Shared Flashcard Set

Details

APSU--AH2 Fall 2013
HF, MI, pacemaker, dysrhythmia, respiratory, CAD
61
Nursing
Undergraduate 4
09/14/2013

Additional Nursing Flashcards

 


 

Cards

Term
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Definition
Normal Sinus Rhythm
Term
[image]
Definition
First-Degree Heart Block
Term
[image]
Definition
Second-Degree Heart Block
Term
[image]
Definition
Atrial Fibrillation
Term
[image]
Definition
Atrial Flutter
Term
[image]
Definition
Asystole
Term
[image]
Definition
Sinus Bradycardia
Term
[image]
Definition
Junctional Dysrhythmia
Term
[image]
Definition
Pacemaker EKG Strip
Term
[image]
Definition
Premature Venticular Contraction
Term
[image]
Definition
Premature Atrial Contraction
Term
[image]
Definition
Paroxysmall Supraventricular Tachycardia (PSVT)
Term
[image]
Definition
Sinus Tachycardia
Term
[image]
Definition
Third Degree Heart Block (Complete Heart Block)
Term
[image]
Definition
Ventricular Fibrillation
Term
[image]
Definition
Ventricular Tachycardia
Term
anaerobic
Definition
Lung abscesses that have an insidious onset are due to ________ organisms.
Term
aerobic
Definition
Lung abscesses that have an acute onset are due to ________ organisms.
Term
purulent material in the lung tissues, that wedge into a cavity and form abscess
Definition
Lung abscess are caused by: _______________
Term
B) Tuberculosis
Definition

Complications of lung abscesses include all of the following except:

 

A) Fistula

B) Tuberculosis

C) Empyema

D) Hematogenous spreading

Term
Contracoup
Definition
A "bouncing effect" of internal organs (lungs) due to chest trauma is called:
Term
D) Air in the pleural spacing
Definition

Which of the following is an indication of a pneumothorax?

 

A) Blood in the pleural spacing

B) Crackles of the lungs

C) Trachea deviation towards affected side

D) Air in the pleural spacing

Term

 

 

A) underweight, male, smoker, 32 yrs old
B) broken ribs
C) spontaneous, 20-40 yrs old, male

Definition

Pneumothorax occurs in which of the following (select all that apply):

 

A) underweight, 32 year old male smoker

B) a female patient with broken ribs following MVA

C) spontaneously in 20-40 year old males

D) a female who ran 5 miles

E) a 16-year old male tackled during football practice and complaining of palpitations

F) all the above

Term
C) 21-year old with chylothorax following a fall down the stairs
Definition

Which of the following conditions is not commonly seen following a chest injury?

 

A) 18-year old with a tension pneumothorax following a MVA

B) 24-year old male with gunshot wound to the chest, complaining of dyspnea

C) 21-year old with chylothorax following a fall down the stairs

D) 40-year-old male with broken ribs, O2 sats of 85%, and reporting dyspnea following a motorcycle accident

Term
A) Removing the chest tube to roll the patient during an assessment
Definition

A charge nurse is supervising a new nurse provide care to a patient following an MVA with a diagnosis of flail chest. Which of the following nursing interventions would indicate the charge nurse needs to intervene?

 

A) Removing the chest tube to roll the patient during an assessment

B) The nurse gives a non-opioid analgesic to the patient with a pain level of 3/10

C) Nurse marks the chest tube drainage system and documents it in the patients chart

D) The nurse performs oral care for the patient with a chest tube, who is currently NPO status

Term
D) Apply petroleum gauze dressing around the site after providing skin care
Definition

Which of the following is indicated as a nurse's responsbility with caring for a patient with a chest tube?

 

A) Remove the chest tube when the drainage stops

B) Position the patient on the side with the chest tube, to help drain more fluid

C) Refill the water seal chamber with tap water when it falls below the line

D) Apply petroleum gauze dressing around the site after providing skin care

Term
B) suction control, water seal
Definition

Steady, gentle bubbling in __________ chamber is normal with chest tube draining systems, while bubbling in __________ chamber indicates a need for the nurse to intervene.

 

A) left, right

B) suction control, water seal

C) water seal, suction control

D) right, left

Term

False:

Fluctations or tidaling is common in the water seal chamber. Bubbles in the water seal chamber indicate a leak.

Definition

True/False

 

Slight fluctuations in the water seal chamber is an emergency that requires the nurse to reassess the chest tube and drainage system, indicating a leak in the water seal chamber.

Term
D) "Make sure when the tube is being removed, you bear down to help prevent air from entering the incision site."
Definition

When a patient is getting ready to have the chest tube removed, which of the following statements will help the removal process and decrease the pain for the patient?

 

A)  "This shouldn't hurt at all. Mine didn't hurt when I had the tube removed last year after my car wreck"
B) "After the tube is out, you can go back to playing sports right away."
C) "I'll give you so pain meds after the tube is removed. They can't remove the chest tube if I get it to you before."
D) "Make sure when the tube is being removed, you bear down to help prevent air from entering the incision site."

Term

 

A) Turn, cough, and deep breath every 1-2 hours to prevent complaications, like pneumonia

Definition

One-day post-op from chest surgery, the nurse should encourage the patient to do what?

 

A) Turn, cough, and deep breath every 1-2 hours to prevent complaications, like pneumonia

B) Take shallow breaths if there is pain with breathing, so it won't hurt as much

C) Only use the call light when you need pain medicine, otherwise I can't take care of other patients

D) The patient needs to get out of bed every two hours and walk around the room two times, to prevent muscle deterioration

Term
D) Lung cancer
Definition

All of the following are restrictive respiratory disorders, except:

 

A) Pleural effusion

B) Atelectasis

C) Pleurisy

D) Lung cancer

Term

C) pain worsening on expirations

-pain worsens with inspiration

Definition

A patient with pleurisy will have the following clinical manifestations except:

 

A) friction rub on auscultation

B) sharp, sudden pain at a level of 8/10

C) pain worsening on expirations

D) shallow respriations are a rate of 30 breaths/min

Term
A) Empyema
Definition

_________ is the purulent fluid in the pleural space.

 

A) Empyema

B) Pleurisy

C) Exudate

D) Chylothorax

Term
C) Remain in bed for at least 1 week to prevent atelectasis
Definition

The nurse is performing patient teaching for atelectasis prevention for post-op patients. Which of the following patient teachings is incorrect?

 

A) Turn, cough, deep breath every 2 hours

B) Use the incentive spirometry to help view your progress

C) Remain in bed for at least 1 week to prevent atelectasis

D) Change positions frequently to avoid decubitus ulcers

Term
D) Right sided heart failure
Definition

Pulmonary edema is most common caused by what?

 

A) Right sided heart failure

B) Untreated hypertension

C) Surgery

D) Left sided heart failure

Term
B) Lung cancer
Definition

Which patient does not have a medical emergency?

 

A) Tension pneumothorax

B) Lung cancer

C) Pulmonary edema

D)  Pulmonary embolism

Term
D) Administer the medication, as aPTT levels are within normal range
Definition

A patient receiving treatment for pulmonary embolism (PE) and has an aPTT of 45. The doctor has ordered Heparin 1,500 units to be given. What is the nurses action?

 

A) Withhold the Heparin and notify the doctor of patient's aPTT level

B) Do nothing, since this patient does not need Heparin for a PE

C) Question the doctor's orders, as this patient does not need Heparin

D) Administer the medication, as aPTT levels are within normal range

Term
DVT
Definition
_______ is the most common source of a pulmonary embolism
Term
D) 64-year-old female who is 2-days post-op from surgery for a femur fracture
Definition

Which of the following patients is at a higher risk of having a pulmonary embolism?

 

A) 72-year old male with a history of hypertension and GERD

B) 18-year-old female who is 3-weeks post-op from wisdom teeth removal

C) 25-year old female who gave birth 6 months ago via c-section

D) 64-year-old female who is 2-days post-op from surgery for a femur fracture

Term
C) orthopnea, confusion, pink-frothy sputum
Definition

What are clinical manifestations of pulmonary edema?

 

A) dyspnea, hypertension, diminshed lung sounds

B) cough with blood-tinged sputum, fever, chest pain

C) orthopnea, confusion, pink-frothy sputum

D) hemoptysis, hypotension, headache

Term
C) 33-year old with tachycardia, hypoxemia, and right ventricular failure
Definition

Which patient would you suspect of having a massive emboli?

 

A) 18-year old with hypertension, dyspnea, and nausea

B) 91-year old with constipation, O2 sat of 93%, and COPD

C) 33-year old with tachycardia, hypoxemia, and right ventricular failure

D) 54-year old with right-sided HF, tachycardia, crackles in the lungs

Term
B) dyspnea, fatigue, chest pain
Definition

Pulmonary hypertension is clinically manifestated with which of the following:

 

A) headache, tinnitus, dizziness

B) dyspnea, fatigue, chest pain

C) syncope, hypotension, light-headedness

D) shock, severe dyspnea, tachycardia

Term
True
Definition

True/False:

 

Primary pulmonary hypertension can lead to cor pulmonale and has no cure.

Term

False:

 

Secondary pulmonary hypertension is related to co-morbidities and treatment is aimed at the underlying diseases

Definition

True/False:

 

Primary pulmonary hypertension treatment consists of treating the underlying diseases rather than the hypertension.

Term
D) enlargement of the right ventricle
Definition

Cor pulmonale is ______________:

 

A) enlargement of the left ventricle

B) enlargement of the left atrium

C) enlargement of the right atrium

D) enlargement of the right ventricle

Term
A) weight loss
Definition

A patient with a diagnosis of cor pulmonale displays all of the following except:

 

A) weight loss

B) ascites

C) distended neck veins

D) hepatomegaly

Term
D) vasoconstrictors
Definition

Treatment for cor pulmonale includes all of the following except:

 

A) diuretics

B) low-flow oxygen

C) bronchodilators

D) vasoconstrictors

Term
B) Status asthmaticus
Definition

A patient reports to the ED with tachypnea with irregular breathing pattern, is diaphoretic, has difficulty speaking, and is using accessory muscles. The nurse should expect to see which of the following diagnosis?

 

A) Pulmonary edema

B) Status asthmaticus

C) Cor pulmonale

D) Pleurisy

Term
B) bradycardia
Definition

Which of the following is a late sign of a patient with hypoxia?

 

A) altered LOC

B) bradycardia

C) tachycardia

D) dipahoresis

Term

False:

 

HF is NOT a disease--it is a "syndrome"

Definition

True/False:

 

Heart failure is a disease characterized by ventricular dysfunction and is the most common reason for hospitalization in adults >65-years old

Term
C) hypertension
Definition

The leading cause (and most preventable risk factor) of heart failure is:

 

A) diabetes

B) high cholesterol

C) hypertension

D) tobacco use

Term

C) decrease in the left ventricular ejection fraction

Definition

A patient with systolic heart failure has which of the following findings?

 

A) decrease in the right ventricular ejection fraction

B) increase in the left ventricular ejection fraction

C) decrease in the left ventricular ejection fraction

D) increase in the right ventricular ejection fraction

Term
A) the inability of ventricles to relax and fill during diastole
Definition

Diastolic heart failure is related to:

 

A) the inability of ventricles to relax and fill during diastole

B) increase in the ejection fracture

C) the inability of the atria to contract and pump blood through the heart

D) increase of stroke volume and CO

Term

C) jugular venous distenion

*seen in right-sided HF

Definition

Manifestations of left-sided HF include all of the following except:

 

A) edema

B) crackles in the lungs

C) jugular venous distenion

D) increased respirations

 

Term
D) backup of blood into the right atrium and venous circulation
Definition

Right-sided HF is a result of:

 

A) backup of blood into the left atrium and pulmonary veins

B) backup of blood into the ventricles

C) backup of blood into the right atrium and the lungs

D) backup of blood into the right atrium and venous circulation

Term

 

B) 40-year old who reports having to use three pillows at night and has cyanosis of the lips

Definition

Which of the following patients would the nurse suspect to have acte decompensated heart failure (ADHF)?

 

A) 18-year old with report of dyspnea, who has a family history of hypertension

B) 40-year old who reports having to use three pillows at night and has cyanosis of the lips

C) 24-year old who reports weight loss of 3 lbs in 2 days and feeling light-headedness

D) 88-year old who reports changes in bowel functions and is bradycardic

Term
A) "Lately, my shoes have been a little snug when putting them on."
Definition

Which of the following patient statements is an indicator for heart failure?

 

A) "Lately, my shoes have been a little snug when putting them on."
B) "I have been coughing up yellow phlem for the last week."
C) "I work 12-hour shifts every day and feel so tired after I get home."
D) "I sometimes take nitro tabs for chest pain, but it the pain goes away after that."

Term
D) peripheral edema with no hair growth, confusion, nocturia
Definition

Which of the following are signs and symptoms of chronic HF?

 

A) dyspnea, blood-tinged sputum, and hypertension

B) fatigue, constipation, neck pain

C) increased agitation, bradycardia, clammy skin

D) peripheral edema with no hair growth, confusion, nocturia

Term

A) atrial fibrillation

B) friction rub on auscultation

D) fatal dysrhythmias

F) renal failure

Definition

Complications of HF include which of the following (select all that apply):

 

A) atrial fibrillation

B) friction rub on auscultation

C) urinary incontinence

D) fatal dysrhythmias

E) empyema

F) renal failure

Term
C) "If my shoes feel tighter than usual, it may be sign that my HF is getting worse."
Definition

Which of the following patient statements indicates an understanding of HF education?

A) "These water pills will let me continue my usual diet so I don't have to change anything."
B) "I will need to go to the emergency department if I start feeling light-headed when standing up because of my medications."
C) "If my shoes feel tighter than usual, it may be sign that my HF is getting worse."

D) "I don't need any pills for my HF. It will get better over time with rest."

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