nursing document 003, Lecture notes of Nursing

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Cardiac Disorders

Overview

Lots of Work to do…………… And so, little time to do it!! Created by: Charlotte M. Wood, PhD, MSN,

Review all Cardiac Disorders including:

MODS, Shock, Hemodynamics & Hematology!

Question

A client with chest pain rated at 8 on a 10- point visual analog scale. The 12-lead ekg reveals ST elevation in the inferior leads and troponin levels are elevated. What should the nurse do first? 1.Monitor daily weights and urine output. 2.Limit visitation by family and friends. 3.Provide client education on medications and diet. 4.Reduce pain and myocardial oxygen demand.

Answer

A client with chest pain rated at 8 on a 10- point visual analog scale. The 12-lead ekg reveals ST elevation in the inferior leads and troponin levels are elevated. What should the nurse do first?

1. Monitor daily weights and urine output.
2. Limit visitation by family and friends.
3. Provide client education on medications and diet. 4.Reduce pain and myocardial oxygen demand.

Mitral Valve Disease

Which of the following signs and symptoms would most likely be found in a client with mitral regurgitation? 1.Exertional dyspnea 2.Confusion 3.Elevated creatine phosphokinase concentration 4.Chest pain

Functional Cardiac

Disorders

 (^) Coronary Heart Disease  (^) Heart Failure  (^) Angina  (^) Myocardial Infarction  (^) Clinical Manifestations  (^) Medical Management  (^) Nursing Management

Heart Failure A nurse is awaiting the arrival of a client from the emergency department with a diagnosis of anterior wall myocardial infarction. In caring for this client, the nurse would be alert for signs and symptoms of left-sided heart failure? (Select All That Apply)

1. Jugular vein distention
2. Hepatomegaly **_3. Dyspnea
3. Crackles
4. Tachycardia_**
5. Right upper quadrant pain

Angina Women who complain of chest pain often have the following symptoms: (Select All That Apply) 1.Silent ischemia 2.Complaints of fatigue 3.Complaints of heart burn 4.Complaints of abdominal fullness 5.Shortness of breath

Myocardial Infarction Question: A client admitted to the emergency department after reporting acute chest pain radiating down the left arm. The client appears anxious, dyspneic, and diaphoretic. Which laboratory studies would the nurse anticipate? (Select all that apply)

1. Hemoglobin and hematocrit (HCT)
2. Serum glucose
3. Creatine Kinase (CK)
4. Troponin T and troponin I
5. Myoglobin
6. Blood urea nitrogen (BUN)

Myocardial Infarction Answer: A client admitted to the emergency department after reporting acute chest pain radiating down the left arm. The client appears anxious, dyspneic, and diaphoretic. Which laboratory studies would the nurse anticipate? (Select all that apply)

1. Hemoglobin and hematocrit (HCT)
2. Serum glucose **_3. Creatine Kinase (CK)
3. Troponin T and troponin I
4. Myoglobin_**
5. Blood urea nitrogen (BUN)

Infective Cardiac

Disorders

A 54-year old male client was recently diagnosed with subacute bacterial endocarditis (SBE). The nurse determines that client understands the discharge teaching when he makes which statement?

1. “I need a referral to a dietician to understand a low-sodium diet.
2. “I have to call my doctor so I can get antibiotics before seeing the dentist.”
3. “Can I take the antibiotics as a pill now?”
4. “If I quit smoking, it will help the endocarditis.”

Infective Cardiac

Disorders

A 54-year old male client was recently diagnosed with subacute bacterial endocarditis (SBE). The nurse determines that client understands the discharge teaching when he makes which statement? 1.“I need a referral to a dietician to understand a low-sodium diet. 2.“I have to call my doctor so I can get antibiotics before seeing the dentist.” 3.“Can I take the antibiotics as a pill now?” 4.“If I quit smoking, it will help the endocarditis.”

Infective Cardiac

Disorders

Which of the following is not a

sign of Cardiac Tamponade?

1. High peak pressures on the ventilator

2. Elevated right atrial pressures
3. Muffled heart sounds
4. Pulsus paradoxus

Cardiac Rhythms

Interpretation &

Treatment