Post op teaching following cardiac valve replacement bc of anticoagulant use use electric razor Not increasing intake of vitals K+ Safety at home to prevent falls Watch for signs of bleeding
Priority care for pts on the cardiac floor with cardiac catheterization percutaneous cardiac intervention (...
NUR 347 EXAM 2 QUESTIONS AND
COMPLETE SOLUTIONS
Post op teaching following cardiac valve replacement bc of anticoagulant use ✅use
electric razor
Not increasing intake of vitals K+
Safety at home to prevent falls
Watch for signs of bleeding
Priority care for pts on the cardiac floor with cardiac catheterization ✅percutaneous
cardiac intervention (PCI) is at risk for cardiac complications
This is a pt that would need immediate care
Risk for bleeding
Hypovolemic shock risks ✅include anything that causes a patient to bleed profusely
(femur fracture, etc.)
Tx of a pt with symptomatic bradycardia ✅atropine, dopamine, epinephrine
Tx of a pt with nonsymptomatic bradycardia ✅nothing, but monitor
If administering atropine to the pt is not effective, what do you do next? ✅administer IV
dopamine and/or epinephrine
Emergency transcutaneous pacing (external pacing)
What can tell if it is a STEMI or NSTEMI? ✅ECG
What is a STEMI indicative of? ✅significant blockage in the coronary arteries that
needs immediate action (PCI and MONA)
What does PCI stand for? ✅percutaneous coronary intervention
What do beta blockers treat? ✅hypertension
Used to help with MI if dysrhythmias occur
What do PAD pts experience? ✅intermittent claudication
What type of medication are pts with PAD prescribed? ✅antiplatelets (ie: cilostazol)
Intermittent claudication ✅pain in the lower legs when the pt is walking due to
decreased blood flow to the lower extremities
, Narrow arteries reduce blood flow to the limbs
After placement of a pacemaker and the pt has no complications, what should happen?
✅pt should be discharged a day after the procedure
What is the first intervention for Afib tx? ✅anticoagulant therapy to prevent stroke
Pts are at risk for developing clots
When would atropine be administered? ✅heart block with bradycardia
What is the goal of atropine? ✅increase HR
Tx for pt who complains of chest pain, becomes unresponsive and pulseless: ✅CPR
What does ICD stand for? ✅implantable cardioverter defibrillator
Why would an ICD be placed? ✅to protect a pt if they go into a lethal rhythm such as
Vtach
Pericarditis and pericardial effusion who has developed jugular vein distention ✅needs
priority care
Allen's test ✅performed to ensure the pt has good blood flow via the ulnar artery bc the
arterial line will be inserted in the radial artery
(assessment of arterial blood flow in hands)
S/s of chronic HF exacerbation ✅weight gain, edema, SOB, cough
When do you withhold digoxin? ✅pulse is below 55 and notify provider
What should the nurse do when there is a non-palpable pulse in the extremity that the
femoral angiogram was performed? ✅check the pulse using a doppler ultrasound
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