Relacionar Columnas Med Surg II FINAL EXAM reviewVersión en línea Test your knowledge of Med Surg 2 Final Review with this matching game! por Kayla Meyers 1 The nurse caring for a pt diagnosed with R-sided HF should contribute this assessment finding to the diagnosis 2 Seizure precautions (d/t low sodium), Hypertonic solution, & Lasix (furosemide) 3 Monitor International Normalized Ratio (INR) with usage of this medication 4 Vasopressin is controlled by: 5 This is the sac around the heart (may have pain when lying flat) 6 The nurse understands this about conduction of the heart 7 Dash diet (2-4g Na), Progressive exercise (STOP if pain), Semi-Fowler's (arms supported), Stress mgmt, Stop smoking, Monitor BP/HR 8 This is the inner layer of the heart, where all valves are found 9 Invasive procedures such as valve replacement (especially for tissue valves) require this prior to the procedure 10 Benefit & Risks of Hormone Replacement Therapy (HRT) 11 A 16 year old experiencing Premenstrual Syndrome (PMS) should: 12 The nurse should assess vitals q15 mins for a pt following this procedure 13 This layer of the heart is responsible for pumping 14 Bed rest for 6 hrs, Monitor 5 P's q15 mins, Monitor for hemorrhaging, Supine, Obtain VS q15 mins for first hour after procedure 15 Addisonian Crisis (circulatory collapse) tx: 16 S3 heart sound & crackles in the lungs are heard with: 17 Monitor Partial Thromboplastin Time (PTT) with usage of this medication 18 Barrel Chest: 19 These are nursing interventions used in the event of a Myocardial Infarction (MI) -no specific order 20 Brain Natriuretic Peptide (BNP) may increase with this complication: Increased anterior & posterior chest diameter Left-sided HF Heparin Cardiac Cath Interventions for Syndrome of Inappropriate Anti-Diuretic Hormone (SIADH) Coumadin Ascites (fluid build-up in the abdomen) Increase fluid intake & intensity of exercise M- morphine, O- oxygen, N- nitroglycerin/nitro, A- aspirin Interventions for a cardiac pt Myocardium Prophylactic measures (ie: meds/antibiotic) Steroids & Fluids Left & Right-sided HF Posterior Pituitary Reduces risk of osteoporosis, Increases risk for heart disease, Increases risk for blood clots Nursing interventions following a Percutaneous Transluminal Coronary Angioplasty (PTCA) procedure Pericardium Endocardium Impulse travels from SA node>AV node>bundle of HIS>Purkinje fiber 1 A pt with COPD may experience this complication: 2 S/s of Atelectasis: 3 S/s of Cushing's: 4 A pt has respiratory alkalosis. The nurse should assess for this compensatory action: 5 S/s of Pneumonia: 6 Normal range for pH: 7 Interventions for Asthma: 8 Oxygen via Nasal Cannula: 9 Normal range for CO2: 10 This procedure can be done for prolapse or regurgitation 11 Rupture of chordae tendinae causes this: 12 A pt with Addison's disease who is experiencing darkening skin is at risk for: 13 Interventions for Rhinitis: 14 Chest Physiotherapy Treatment (CPT)/postural drainage: 15 The nurse should instruct the pt to use this technique when using a peak flow meter: 16 This disease can be spread even if lesions are not present 17 This type of HTN can be treated with diuretics 18 Normal range for HCO3: 19 The urine should be LIGHT PINK 24hrs after this procedure 20 These are some of the many causes of HTN Cardiovascular collapse (cortisol levels are too LOW) Ring annuloplasty HTN, Hypernatremia, High BS, Moon face, Buffalo hump, Trunkal obesity, Hirsutism, Low potassium, Wt gain, Insomnia, Mood swings, Osteoporosis.. 35-45 Instruct pt to blow nose with both nares open (allergies can last up to a month) Excretion of HCO3 by the kidneys 22-26 Perform a forceful, long exhale Primary HTN (no identifiable cause) Using gravity to move mucus (do not perform close to a meal or over thick clothing, assess before & after therapy) 7.35-7.45 (7.4=perfect) Herpes Smoking/Stress; Secondary HTN (has identifiable cause) High grade fever, Cough, SOB, Loss of appetite, & Fatigue Reaches up to 6 Liters, Humidify at 3 Liters Transurethral Resection of the Prostate (TURP) Painful deep breath, Low grade fever, Diminished breath sounds, & Cough Prolapse Remove triggers from environment if possible (S/s: Cough, Wheezing, & SOB) Prolonged expiration (air trapping)
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