Exam (elaborations)
Hondros NUR 176 Test 2|97 Questions and Answers
- Course
- Institution
Hondros NUR 176 Test 2|97 Questions and Answers
[Show more]
Content preview
Hondros NUR 176 Test 2|97Questions and Answers
ARF Causes - -Hemorrhage, trauma, infection, decreased cardiac output,
medications
- ARF S/S - -mimics dehydration s/s, anorexia, h/a, edema, vomiting,
nausea, lethargy,
- Malignan hypertension - -Is the most severe
- S/S of Malignant hypertension - -- Diastolic >120
- Blurred vision
- Severe h/a
- High cholesterol
- Dyspnea
- History of hypertension
- Beta blockers - -medication used to treat several different types of
conditions, including hypertension (high blood pressure), angina, some
abnormal heart rhythms, heart attack (myocardial infarction)
- Beta blockers actions - -Decreases BP and HR blocking epinephrine and
nonepinephrine
- Side effects of Beta blockers - -SOB (asthma like symptoms)
Weakness
Dry mouth
Dizziness
H/A
Upset stomach
- Common Beta blockers - -Metoprolol (Lopressor, Toprol-XL)
Propranolol (Inderal LA, InnoPran XL)
- Atenolol (Tenormin) - -Medication for MI
- Digoxin (Lanoxin, Digox) - -medication used for heart failure (hf)
- Nursing consideration for Digoxin - -assess hr, if it's <60 hold the medicine
and call doctor
- Nitroglycerin - -opens blood vessels, is used for chest pain (antiangina)
, - Administration of glycerin - -Sublingual, 1 pill q5min, maximum of three
pills, if pain continues call doctor, possible HA
- PTCA - -Percutaneous
Transluminal
Coronary
Angioplastic
- Pt teaching before PTCA - -- Explain procedure: a balloon is inflated to
reduce the constriction in the artery
- Contrast is used, normally in femoral
- Pt is gonna feel a flush/warm everywhere when contrast is injected
- Pt should lay flat
- Pt will be sedated but awake
- Pt should sign Informed consent for PTCA and a future CABG (Coronary
Artery Bypass Grafting)
- S/S of left heart failure - -Lungs (Respiratory problems)
Dyspnea, paroxysmal nocturnal dyspnea, cough, frothy-blood-tinged sputum,
orthopnea, pulmonary crackles, radiographic evidence of pulmonary vascular
congestion with pleura effusion
- S/S of right heart failure - -Body (everything not related to lungs)
Distended jugular veins, anorexia, nausea, abdominal distention, liver
enlargement, ascites (peritoneal edema), edema in feet, ankles, sacrum
- Test for heart failure - -- CXR
- BNP (Brain Natriuretic Peptide)
- Cardiac rehabilitation orders - -- Low Na+ diet
- Lifestyle education (all that pt is doing wrong and have to correct)
- Use of medications (Metoprolol -Lopresol
- Exercise
- Non-pharmacological treatment for hypertension - -- Diet (low Na+, low
fat, high K+, CA+, and Mg+) fruits and vegetables
- Moderate aerobic exercises (walk 20 min/day/3 times/wk
- High Blood Pressure - ->140/90, is called the silent killer because it
doesn't show symptoms until is tissue damage
- S/S of high blood pressure - -- Blurred vision
- Unexplained nose bleeding
- S/S of MI for males - -- Heavy severe chest pain, usually radiates to left
arm, neck, jaw
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Nursephil2023. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83750 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now