Week 11 Flashcards
HF/ CVD/ SHOCK
The nurse is preparing patient to have a 12-lead ECG performed. When prepping the skin the nurse notices that the patient has abundant chest hair. What is the most appropriate nursing intervention to improve adhesion of the ECG leads?
A. Use alcohol swabs to clean the skin before applying the leads
B. Clip the chest hair with the patient’s permission before applying the leads
C. Apply the leads to the arms and legs only
D. Reschedule the ECG
B. Clip Hair
The nurse is caring for a patient with hypercholesterolemia who has been prescribed atorvastatin (Lipitor). What serum levels should be monitored in this patient?
A. Complete blood count (CBC)
B. Blood cultures
C. Na and K levels
D. Liver enzymes
D. Liver enzymes
- Lipitor can damage liver
The nurse is caring for a patient who has severe chest pain after working outside on a hot day and is brought to the emergency center. The nurse administers nitroglycerin to help alleviate chest pain. What side effect should concern the nurse the most?
A. Dry mucous membranes
B. Heart rate of 88 bpm
C. Blood pressure of 86/58 mm Hg
D. Complaints of headache
C. BP 86/58 mm hg
The classic EKG change that occur with a myocardial infarction is?
A. absent P wave
B. ST segment depression
C. ST segment elevation
D. no way diagnose an MI on EKG
C. ST elevation
The nurse is caring for a patient after cardiac surgery. Which nursing intervention is appropriate to help prevent complications arising from venous stasis?
A. Encourage crossing of legs
B. Use pillows in the popliteal space to elevate the knees in the bed
C. Discourage exercising
D. Apply sequential pneumatic compression devices as prescribed
D, sequentials
What evaluation most illustrates that the patient with HF has met outcomes for the nursing diagnosis “Activity intolerance related to decreased CO?”
A. Exhibits decreased peripheral edema
B. Maintains heart rate, blood pressure, respiratory rate, and pulse oximetry within the targeted range
C. Avoids situations that produce stress
D. Performs and records daily weights
B, maintain HR, BP,RR, and Pulse Ox
What is the most reliable sign of cardiac arrest in an adult and child?
A. Decrease in blood pressure
B. Absence of brachial pulse
C. Absence of breathing
D. Absence of carotid pulse
D. absence of carotid pulse
What is Angina
Chest pain
ABCD’s of sudden cardiac arrest
A: airway
B: Breathing
C: Circulation
D: Defibrilation for VTach and VFib
Nitroglycerin helps the heart by causing?
Vasodilation
Which of these drugs ends in lol
a. beta blockers
b. calcium channel blockers
c. ace inhibitors
d. alpha blockers
A. Beta Blockers
Vit K is the antidote for which drug?
Warfarin
Protamine sulfate is the antidote for which drug?
Heparin
Statin drugs are used to treat what?
Hypercholesterolemia
