Podcast
Questions and Answers
Because use of ______ can prevent adequate BP control, the patient may need to avoid the use of ibuprofen.
Because use of ______ can prevent adequate BP control, the patient may need to avoid the use of ibuprofen.
NSAIDs
A multivitamin tablet will help supply vitamin ______, which may help lower BP.
A multivitamin tablet will help supply vitamin ______, which may help lower BP.
D
The purpose for ______ in patients with chronic stable angina who are at high risk for a cardiac event is to decrease ventricular remodeling.
The purpose for ______ in patients with chronic stable angina who are at high risk for a cardiac event is to decrease ventricular remodeling.
ACE inhibitors
Captopril can cause ______, especially after the initial dose, so it is important that the patient not get up out of bed without assistance until the nurse has had a chance to evaluate the effect of the first dose.
Captopril can cause ______, especially after the initial dose, so it is important that the patient not get up out of bed without assistance until the nurse has had a chance to evaluate the effect of the first dose.
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The ______ are potassium sparing, and the nurse should not teach the patient to purposely increase sources of dietary potassium.
The ______ are potassium sparing, and the nurse should not teach the patient to purposely increase sources of dietary potassium.
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The other teaching by the new RN is appropriate for a patient with newly diagnosed ______ who has just started therapy with enalapril.
The other teaching by the new RN is appropriate for a patient with newly diagnosed ______ who has just started therapy with enalapril.
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The nurse is caring for a 70-yr-old patient who takes hydrochlorothiazide and ______ (Norvasc).
The nurse is caring for a 70-yr-old patient who takes hydrochlorothiazide and ______ (Norvasc).
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A hospitalized patient with chronic heart failure has a new order for ______ 12.5 mg PO.
A hospitalized patient with chronic heart failure has a new order for ______ 12.5 mg PO.
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A patient is admitted to the PACU after ______ abdominal surgery.
A patient is admitted to the PACU after ______ abdominal surgery.
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Scrub from elbows to ______
Scrub from elbows to ______
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Which factors in positioning a patient for surgery increase the risk of ______ injury?
Which factors in positioning a patient for surgery increase the risk of ______ injury?
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During the postoperative care of a 76-year-old patient, the nurse monitors the patient’s intake and output carefully, knowing that the patient is at risk for fluid and electrolyte imbalances primarily because older adults are more likely than younger adults to lose ______ fluid during surgeries.
During the postoperative care of a 76-year-old patient, the nurse monitors the patient’s intake and output carefully, knowing that the patient is at risk for fluid and electrolyte imbalances primarily because older adults are more likely than younger adults to lose ______ fluid during surgeries.
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Why is IV induction for general anesthesia the method of choice for most ______?
Why is IV induction for general anesthesia the method of choice for most ______?
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During administration of a ______ IV solution, the mechanism involved in equalizing the fluid concentration between ECF and the cells is osmosis.
During administration of a ______ IV solution, the mechanism involved in equalizing the fluid concentration between ECF and the cells is osmosis.
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Which actions would the nurse prioritize when admitting a patient to the ______?
Which actions would the nurse prioritize when admitting a patient to the ______?
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The major body fluid compartments include ______ fluid and intracellular fluid.
The major body fluid compartments include ______ fluid and intracellular fluid.
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The movement of water and electrolytes between body fluid compartments is regulated by processes such as osmosis, diffusion, and ______ transport.
The movement of water and electrolytes between body fluid compartments is regulated by processes such as osmosis, diffusion, and ______ transport.
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The nurse prioritizes ______ the surgical site, noting presence and character of drainage.
The nurse prioritizes ______ the surgical site, noting presence and character of drainage.
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Fluid volume deficit, a type of extracellular fluid volume imbalance, is characterized by a decrease in ______ fluid volume.
Fluid volume deficit, a type of extracellular fluid volume imbalance, is characterized by a decrease in ______ fluid volume.
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During the initial assessment, the patient tells the nurse, “I think I am going to throw up.” Which is the priority ______?
During the initial assessment, the patient tells the nurse, “I think I am going to throw up.” Which is the priority ______?
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Hypernatremia, a sodium imbalance, refers to an elevated serum ______ concentration.
Hypernatremia, a sodium imbalance, refers to an elevated serum ______ concentration.
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After admitting a postoperative patient to the clinical unit, which assessment data require ______ first?
After admitting a postoperative patient to the clinical unit, which assessment data require ______ first?
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Hypokalemia, a potassium imbalance, is characterized by a low serum ______ level.
Hypokalemia, a potassium imbalance, is characterized by a low serum ______ level.
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Central venous access devices (CVADs) are used for ______ administration of fluids and medications.
Central venous access devices (CVADs) are used for ______ administration of fluids and medications.
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The ______ survey begins after addressing each step of the primary survey and starting any lifesaving interventions.
The ______ survey begins after addressing each step of the primary survey and starting any lifesaving interventions.
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The ______ survey is a brief, systematic process that aims to identify all injuries.
The ______ survey is a brief, systematic process that aims to identify all injuries.
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The secondary survey is helpful for discovering unknown problems in patients with a poor or ______ history.
The secondary survey is helpful for discovering unknown problems in patients with a poor or ______ history.
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Obtain a history and ______ of the injury or illness.
Obtain a history and ______ of the injury or illness.
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The patient may not be able to give a history. However, caregivers, friends, bystanders, and ______ personnel can often provide the necessary information.
The patient may not be able to give a history. However, caregivers, friends, bystanders, and ______ personnel can often provide the necessary information.
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The secondary survey is a process that aims to identify all ______.
The secondary survey is a process that aims to identify all ______.
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The secondary survey is helpful for discovering unknown problems in patients with a poor or confusing ______.
The secondary survey is helpful for discovering unknown problems in patients with a poor or confusing ______.
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Obtain a history and mechanism of the injury or ______.
Obtain a history and mechanism of the injury or ______.
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A common breathing technique used to help improve airflow in patients with COPD is ______ breathing.
A common breathing technique used to help improve airflow in patients with COPD is ______ breathing.
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The removal of an endotracheal tube is known as ______.
The removal of an endotracheal tube is known as ______.
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Patients with COPD may benefit from ______ ventilation as a non-invasive way to support their breathing.
Patients with COPD may benefit from ______ ventilation as a non-invasive way to support their breathing.
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______ ventilation is a mode of mechanical ventilation where the ventilator delivers a set volume of air with each breath.
______ ventilation is a mode of mechanical ventilation where the ventilator delivers a set volume of air with each breath.
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A ______ is a surgical procedure where an opening is created in the trachea to facilitate breathing.
A ______ is a surgical procedure where an opening is created in the trachea to facilitate breathing.
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In ______ ventilation, the ventilator delivers a set amount of pressure to the lungs, allowing the patient to control their own breathing rate and volume.
In ______ ventilation, the ventilator delivers a set amount of pressure to the lungs, allowing the patient to control their own breathing rate and volume.
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The process of inserting an ______ tube into the trachea to provide a mechanical airway is called intubation.
The process of inserting an ______ tube into the trachea to provide a mechanical airway is called intubation.
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A Venturi mask delivers a precise concentration of oxygen, making it valuable for patients who require ______ oxygen therapy.
A Venturi mask delivers a precise concentration of oxygen, making it valuable for patients who require ______ oxygen therapy.
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The nurse in urgent care suspects an ankle ______ when a patient describes twisting his ankle while running bases during a baseball game.
The nurse in urgent care suspects an ankle ______ when a patient describes twisting his ankle while running bases during a baseball game.
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A patient with a humeral fracture is returning for a 4-week checkup. The nurse explains that initial evidence of healing on x-ray is indicated by ______ formation.
A patient with a humeral fracture is returning for a 4-week checkup. The nurse explains that initial evidence of healing on x-ray is indicated by ______ formation.
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A patient with a comminuted fracture of the tibia is to have an open reduction with internal fixation (ORIF) of the fracture. The nurse explains that ORIF is indicated when other nonsurgical methods cannot achieve adequate ______.
A patient with a comminuted fracture of the tibia is to have an open reduction with internal fixation (ORIF) of the fracture. The nurse explains that ORIF is indicated when other nonsurgical methods cannot achieve adequate ______.
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The nurse suspects a neurovascular problem based on assessment of decreased ______ distal to the fracture site.
The nurse suspects a neurovascular problem based on assessment of decreased ______ distal to the fracture site.
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A patient with a stable, closed humeral fracture has a temporary splint with bulky padding applied with an elastic bandage. The nurse suspects early compartment syndrome when the patient has increasing ______ of the limb.
A patient with a stable, closed humeral fracture has a temporary splint with bulky padding applied with an elastic bandage. The nurse suspects early compartment syndrome when the patient has increasing ______ of the limb.
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Study Notes
Adult Health Exam 1
- Kahoot Topics: Calcium Channel Blockers, ACE Inhibitors, Chest Tubes, Chapter 17 (Fluid and Electrolyte Balances), Chapter 18 (Preoperative Care), Chapter 19 (Intraoperative Care), Chapter 20 (Postoperative Care), Chapter 21 (Emergency and Disaster Nursing), Chapter 26 (Burns), Chapter 28 (Supporting Ventilation), Chapter 44 (Nutrition Problems), Chapter 67 (Musculoskeletal Trauma and Orthopedic Surgery).
Carbon Monoxide (CO) Poisoning
- Symptoms: Ranging from dizziness and headache to unconsciousness and death.
- Hemoglobin Affinity: CO has a much higher affinity for hemoglobin than oxygen (200-250 times greater).
- Treatment: Initiate 100% oxygen immediately.
- Myocardial Injury: Possible myocardial injury in patients hospitalized with moderate to severe CO poisoning.
- Pseudocholinesterase Deficiency: People with this deficiency have difficulty metabolizing succinylcholine and mivacurium.
Ineffective Cough
- Causes: Muscle weakness, impaired chest mobility, increased mucus viscosity, and ciliary dysfunction.
- Aspiration Risk: If the airway isn't protected, aspiration can occur. Intubation may be necessary.
Important considerations for burn patients
- Early enteral nutrition is important to reduce pneumonia and mortality, with the goal of feeding within 24 hours. -Prealbumin is an indicator of protein synthesis and catabolism, useful in monitoring burn patients.
Nutritional Goals
- Lipids: Triglyceride levels must be monitored during lipid administration
- Parentral Nutrition (TPN): Medications are not administered through TPN/lipid lines
- Risks: Elevated blood sugar, infection, and volume overload. glucose monitoring.
- Ventricular Tachycardia: Rapid, life-threatening dysrhythmia. Assessment: Assess vitals, check for kinks in lines, check O2 ,flush iv. Possible interventions; call rapid team, consider chemical conversion or synchronized cardioversion if alive.
Other Important Points
- Chest Tubes: Drainage, insertion, complications (e.g., stops draining within 24 hours, increased drainage, cloudy drainage etc...), pneumothorax
- Hyperkalemia: Crushing injuries can lead to life-threatening cardiac arrest, needing prompt treatment.
- Premature Ventricular Contractions (PVC): Generated by ectopic cardiac pacemaker located in the ventricle
- Intubation: May be used in cases where airway protection is compromised.
- Patient Safety: Wear protective equipment (gown, mask, gloves) when entering burn patient rooms.
- Urinary Output (UOP): Minimum 30 mL/hour in burn patients is crucial for adequate kidney perfusion..
- Pain Management in burn patients requires considerations for severe pain and prompt interventions.
Other
- Hematoma: Blood collects in the pleural space.
- Pneumothorax: Air in the chest cavity.
- DVT risk factors: Family history of blood clots, excessive blood clotting, sedentary lifestyle, long-term indwelling catheter, and trauma.
- Transcutaneous pacing: A temporary method of pacing for symptomatic bradyarrhythmias; fast and efficient method avoiding invasive access.
- Therapeutic Hypothermia (TH): Used in cases of global ischemia and severe head injuries to protect the brain.
- Pain and Injury Related Diagnoses: Neurovascular compromise, acute pain, anxiety.
- Other considerations: Risk factors for complications, infection prevention, wound care, etc.
- Comprehensive Patient Care: Includes all aspects of physical, emotional and psychosocial care in a holistic and compassionate manner for all patients.
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Description
This quiz covers important pharmacological concepts related to cardiovascular health, including the effects of various medications like ibuprofen, captopril, and enalapril. It is designed for nursing students or professionals focusing on cardiac care management. Test your knowledge on drug interactions, patient education, and management of chronic conditions.
