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