QUIZ 6 Flashcards
angina pectoris
The nurse will administer ordered calcium channel blockers, nitrates, and beta adrenergic blocking agents, and will apply supplemental O2 during exacerbations of pain r/t angina pectoris.
unstable angina
The nurse will administer aspirin as ordered for the patient with unstable angina to reduce the recurrence of ischemic symptoms.
stable angina
The nurse will educate the patient that stable angina is triggered by a predictable degree of exertion or emotions and that it will subside by taking away the precipitating factors and using sublingual nitroglycerin as prescribed.
variant angina
The nurse will administer NTG as ordered and educate the patient with variant angina that episodes may last several minutes, are often associated with exercise, and can occur frequently at night.
ischemia
The nurse will educate the pt that myocardial ischemia can be a result of atherosclerosis in the coronary arteries and will promote a low-fat diet and smoking cessation.
MI
The nurse will administer morphine, oxygen, NTG, and aspirin as ordered for the patient with a suspected MI.
CAD
The nurse will educate the pt that stress tests used to evaluate for CAD assess the heart’s response to an elevated heart rate brought on by treadmill walking or pharmacologic agents.
arteriosclerosis
The nurse will educate the pt that arteriosclerosis which occurs with increasing age due to vessel stiffening can develop into atherosclerosis which increases the risk for heart disease.
atherosclerosis
The nurse will educate the pt that regular exercise, smoking cessation, and limiting foods high in cholesterol can help prevent the development and progression of atherosclerosis.
MONA
The nurse will administer the treatment protocol of morphine, O2, nitroglycerin, and aspirin as ordered for a pt with a suspected of MI.
PCI
After the PCI procedure, the nurse assesses the ECG and evaluates the results for signs of abnormality.
CK
The nurse will monitor CK levels over the course of 3-4 days after an MI to ensure they go back down into their normal range of 5-35 mcg/mL and cardiac ischemia and infarct has completely subsided.
myoglobin
The nurse will evaluate myoglobin in conjunction with other cardiac diagnostic lab results because elevated myoglobin alone is not specific for cardiac damage, but for any muscular damage.
troponin
The nurse will suspect the pt of having an MI after assessing elevated troponin levels, and will ensure the HCP is aware. The nurse will administer ordered medications, O2, and provide an ECG.
aortic valve regurgitation
The nurse will assess for AVR by auscultating for the hallmark clinical manifestation of a diastolic murmur that is heard best at the second right intercostal space (aortic area) and radiating to the LSB
aortic valve stenosis
The nurse educates the patient that aortic valve stenosis left untreated may lead to end-stage heart failure.
mitral valve regurgitation
The nurse will monitor for pulmonary edema as an indication of acute MVR by watching for s/s of decreased SPO2, SOB, and pink frothy sputum
mitral valve stenosis
The nurse will assess for a-fib and for clinical manifestations of right-sided HF in the pt with mitral valve stenosis.
MVP
The nurse will assess for MVP by assessing the patient for anxiety, panic attacks, and feeling of impending doom.
valvuloplasty
The nurse will educate the patient with mitral or aortic stenosis that valvuloplasty may be a treatment option for their valve disease to repair the valve leaflet rather than replace it.
cardiac tamponade
The nurse will recognize Beck’s triad as indicative of cardiac tamponade notify the HCP immediately to institute diagnosis and treatment as soon as possible.
IE
The nurse will initiate antibiotic therapy with drugs specific to the causative organism for IE following the blood culture and sensitivity reports.
Beck’s triad
The nurse will recognize decreased BP, muffled heart sounds, and JVD as Beck’s triad, classic assessment findings for the patient with cardiac tamponade, and immediately notify HCP.
dilated cardiomyopathy
The nurse will treat dilated cardiomyopathy like heart failure by administering inotropic drugs, diuretics, and antidysrhythmics as ordered.
dilated cardiomyopathy
The nurse will continually monitor for changes in systemic perfusion by assessing mental status, heart rate and rhythm, peripheral perfusion, oxygenation, fluid status, and vital signs since DCM is a progressive disease,
hypertrophic obstructive cardiomyopathy
The nurse will educate the patient with HCM about the importance of hydration and activity restrictions to prevent sudden cardiac death.
ARVC
The nurse will provide emotional support and consult social work or other collaborative professionals as needed for the patient with ARVC who’s only treatment option is a heart transplant.
RCM
The nurse will teach the pt to decrease activity level, conserve energy, and administer antiarrhythmics, calcium channel blockers, beta adrenergic blockers, and diuretics as ordered.
