include getting a headache.

Question 13

Nursing action: Assessing client potassium level.

Answer 13

Therapeutic Range: 3.5 – 5.0 mEq/L Contact the provider if potassium is too low, or too high.

Question 14

Nursing action: Assessment & f/u pre-op client labs:

Answer 14

Look at the platelet count

Question 15

Nurse instruction: Client receiving extended-release potassium.

Answer 15

Don’t crush it(take it whole).

Question 16

Nurse Assessment: Manifestation of older client with pneumonia

Answer 16

Confusion

Question 17

Nurse Understanding: post-op client w/ Ileus & NG tube- Imbalances-

Answer 17

Hypokalemia

Question 18

Nurse Assessment: Manifestation of client with Hypervolemia [Select all]

Answer 18

Fluid volume excess overload), examples: edema

Question 19

EKG Complex Abnormalities: Hypokalemia

Answer 19

U-wave (extra wave)

Question 20

Analyzing Lab(s): WBC w/ Differential.

Answer 20

Increased risk for infection with low WBC.

Question 21

Dietary Planning: Iron deficient client.

Answer 21

Increase iron in diet, eat some meat (red meat).

Question 22

Expected lab deviation(s): Client with fluid volume deficit.

Answer 22

Increased BUN

Question 23

Expected s/s: Client in sickle cell crisis.

Answer 23

Pain