Podcast
Questions and Answers
When listening to a client’s lungs indicative of chronic heart failure, what is the expected sound?
When listening to a client’s lungs indicative of chronic heart failure, what is the expected sound?
- Crackles (correct)
- Stridor
- Friction rubs
- Wheezes
Why is Patrick taking morphine following a myocardial infarction?
Why is Patrick taking morphine following a myocardial infarction?
- Dilates coronary blood vessels
- Helps prevent fibrillation of the heart
- Decrease anxiety and restlessness
- Prevents shock and relieves pain (correct)
What signs of digitalis toxicity should the nurse teach the client to recognize?
What signs of digitalis toxicity should the nurse teach the client to recognize?
- Skin rash over the chest and back
- Elevated blood pressure
- Visual disturbances such as seeing yellow spots (correct)
- Increased appetite
Why should a client with heart failure take oral Furosemide in the morning?
Why should a client with heart failure take oral Furosemide in the morning?
What is the primary goal of therapy for a client with pulmonary edema and heart failure?
What is the primary goal of therapy for a client with pulmonary edema and heart failure?
What is a characteristic of decerebrate posturing?
What is a characteristic of decerebrate posturing?
What side effects may be experienced by a client taking Cascara Sagrada?
What side effects may be experienced by a client taking Cascara Sagrada?
What is the most essential nursing action during intravenous nitroglycerin infusion for a myocardial infarction?
What is the most essential nursing action during intravenous nitroglycerin infusion for a myocardial infarction?
What is an expected outcome for a client on the second day of hospitalization after a myocardial infarction?
What is an expected outcome for a client on the second day of hospitalization after a myocardial infarction?
What is the appropriate nursing intervention for a 68-year-old client diagnosed with a right-sided brain attack?
What is the appropriate nursing intervention for a 68-year-old client diagnosed with a right-sided brain attack?
What should be Nurse Liza's highest priority after a left nephrectomy?
What should be Nurse Liza's highest priority after a left nephrectomy?
What is the primary purpose of cardiac catheterization for a client with cardiovascular problems?
What is the primary purpose of cardiac catheterization for a client with cardiovascular problems?
What is the most essential action during the first several hours after a cardiac catheterization?
What is the most essential action during the first several hours after a cardiac catheterization?
What pharmaceutical agent should Nurse Aiza prepare to administer to Kate, who is experiencing continuous bleeding after mitral valve replacement?
What pharmaceutical agent should Nurse Aiza prepare to administer to Kate, who is experiencing continuous bleeding after mitral valve replacement?
What should be included in the teaching plan for good dental care in a client with mitral stenosis?
What should be included in the teaching plan for good dental care in a client with mitral stenosis?
Which of the following signs and symptoms would most likely be present in a client with mitral regurgitation?
Which of the following signs and symptoms would most likely be present in a client with mitral regurgitation?
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Study Notes
Chronic Heart Failure
- Expected auscultation finding for chronic heart failure: Crackles
Myocardial Infarction
- Morphine is administered to MI patients to relieve pain and prevent shock.
- Continuous Intravenous Nitroglycerin Infusion: Essential Nursing Action - Monitoring Blood Pressure every 4 hours
- Expected Outcome of MI Patient on Day 2 of Hospitalization: Able to perform self-care activities without pain
Digitalis Toxicity
- Expected signs and symptoms of digitalis toxicity: Visual disturbances such as seeing yellow spots.
Furosemide
- Teaching clients to take Furosemide in the morning: Excrete excessive fluids accumulated at night
Pulmonary Edema
- Primary therapy goal: Improve respiratory status
Head Injury and Decerebrate Posturing
- Decerebrate posturing: Extension of the extremities after a stimulus
Cascara Sagrada
- Side effects: Abdominal cramps
Cardiac Catheterization
- Primary purpose: To visualize the disease process in the coronary arteries
- Post Procedure Essential Nursing Action: Frequently monitor client’s apical pulse and blood pressure
Mitral Valve Replacement and Continuous Bleeding
- Pharmaceutical agent: Protamine Sulfate
Mitral Stenosis
- Good dental care: Proper use of a toothbrush
Mitral Gurgitation
- Expected sign and symptom: Exceptional Dyspnea
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