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VN 22 Med Surg 1 > VN 22 Test 3 > Flashcards

VN 22 Test 3 Flashcards

1
Q
  1. Kill, Hurt, Know Anti-Platelets Purpose?
A

*Will help prevent clots
*At risk for GI bleed or Hemorrhagic stroke
*Monitor for bleeding

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2
Q
  1. Coronary artery disease client education
A

*Check cholesterol levels
*Manage HTN
*Control diabetes
*Stop smoking
*Increase physical activity (weight loss if needed)
*Increase foods with omega-3 fatty acid (salmon, fish and tuna)

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3
Q
  1. Coronary artery disease nursing actions
A

*Administer oxygen
*Assess their PAIN
*Administer nitroglycerin

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4
Q
  1. Coronary artery disease risk factors
A

*Elevated LDL’s
*Obesity
*Lifestyle patterns: smoking, high fat diet
*Diabetes

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5
Q
  1. Modifiable Risk factors
A
  • High serum lipids -LDL
    *Hypertension
    *Tobacco and alcohol use
    *Physical inactivity
    *Obesity
    *Diabetes: 2-4 times greater risk
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6
Q
  1. Myocardial infarction client education (diet)
A

*Reduce saturated fats and cholesterol
*Increase complex carbohydrates and fiber
*Reduce red meat, egg yolk, and whole milk
*Increase food with omega-3 fatty acids

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7
Q
  1. Priorities for MI
A

Administer oxygen, Nitroglycerin, IV morphine sulfate

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8
Q
  1. Manifestations for MI
A

*Sudden chest pain
*Shortness of breath
*Indigestion
*Nausea
*Anxiety
*Cool, pale, moist skin
*Tachycardia and High RR

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9
Q
  1. Key lab for MI
A

*Troponin: is the goal standard to diagnosis a MI

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10
Q
  1. Manifestations of angina
A

*Pain radiates from the chest to the shoulder and arms, especially on the left side. Also the jaw, neck or teeth

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11
Q
  1. Need to know: Client that has angina and takes nitroglycerin
A

I’m the pain goes away then is not a MI. If the pain is still there then its a medical emergency.

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12
Q
  1. DVT nursing intervention
A
  • Apply warm, moist heat
  • Increase fluids
    *Monitor platelets
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13
Q
  1. DVT manifestations
A

*Leg swelling ONLY unilateral
*Redness
*Pain
*Warm to the touch
*Low grade fever

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14
Q
  1. DVT risk factors
A

*Venous Stasis (bed rest, obesity, surgery, immobilization)
*Endothelial damage (trauma, surgery, IV drug usage, indwelling devices)
*Hyper-coagulability ( pregnancy, cancer, oral contraceptive, dehydration)

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15
Q
  1. PVD client education
A

*Walking is the most effective exercise for individuals with claudication (30-45minutes daily, 3 times/week)
*Elevate legs

Pulses are able to be palpable

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16
Q
  1. Antihyperlipidemic meds: Statins
A

*Take in the evening/night
*Avoid grapefruit
*Report Muscle pain (rhabdomyolysis)
*Monitor LFT (liver function)
*Photosensitivity

17
Q
  1. Antihyperlipidemic meds: Bile acids
A

*You can mix it with applesauce to avoid irritation of esophagus

18
Q
  1. Nursing interventions for cerebral aneurysm
A

*Dark quite room
*No bright lights
*Avoid people (expect family)
*Reduce stress
*No stimulation

19
Q
  1. PAD client education
A

*Avoid tight clothes
*Do NOT elevated legs
*No heating pad
*low fat diet
*no smoking
*daily skin care

20
Q
  1. Raynaud’s phenomenon client education
A

*Avoid exposures to cold (be covered up)

21
Q
  1. Heparin medication
A

*Fast acting
* Labs (30-40)PPT and platelets

22
Q
  1. Warfarin meds
A

*Slow onset
*INR

23
Q
  1. Thrombolytic Meds
A

*Break up clots
*Most powerful
*Massive bleed risk (Assess for any bleeding)

24
Q
  1. Nitroglycerin meds
A

*Monitor for severe hypotension
*No Sildenafil
*Keep in the original package and in place in the dark
*Remove 10-12 hours
*Expected signs are : Headache and dizziness

25
Q
  1. Abdominal Aneurysm nursing intervention
A

*Avoid straying during bowel movement
*Brult heard over the mass
*Severe abdominal and back pain
*Pulsing abdominal mass

26
Q
  1. Nursing interventions and client education for venous stasis
A

*Elevate the legs
*Avoid crossing the legs
*Wear elastic compression stockings

27
Q
  1. Manifestations for venous stasis
A

*Dark pigmentation
*Warm to the touch
*Edema/ swelling

28
Q
  1. Early and late indication for increase intracranial pressure
A

Early: headache
Late:no oxygen which leads to decrease level of consciousness

29
Q
  1. Manifestations varicose veins
A

*Muscle cramps
*dull, achy feeling
*Increase muscle fatigue
*Ankle edema
*Heavy feeling in the legs

30
Q
  1. Prevention of varicose veins
A

*Compression socks
*Change position frequently
*Daily exercises

31
Q
  1. Client education of varicose veins
A

*Do not sit or stand for a long period of time
*Postoperative client who just got out of surgery for severe varicose vein: make sure they gradually return back to activity; do not rush it
*Monitor blood circulation

VN 22 Med Surg 1 (14 decks)

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