NURS2040 Week 2 & 6 Overview

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Questions and Answers

Which of these symptoms is most commonly associated with left-sided heart failure?

Pulmonary congestion (correct)

Jaundice

Syncope

Peripheral edema

What is considered the primary nursing management strategy for a patient with right-sided heart failure?

Administering diuretics to manage fluid overload (correct)

Increasing physical activity without limitations

Monitoring blood glucose levels closely

Encouraging high sodium diet for better blood pressure

Which medication class is primarily used in the pharmacological treatment of heart failure to reduce afterload?

Calcium channel blockers

Beta-blockers

Nitrates

ACE inhibitors (correct)

Which diagnostic assessment is most effective for evaluating the presence of left-sided heart failure?

Echocardiogram Signup and view all the answers

What symptom is often overlooked but critical in diagnosing right-sided heart failure?

Abdominal swelling Signup and view all the answers

Which of the following pharmacological treatments is typically contraindicated in patients with both heart failure and renal impairment?

Loop diuretics Signup and view all the answers

Which assessment finding is critical in a patient presenting with exacerbation of heart failure?

Increased central venous pressure Signup and view all the answers

What role do beta-blockers play in the management of chronic heart failure?

Reduce cardiac workload and improve function Signup and view all the answers

What is the most appropriate initial nursing intervention for a patient showing signs of fluid overload during a blood transfusion?

Stop the transfusion Signup and view all the answers

Which symptoms indicate a possible left-sided heart failure that requires nursing attention?

Dyspnoea and fine crackles on auscultation Signup and view all the answers

What is the primary goal of pharmacological treatment in managing right-sided heart failure?

To reduce fluid overload Signup and view all the answers

What diagnostic assessment is crucial for identifying complications in patients with suspected heart failure?

Chest X-ray Signup and view all the answers

What nursing management strategy should be prioritized when caring for a patient with heart failure?

Monitoring fluid intake and output closely Signup and view all the answers

Which of the following is NOT a common nursing intervention for patients receiving blood component therapy?

Providing high sodium diet recommendations Signup and view all the answers

In implementing a care plan for a heart failure patient, which assessment finding should prompt immediate action?

Blood-tinged sputum and chest pain Signup and view all the answers

Which parameter would be most relevant to monitor regularly in a patient with chronic heart failure?

Daily weight measurements Signup and view all the answers

Which of the following is a common nursing management strategy for left-sided heart failure?

Monitoring fluid intake and output carefully Signup and view all the answers

Which pharmacological treatment is typically prescribed for patients experiencing right-sided heart failure?

Diuretics Signup and view all the answers

What is the primary purpose of assessing Central Venous Pressure (CVP) in patients with heart failure?

To determine the balance of fluid volume status Signup and view all the answers

Which diagnostic assessment is most commonly used to evaluate the severity of heart failure?

Echocardiogram Signup and view all the answers

Which of the following would be an inappropriate nursing intervention for a patient in acute left-sided heart failure?

Restricting fluid intake to prevent dehydration Signup and view all the answers

In the management of right-sided heart failure, which assessment finding is most indicative of worsening condition?

Increased jugular venous distension Signup and view all the answers

Which medication class is primarily used to manage fluid overload in heart failure patients?

Diuretics Signup and view all the answers

What nursing intervention is critical after a patient undergoes a surgical procedure for heart failure?

Monitoring for signs of postoperative complications Signup and view all the answers

Which of the following conditions is a potential postoperative complication of cardiovascular surgeries?

Pulmonary embolism Signup and view all the answers

Study Notes

Week 2 Lecture: NURS2040 - Professional Practice 4

Recommendations for renovating an operating theater at an emergency obstetric care facility were published in the International Journal of Gynecology & Obstetrics in 2001. The publication includes details on correct traffic flow.

Images for Reference

Various images were referenced, including those depicting anesthesia techniques (local anesthetic, epidural, eye block, brachial plexus block, femoral block), deviated septum, dermatomes, laryngectomy, lap thyroidectomy, and radical neck dissection.

Week 6 Tutorial and Labs

A blood safety e-learning resource is available for portfolio/CV completion.
Tutorials involve reviewing case studies from the Clinical Reasoning text on caring for patients with cardiac conditions (ischemic chest pain, heart failure) and those receiving blood component therapies (red blood cells, platelets, fresh frozen plasma).
Access to chapter answer guides and additional case studies (CCF, CABG, chest pain management) is provided.

References

Several references are listed, including sources on perioperative nursing, medical-surgical nursing, pharmacology in nursing, sentinel event reporting, and the pre-procedure preparation toolkit. Specific editions and publishers are cited for textbooks.

Course Updates (NURS2040)

Assessment 1 (mid-semester) is complete, with marks released in two weeks. Deferred submissions have a three-day window.
Assessment 2 (Med+Safe, hurdle task 1) follows the study week break, with multiple attempts allowed.
Assessment 4 (CSE – IDC insertion, hurdle task 3) involves practice sessions and assessments in designated weeks. Signup links and announcements are via Blackboard.
Assessment 5 is the final semester test in week 10.
A study break is scheduled for September 2nd.
Week 7 in Broome is a study week.
Week 8 includes a compulsory STS event.
Week 9 features a pre-recorded lecture due to a public holiday, with no tutorial.
Week 10 includes the end-of-semester assessment and potential second attempts for CSEs.
Week 11 includes SGG for OT placement students.

Week 6 Objectives

Review of cardiac physiology, perfusion, and monitoring.
Exploration of nursing management of cardiovascular postoperative complications.
Discussion of Central Venous Pressure (CVP) and Jugular Venous Pressure (JVP) indications and measurement.
Discussion of complex perfusion dysfunction and nursing management for heart failure patients.
Discussion of medical and surgical cardiovascular interventions and nursing considerations.
Discussion of a congenital pediatric cardiovascular issue.

Fluid Overload/Circulatory Overload Management

Stop transfusion immediately.
Notify medical staff; perform frequent observations, check medication chart (frusemide administration), obtain FBC, and provide nursing care as per fluid overload protocol. Symptoms include dyspnea, chest pain, anxiety, diaphoresis, blood-tinged sputum, and crackles on chest auscultation.

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Description

Explore key insights and recommendations for professional practice in nursing, focusing on topics such as operating theater renovations and patient care in cardiac conditions. This quiz covers anesthesia techniques, case studies, and blood safety resources relevant to the NURS2040 course content.