Tuesday, November 1, 2011

Study Guide Part I

Once again: Below are parts of questions, or answers that are on the exam. Not everything on the exam will be listed, but everything listed is on the exam as either a question or an answer.

Make sure that you can recognize normal heart sounds. You should also be able to recognize crackles, wheezes, rhonchi, stridor.
You should be able to recognize Vtach, Vfib, Afib, Sinus brady/tachy, aystole, A flutter. & Complications r/t them and possible treatments.



risk factor management for cardiovascular heart disease

the Pritikin Diet is eating ??

pt asks the nurse about metabolic syndrome.
common side effect seen in clients taking nitroglycerin

Meds for frequent PVC’s
Drugs used to treat hyperlipidemia
Tx for Vent tachycardia
How long does it take troponin and CK to rise p an MI?
(Lipitor) should be monitored for
~~
ECG rhythm with a rate of 80, a regular rhythm, a 1:1 relationship of P:QRS, a PR interval of 0.16, and a QRS complex measurement of 0.8.
~~
Interventions and when for bradycardia
Interventions and when for sinus tachycardia.
leads the nurse to suspect angina?

The term pacemaker noncapture requires the nurse to do
Causes of acute HF.
reducing the risk of coronary heart disease?
dverse affect of a client taking the medication simvastatin (Zocor)
Nocturnal dyspnea
reduce the risk of developing a hematoma following balloon angioplasty,
Heart sound in CHF.
Type pacemaker that creates a pacer spike before each QRS on the ECG at a rate below 70
What to do in case of V fib?
Nsg dx 4 CP?
Most accurate test for heart disease

Heart sounds in CHF
IF a pt has L sided HF what results would a cardiac cath show?

Priority interventions when using hemodynamic monitoring.
Interventions for pulm edema
WHY--- Central venous pressure monitoring, Pulmonary artery pressure monitoring, Arterial pressure monitoring, Intra-aortic balloon pump monitoring

Pt Teaching for digoxin, lasix
Typical meds for someone c CHF
s/s of decreased CO, Pulm Edema, Angina, L CHF, R CHF
Digitalis/digoxin toxicity
Appropriate nsg interventions for home health RN c CHF pt.

CO
Afterload
Stroke volume
Ejection fraction
Preload
Cardiac reserve


Will put info r/t ch 29 questions below

Elderly and medications
s/s glomerulonephritis
Why lasix in ARF?
CRF and oral antihyperglycemics
Postrenal RF
45% gfr
s/e of steroids
s/s of RF
ESRD diet

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