Med Surg Quiz 3 Flashcards

1
Q

How to manage epistaxis

A

Lean forward
Pinch nose
high fowlers
apply ice pack
monitor blood pressure
elevated head

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2
Q

what is the heart healthy diet for those with hypertension

A

4-6oz of protein
lean meats
no salt substitute
low sodium

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3
Q

Hydrochlorothiazide is classified as a?

A

Diuretic that drops potassium levels and could cause muscle cramps

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4
Q

what lab do you use to assess for hypertension

A

LDL & HDL

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5
Q

Left sided heart failure affects which organ:

A

Lung

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6
Q

Symptom most associated with right sided heart failure:

A

peripheral edema

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7
Q

Metabolic syndrome risk factors include

A

CAD, DM, HTN NOT small waist

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8
Q

Simvastatin can cause:

A

myopathy

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9
Q

what to avoid when taking a statin

A

grapefruit juice

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10
Q

After a cardiac catheterization the patient should:

A

keep dressing on for 24 hours
lay flat for 6 hours

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11
Q

what lab determines kidney failure

A

creatinine

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12
Q

tertiary prevention for hypertension

A

medication adherence

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13
Q

secondary prevention for hypertension

A

labs

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14
Q

propranolol is classified as a

A

beta blocker and contraindicated with pts with asthma

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15
Q

tasks that can be delegated to an LVN

A

collect data
PO meds
Vital signs
Initiate NPO status

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16
Q

patients on diuretics should avoid

A

high sodium foods
salt substitutes

17
Q

risk factors for CAD

A

Smoking
obesity
high cholesterol foods
diabetes

18
Q

patients with heart failure should exercise how many times a week

A

3 times a week for 30 min

19
Q

what are manifestations of digoxin toxicity

A

blurred vision
confusion
loss of appetite

20
Q

left sided heart failure

A

pulmonary edema
dyspnea
orthopnea
frothy sputum
altered mental status
oliguria
s3 heart sounds