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Questions and Answers
When listening to a client’s lungs indicative of chronic heart failure, which sound is expected?
Why is Patrick taking morphine following a myocardial infarction?
What sign of digitalis toxicity should the nurse teach the client to recognize?
Why should the client take oral Furosemide in the morning?
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What would be the primary goal of therapy for a client with pulmonary edema and heart failure?
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Which of the following is a characteristic of decerebrate posturing?
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What side effects may occur with Cascara Sagrada?
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What is the most essential nursing action for a client on continuous intravenous nitroglycerin?
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What is an expected outcome for a client after a myocardial infarction on the second day of hospitalization?
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In caring for a client diagnosed with a right-sided brain attack, what should the nurse plan to do?
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What is Nurse Liza's highest priority care for a client who has returned after a left nephrectomy?
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What is the primary purpose of cardiac catheterization?
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What is most essential for a nurse to do in the hours following a cardiac catheterization?
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What pharmaceutical agent should Nurse Aiza prepare for a patient experiencing continuous bleeding post mitral valve replacement?
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To promote good dental care in a client with mitral stenosis, what should be included in the teaching plan?
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Which sign or symptom is most likely present in a client with mitral regurgitation?
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Study Notes
Chronic Heart Failure
- Crackles in the lungs are indicative of chronic heart failure.
Myocardial Infarction (MI)
- Morphine is used to relieve pain, decrease anxiety and restlessness in patients with MI.
- Intravenous nitroglycerin is used to treat MI, ensure the infusion pump is working properly.
- Monitor blood pressure frequently for patients receiving continuous intravenous nitroglycerin infusion.
Digitalis Toxicity
- Digitalis toxicity can manifest with visual disturbances like seeing yellow spots.
Furosemide
- Furosemide is a diuretic used to help excrete excessive fluid accumulated at night.
Pulmonary Edema and Heart Failure
- The primary goal of therapy for pulmonary edema and heart failure is to improve respiratory status.
Decerebrate Posturing
- Decerebrate posturing involves extension of the extremities after a stimulus.
Cascara Sagrada
- Cascara Sagrada is a laxative that can cause side effects like abdominal cramps.
Left Nephrectomy
- After a left nephrectomy, the highest priority is to monitor hourly urine output.
Cardiac Catheterization
- Cardiac catheterization is done to visualize the disease process in the coronary arteries.
Mitral Valve Replacement
- Protamine sulfate is used to reverse the effects of heparin and is administered to patients who are bleeding after surgery.
Endocarditis
- Good dental care is important in reducing endocarditis risk.
- Teaching should include the proper use of dental floss and a manual toothbrush.
Mitral Regurgitation
- Mitral regurgitation can cause exceptional dyspnea.
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Description
This quiz covers key concepts related to chronic heart failure, myocardial infarction, digitalis toxicity, and other critical conditions. Test your knowledge on symptoms, treatments, and the use of medications like morphine and furosemide. Ensure you understand the implications of these conditions and the appropriate interventions.
