Study sets, textbooks, questions
Upgrade to remove ads
Terms in this set (18)
How do clients experiencing angina describe that pain?
Described as squeezing, heavy, burning, radiates to left arm or shoulder, transient or prolonged.
Develop a teaching plan for the client taking nitroglycerin.
Take at first sign of anginal pain. Take no more than 3, five minutes apart. Call for emergency attention if no relief in 10 minutes.
List the parameters of blood pressure for diagnosing hypertension.
Differentiate between essential and secondary hypertension.
Essential has no known cause while secondary hypertension develops in response to an identifiable mechanism.
Develop a teaching plan for the client taking antihypertensive medications.
Explain how and when to take med, reason for med, necessary of compliance, need for follow-up visits while on med, need for certain lab tests, vital sign parameters while initiating therapy.
Describe intermittent claudication.
Pain related to peripheral vascular disease occurring with exercise and disappearing with rest
Describe the nurse's discharge instructions to a client with venous peripheral vascular disease
Keep extremities elevated when sitting, rest at first sign of pain, keep extremities warm (but do NOT use heating pad), change position often, avoid crossing legs, wear unrestricted clothing.
What is often the underlying cause of abdominal aortic aneurysm?
What lab values should be monitored daily for the client with thrombophlebitis who is undergoing anticoagulant therapy?
PTT, PT, Hgb, and Hct, platelets.
When do PVCs (premature ventricular contractions) present a grave danger?
When they begin to occur more often than once in 10 beats, occur in 2s or 3s, land near the T wave, or take on multiple configurations.
Differentiate between the symptoms of left-sided cardiac failure and right-sided cardiac failure.
Left-sided failure results in pulmonary congestion due to back-up of circulation in the left ventricle. Right-sided failure results in peripheral congestion due to back-up of circulation in the right ventricle.
List 3 symptoms of digitalis toxicity.
Dysrhythmias, headache, nausea and vomiting
What condition increases the likelihood of digitalis toxicity occurring?
When the client is hypokalemic (which is more common when diuretics and digitalis preparations are given together).
What life style changes can the client who is at risk for hypertension initiate to reduce the likelihood of becoming hypertensive?
Cease cigarette smoking if applicable, control weight, exercise regularly, and maintain a low-fat/low-cholesterol diet.
What immediate actions should the nurse implement when a client is having a myocardial infarction?
Place the client on immediate strict bedrest to lower oxygen demands of heart, administer oxygen by nasal cannula at 2-5 L/min., take measures to alleviate pain and anxiety (administer prn pain medications and anti-anxiety medications).
What symptoms should the nurse expect to find in the client with hypokalemia?
Dry mouth and thirst, drowsiness and lethargy, muscle weakness and aches, and tachycardia.
Bradycardia is defined as a heart rate below ___ BPM. Tachycardia is defined as a heart rate above ___ BPM.
bradycardia 60 bpm; tachycardia 100 bpm
What precautions should clients with valve disease take prior to invasive procedures or dental work?
Take prophylactic antibiotics.
Sets with similar terms
HESI: Med-Surg: Cardiovascular System
Coronary artery disease / MI
Iggy Chapter 40: Care of Patients with Acute Coron…
Other sets by this creator
Postpartum high risk disorders
Fetal Maternal assessment techniques
Other Quizlet sets
Science 2310 (rocks and minerals)
Ocean Chapter 1
Idea of the Day
SLP-PRAXIS (5331) preparation