1. How do clients experiencing angina describe that pain?
1. Described as squeezing, heavy, burning, radiates to left arm or shoulder, transient or prolonged.
2. Develop a teaching plan for the client taking nitroglycerin.
2. take at first sign of anginal pain. Take no more than 3, five minutes apart. Call for emergency attention if no relief in 10 minutes.
3. List the parameters of blood pressure for diagnosing HTN.
3. >140/90
4. Differentiate b/w essential and secondary HTN.
4. Essential has no known cause while secondary HTn develops in response to an identifiable mechanism.
5. Develop a teaching plan for the client taking antihypertensive medications.
5. Explain how and when to take med, reason for med, necessity of compliance, need for follow-up visits while on med, need for certain lab tests, vital sign parameters while initiating therapy.
6. Describe intermittent claudication.
6. Pain r/t perpheral vascular disease occurring with exercise and disappearing with rest.
7. Describe the nurse's discharge instructions to a client with venous peripheral vascular disease.
7. Keep extremities elevated when sitting, rest at first sign of pain, keep extremities warm, but do NOT use heating pad), change position ofeten, avoid crossing legs, wear unrestrictive clothing.
8. What is often the underlying cause of abdominal aortic aneurysm?
8. Atherosclerosis
9. What lab values should be monitored daily for the client with thrombophlebitis who is undergoing anticoagulant therapy?
9. PTT, PT, Hgb, and Hct, platelets
10. When do PVCs (premature ventricular contractions) present a grave danger?
10. When they begin to occur more often than once in 10 beats, occur in 2s or 3s, land near the T wave, or take on multiple configurations
11. Differentiate b/w the symptoms of L-sided cardiac failure and R-sided cardiac failure.
11. L-sided failure results in pulmonary congestion d/t back-up of circulation in the L ventricle. R-sided failure results in perpheral congestion d/t back-up of circulation in the R ventricle.
12. List 3 symptoms of digitalis toxicity.
12. Dysrhythmias, H/A, N/V
13. What condition increases the likelihood of digitalis toxicity occurring?
13. When the client is hypokalemic (which is more common when diuretics and digitalis preparations are given together)
14. What life style canges chan the client who is at risk for HTN initiate to reduce the likelihood of becoming hypertensive?
14. Cease digarette smokig if applicable, control weight, exercise regularly, and maitain a low-fat/low-cholesterol diet.
15. What immediate actions should the nurse implement when a client is having a MI?
15. Place the client on immediate strict bedrest to lower oxygen demands of heart, administer oxygen by NC at 2 to 5 l/min, take measures to alleviate pain and anxiety (administer prn pain medications and anti-anxiety medications).
16. What symptoms should the nurse expect to find in the client with hypokalemia?
16. Dry mouth and thirst, drowsiness and lethargy, muscle weakness and aches, and tachycardia.
17. Bradycardia is defined as a HR below _______ BPM. Tachycardia is defined as a HR above _______ BPM.
17. 60 BPM, 100 BPM
18. What precautions should clients with valve disease take prior to invasive procedures or dental work?
18. Take prophylactic ABX.