Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Nursing School 7 Med Surg 3 > Exam 2 Med Surg 3 > Flashcards

Exam 2 Med Surg 3 Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Mental Health flashcards Nursing Management of Care flashcards NCLEX-PN® flashcards NCLEX-RN® flashcards Nursing Fundamentals flashcards Nursing Pediatrics flashcards Nursing Safety & Infection flashcards Nursing Pharmacology flashcards Nursing Maternity flashcards Family Nurse Practitioner (FNP) flashcards
1
Q

Nursing Intervention for ventricular fibrillation

A
  • CPR
  • Defrbrillate
  • Crashcart to bedside
  • Administer amiodarone IVP
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Causes for Sinus Tachycardia

A

inflammation, shock, hypovolemia, fever, PE, HF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Repolarization is equal to

A

resting, filling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the preferred alpha blocker for pheochromocytoma

A

phenoxybenzamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Teaching for Addisons disease

A
  • fall prevention
  • lifelong replacement therapy
  • infection control
  • mgmt of glucose with steroidds
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Causes for Brady Cardia

A

Beta Blockers, hypothyroid, hypothermia, amiodarone, PNS drugs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is a client’s level of consciousness for cardioversion

A

cawak and sedated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

QRS

A

ventricular depolarization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Causes for Sinus dysrthmias

A

digoxin/morphine, autonomic dysfunction, diabetic neuropathy, slower HRs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What should you think with an addiosnian crisis

A

severe hypotension and vascular collapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

s/sx of hypoparathyroidism

A

parasthesia, muscle cramps,, fatigue, bone pain, insomnia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Cardiac Output is low Sx

A

BP low, SOB, LOC, HR high, hypoactive, Dec Urine Output

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what does exercise do for blood sugar

A

lowers it, need less insulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What could a narrow QRS indicate

A

Sinus, Atrial, Junctional rhythm, PSVT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

First action for chest pain (MI, Angina)

A

EKG, ST wave will have and issue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

QRS Interval issues is a disturbance in

A

Bundle Branches, or Ventricles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is the purpose of ventricular defribllation

A

allows the SA node to resume the role of pacemaker in the heart.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

on EKG strip what does Afib look like

A

no P wave

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is Afib

A

fourth of july in your SA node over Right Atrium

Risks: CVA, Mi, PE, DVT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

ST segment/ Twave

A

ischemia, injury, infarction, electrolyte imbalance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Causes for Premature Atrial Complex

A

Infection, anxiety, alcohol, smking Caffeine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Tx for Tachycardia

A

beta blockers, antipyretics, analgesics, fluid (dehydrated),

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Patient prep for EKG

A

no smoking or caffeine 24 hours bnefore, must lie still

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Pituitary Gland Anterior Lobe

A

Growth Hormone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Tx for Brady Cardia

A

Pacemaker, oxygen, epinephrine (don’t give fluids) atropine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Atropine

A

SE- Myocardial Ischemia, antiarrythmic, increase HR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Normal range for P wave

A

0.06 - 0.12 seconds 3 squares

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

How do you treat PSVT

A

medication, adenosine, verapamil or beta blockers

Carotid Sinus Massage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Hypothyroidism and mental status

A

memory loss/confusion. Keep personal belongings in the same place.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

How does Parathyroid regulat calcium in the blood

A
  • Reaborption of Ca+ from bone
  • Absorption of Calcium in the intestine
  • Reasbroption of Calcium from kidneys
  • Decrease excretion of Ca+ in the urine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

How does defribllation differ from cardioversion

A

the sitch on the defibrillator is differemt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

What are you looking for in the PR Interval

A

is there a block between conduction systems, less than 4-5 boxes??

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Adrenal cortex is associated with

A
  • Glucocorticoids- cotisol
  • mineralocorticoids- aldosterone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Hypo thyroidism

A
  • Myxedema (non-pitting), Hashimoto
  • Cold, constipated, dry skin
  • Tx: levothyroxine -take in the morning
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

3rd Degree AV BBB

A

twave and p-wave overlap, wide QRS, low HR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Post op Thyroidectromy

A
  • Have suction, oxygen, trach available
  • monitor repsirations
  • Semi Fowler’s position
  • laryngeal nerve damage
  • hypocalcemia
  • thyroid storm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Normal Range for T Wave

A

0.16 seconds (4 squares)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q
A

Trigeminy PVC.

PVC after 2 normal QRS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Tx for Premature Atrial Complex

A

Beta Blockers, Reduce caffeine intake

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Why is Cushings disease at risk for infection

A
  • Decreased macrophage production
  • antibodies decreased
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

What do calcium channel blockers?

A

helps vessel relax

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

What is clients level of consciousness with defibrillation

A

no cardiac output, unconscious, 200-360 joules

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Treatment for Premature Ventricular Complex

A

Procainamide, Amiodarone, Lidocaine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

What does Hyper Growth Hormone look like

A

Gigantism before puberty, Acromegaly, after puberty. Could be a tumor.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

What is hypocortex

A
  • Addisons
  • hyperkalemia, hyponateriumia, low BP, dark pigment, dark nail
  • postural hypotension
  • tx: corticosteroids, salt, aldosterone, IV fluids
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q
A

Paraoxysmal Supraventricular Tachy

Fast, Narrow QRS,

Regular Rhythm

QRS & P wave 1:1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

What does Hypo ADH look like

A
  • DI, hypopopituitary
  • Hypokalemia, hypotension, thirsy
  • tx: Vasopressin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q
A

Afib, No Pwave, & Irregular

300-650 bpm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

What is the most accurate way to use an EKG to calculate the heart rate of the client with an irregular rate

A

Count QRS complexes for 1 minute time interval

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

What does parathyroid do?

A

Increase calcium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

What three things associated with the adrenal glands?

A

Salt Sugar Sex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

Precautions for levothyroixine therapy

A
  • angina, or dysrhythmia (increase oxygen demand)
  • prevent of med interactions, reduce dosase
  • increase BS, DM)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

what is a hypophysectomy

A

removal of pituitary gland

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

Effects of corticosteroid therapy

A
  • hypokalemia
  • peptic ulcer
  • hypocalcemia
  • BP increase
  • protein depletion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

Causes for Afib

A

necrosis, lung disease, ischemia, valve disease, dec CO,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

s/sx of hypoparathyrdoid

A

numbness around the mouth, positive trousseau, tingling hands/feet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

How to assess a patient w/ goiter

A

Stand behind them in posterior approach, use both hands on either side of trachea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

assessments post op thyroidectomy

A

surgical site, trousseau’s, chvosteks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

Why does hyperclygemica lead to neuropathy

A
  • schwann cells (sorbitol.fructose in the nerves, Ischemia in blood vessels
  • reduced nerve conduction, dec suply nutrition to nerves
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

What is the mst common cause of cushing’s syndrome

A

benign pituitary adenoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q
A

each normal beat is followed by an abnormal one

Bigeminy/ Premature Ventricular Complex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q

Immediate tx for graves disease

A

propanolol, thionamide, glucocorticoids

64
Q
A

Premature Ventricular Complex

Wide QRS/bizarre

No P wave

65
Q

How does a pacemaker work

A

provides electrical stimuli to the heart muscle, stimulated to contract. If heart rate drops too low

pacemaker spike before CRS comples

66
Q

Myxedema occurs..

A

low thyroid production, abrupt stop in medication, hypothermia, hypotension, hypoglycemia, bradycardia

67
Q

Hypoparathyroid

A
  • tx: calcium gluconate IV, Vit D,
  • Cvostek, Trouseaus sign
  • DONT DRINK MILK, also contains phosphorus
68
Q

PR Interval is what part of the electro

A

Bundle of His

69
Q

Defribrillation procedure similarities to Cardioversion

A
  • placement over right sternal border and over apex of the heart–CLEAR perimeter
  • require conductive materials to the chest
  • operator applies 20-25 lbs pressure
70
Q

How does cardioversion work

A

synchronized with qrs, 50-200 joules, synch on

71
Q

What is the drug of choice for ventricular dysrhythmias

A

lidocais, suppresses ventricular ectopy

72
Q
A

Supraventricular Tachycardia

Beardown, Ice pack to the neck

100-300BPM

73
Q

During expiration the HR..

A

decreases

74
Q

If a client has a complete heart block which intervention is first

A

administer atropine

75
Q

Normal range for PR Interval

A

0.12 - 0.20 seconds

76
Q

What is the priority for cardia dysrthythmias

A

decreased cardiac output

77
Q

What does the PR Interval measure

A

onset of atrial depolarization to ventricular depolarization

78
Q

what does hypo growth hormone look like?

A

dwarfism

79
Q

Procainamide

A

decreases myocardial excitability, slows down conduction velocity

80
Q

Corticosteroid therapy teaching

A
  • Assess for cataracts
  • avoid infected persons
  • exercise
  • protein, calcium potassium diet
  • low fat and simple carbohyrdates
81
Q

Causes for Premature Ventricular Complex

A

old age, anasthesia, electrolyte imbalance, caffeine, alcohol, ischemia

82
Q

What does adenosine do?

A

slows conduction time through the AV node. coronary artery vasodilation

83
Q

What does RR Interval measure?

A

ventricular cardiac cycle

84
Q

Anterior Pituitary Gland produce

A

ACTH, FSH, GH, Prolactin

85
Q
A

Quadrigeminy

PVC after 3 normal QRS

86
Q

What is not asscoiated with thryoidectomy

A

dehydration, hyperglycemia

87
Q

Why do we increase fluids for someone with hyperparathyroidsm

A

risk for renal calculi

88
Q
A

Premature Atrial Complex

PR Interval is shoerter.

89
Q

In a 6 second strip how is the heart rate determine

A

the number of QRS complexes x 10

90
Q

What does the medulla do?

A

release catecholamines- epi & norepi. SNS

91
Q

What is amiodarone

A

used to treat ventricular tachycardia or ventricular fibrillation

92
Q

What is a priority for DKA

A

fluid replacement

93
Q
A

vtach

94
Q

tx for Afib

A

Warfarin, Coumadin, Digoxin, Calcium Channel Blockers, Amiodarone

95
Q

Hyper parathyroid

A
  • bone decalcification, renal caclui, constipathy, dysrhthmyia, psych
  • tx: calcitonin, fluids, activity, remove
96
Q

PR wave is a disturbance in

A

AV node, bundle of HIS, bundle branches

97
Q

hypoglycemia s/sxx

A

shakiness, anxiety, palpitations, coldness, hunger, irritable, confusion, headache

98
Q

What could a wide QRS indicate?

A

Ventricular Tachycardia

99
Q

What does ADH do?

A

increase H2O vasopressin

100
Q

which electrolyte imbalance is associated with SIADH

A

hyponatremia (potassium within normal limits)

101
Q

findings w/ fluid volume deficit

A

low plasma osmolality, low hematocrit (diluted), low specific gravity, low BUN, low sodium

102
Q

What are the 5 steps for reading and ekg

A
  1. Are there any P waves?
  2. Are there any QRS?
  3. Measure PR Interval
  4. Rate
  5. Rhythmn
103
Q

What does the Thyroid do

A
  • decrease Calcium, metabolism
  • Increase protein and bone turnover
  • Increase response to catecholamines
  • Needed for fetal, infant growth
  • chief complaint is difficulty swallowing
104
Q

Posterior pituitary gland produce

A

ADH and oxytocin

105
Q

Pituitary Gland Posterior Lobe

A

ADH

106
Q

What else does the thyroid gland secrete, what does it do>

A
  • Calcitonin-
  • response to high ca+
  • more calcium in blood, lower blood calcium levels
107
Q

Electrolytes in repolarization

A

potassium goes up, sodium goes down

108
Q

Electrolytes in Depolarization

A

Sodium goes up, potassium goes down (exits intracellular)

109
Q

QT Interval Normal Range

A

0.32 -0.4 seconds

110
Q

Most common cause of hyperaldosteronism

A

adrenal adenoma or hyperplasia

111
Q

SA Node rate

A

60-100 BPM = Pacemaker

112
Q

P wave measures contraction of the

A

atrium

113
Q

Normal QRS Interval

A

0.04 - .12 seconds (1-3 squares)

114
Q

Normal Range for Specific Gravity

A

1.002 - 1.030

115
Q

AV Node Rate

A

40-60 BPM

116
Q

Whos is the border patrol in the Heart

A

AV node, blocks the heart rate from going too crazy. Heart is ichemic

117
Q

2nd Degree AV node BBB

A

Weinkebach, Mobitz II, irregular PR, QRS disappears

118
Q

Hypercortex

A
  • Cushing’s Disease
  • moonface, buffalo hump
  • Hyperglycemia, hypernatremia, hairy face
  • tx: Potassium low surgar, exercise. Insulin NO, b/c dec potassium
119
Q

Hyper Thyroidism

A
  • Graves, Thyroid Storm, Goiter
  • BP increase, hyperactive bowel, weight loss, bulging eyes
  • tx: Blockers, removal, propythioracil, radioiodine
120
Q

What is the first intervention for ventricular tachycardia

A

assess the client’s apical pulse and BP

121
Q

Depolarization is equal to

A

contraction, blood goes out

122
Q

Each square in EKG represents how many seconds

A

0.04 seconds

123
Q

What does obtundation mean

A

greatly reduced level of consciousness

124
Q

Hypermedulla is?

A
  • increased vitals, Pheochromocytoma
  • tx: Beta blockers, alpha blockers, stress MGMT, removal
125
Q

First Degree AV node BBB

A

PR interval is longer, Sa-AV node problem

126
Q

During inspiratation the HR..

A

Increases

127
Q

Signs of Hyperkalemia

A
  • Muscle weakness
  • urine- oliguria
  • respiratory distress
  • decreased cardiac contractility
  • EKG changes
  • Reflexes ,hyper/hypo
128
Q

What is hyper ADH

A
  • SIADH
  • Specific Gravity will be high
  • Low Na+
  • CNS disorder
  • Tx: Lasix, fluid restriction, hypertonic solution
129
Q

s/sx of thyroid storm

A

fever, tachycardia, hypertensioin, tremors, agitation, vomiting, coma

130
Q

AV block refers to

A

PR interval

131
Q

T wave measure

A

ventricular repolarization, relaxtion

132
Q

Diet for hypothyroidism

A

low calorie low fat

133
Q

What are some causes for atrial flutter

A

septal defect. PE. Pericarditis, Congenital Heart Disease, Hyperthyroidism

134
Q

What is the pacemaker of the heart?

A

SA node

135
Q

Normal range for ST segment

A

0.12 (4 squares)

136
Q

What is defbrillation used for?

A

emergency, Vfib, Vtach. Synch off

137
Q

Teaching for Addison’s Disease

A
  • Medic Alert Bracelet
  • avoid strenuous exercise (stress)
  • Call physician before dental procedures
  • Call for weakness or fatigue
138
Q
A

Atrial Flutter

250-350 bpm

139
Q

Common in endocrine imbalances?

A

changes in energy level and fatigue

140
Q

What does TRF (Thryotropin Factor) do?

A

stimulates release of TSH, and prolactic release, decreases sex hormone (amenorrhea)

141
Q

Patient position after thyroidectomy

A

semi fowler’s with head supported on 2 pillows

142
Q

Which complication post op parathyroidectomy

A

hypercalcemia

143
Q
A
  • Normal Sinus Rhythm
  • Regular Rate
  • Heart Rate 70
144
Q
A
  • Normal w/ PACs (2nd & 7th beat)
  • irregular rate
  • HR 70
145
Q
A
  • Sinus Bradycardia
  • Regular Rate
  • HR 50
146
Q
A
  • Atrial Fibrillation
  • Irregular
  • Heart Rate 60
  • PRI- n/A
  • QRS Interval 0.04 -0.06
147
Q
A
  • Atrial Flutter
  • Regular Rate
  • QRS 0.06
148
Q
A
  • Supraventricular Tachycardia
  • Regular Rate
  • HR 180
  • QRS- 0.08-.10
149
Q
A
  • Aystole
150
Q

If you can see p waves and rate looks fast, what does that mean

A

atrial tachycardia

151
Q
A

Ventricular Fibrillation

152
Q
A

Normal Sinus Rhthm w/ PVCs & 2 PVCs in a row or couplet

PVC’s are wide and bizarre

irregular rate

153
Q
A
  • Ventricular Tachycardia
  • HR 160
  • Regular Rate
154
Q
A
  • Atrial Pacemaker
  • Regular Rate
  • PRI 0.20
  • QRS 0.09-0.10
  • HR 60
155
Q
A
  • Ventricular Pacemaker w/ Failure to capture
  • HR 40-50
  • Irregular
  • QRS >0.10

Nursing School 7 Med Surg 3 (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions