Med Surg Final Exam

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t053171p
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149517
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Med Surg Final Exam
Updated:
2012-04-23 09:45:17
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Cardiovascular
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  1. Modifiable facors include?
    Smoking, diabetes, increased BP, hyperlipidemia,obesity
  2. Management of dysrhymias are sccomplished by:
    medication,(Dr. would prescribe lidocaine)
  3. Patients with decreased arterial blood flow need to avoid vasoconstriction from:
    smoking, caffeine, stress
  4. Restful sleep may be possible only in the sitting position or with the aid of extra pillows:
    Dorsal Recumbandt
  5. Class IV:
    Severe heart failure
  6. What nursing intervention are appropriate for class IV NYHA?
    Bedpan or urinal
  7. How do you decrease +4 PE?
    Elevate lower extremities
  8. How do you decrease s/s of Buerger's dx?
    no smoking
  9. Complete bed rest includes:
    Be in bed, remain quiet with any task done to them quiet, still relaxed
  10. Because many patients suffer pulmonary or systemic congestion with HF, the syndrome was once called:
    CHF
  11. During the acute phase, it is essential to maintain the patient on decreased activity and provide a calm, quiet environment.
    Infective endocarditis
  12. A holter monitor is attached to the patient by one to fours leads, with a 2 pound tape recorder carried on a belt or shoulder strap.
    records and is portable
  13. what is infective endocarditis?
    Heart murmur, Pettichi, chills, flu
  14. What is Orthopnea?
    trouble breathing sitting up
  15. What is defined as a distended dialated segment of an artery?
    Aneurysm
  16. Monitor__________ with a possible aortic aneurysm?
    BP
  17. How do administer NITRO?
    Sublingual 1 every 5 minutes, if after 3 and pain persists, go to the hospital.
  18. Nursing Innterventions include measures to prevent disease progression and complications for CHF?
    Find out why the patient is noncompliant
  19. Right sided heart failure?
    Distended liver & abdominal distention
  20. What is Hypertension and how is it diagnosed?
    Ineffective health maintenance r/t disease process
  21. What is Angina Pectoris?
    Substernal pain that radiates down the left arm
  22. what is SGOT & AST, CPK-MB,LDH,Triponin 1?
    MI, lab values would be abnormal
  23. Increased incidence of Cardiomyopathy is?
    Use of Cocaine
  24. Pulmonary Edema?
    Restlessness, Agitation, disorientation, diaphoresis, dyspnea, tachpnea
  25. S/S of Pulmonary Edema?
    Pink Frothy Sputum
  26. Orthopnea?
    Leaning over table in breathing distress
  27. Expected findings with Left sided HF?
    Orthopnea with bubbling crackles in the lungs
  28. Prevention of infection to patient with Endocarditis?
    Takes antibiotics as directed, take all until gone, don't drink
  29. What is 3rd degree block?
    Defect in AV junctions
  30. Most important aspect using objective data with evaluating pain for managment of MI?
    Patient's Vital Signs
  31. Teach about NTG Tabs?
    Sit, Slowly stand when getting up, 1 every 5 minutes if pain persist after 3 doses go to the hospital
  32. Prevention of Venous Thrombus, Type of Medication?
    Low molecular weight Heprin (Lovenox)
  33. Thrombectomy?
    Prevent flow of Emboli to the lungs
  34. What is Orthopnea Position?
    Sitting or standing in order to breath comfortably
  35. Thromboangitis obliterans?
    Same as Buerger's dx, (No Smoking)
  36. How do you reduce O2 demand?
    Elevate head to 45 degrees (Semifowlers)
  37. Rapid infusion of fluids can lead to___________ in older adults?
    Heart Failure
  38. Edema and Pulmonary congestion are treated with?
    Amount of sodium in diet, and amount of fluid intake
  39. Modifiable risk factors for CAD?
    Weight, Diet, and Exercise
  40. Teach Patient with Raynauds dx?
    Practice stress reducing techniques and wear gloves when defrosting refrigerator, and No smoking.
  41. Teach Patient anticoagulant Therapy?
    PTT, PT, IR
  42. Explain anticoagulant therapy?
    Embolization and clot extention, life threatening, DVT prevents new clots.
  43. Teaching to prevent Venous Stasis
    Elastic stockings, don't cross legs at knee, don't message lower extremities, and elevate legs.
  44. Funtions of Cardiovascular system?
    Deliver oxygen and nutrients to cells and remove CO2 and waste products
  45. Signs of Digoxin toxicity?
    Nausea, Vomiting, anorexia, dysrhythmias, bradycardia, tachycardia,headache, fatigue, and visual disturbances. Always assess apical HR less that 60.

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