Medical-Surgical Nursing
Which physiological response is often associated with surgery-related stress? Bronchial constriction. Decreased cortisol levels. Peripheral vasodilation. Sodium and water retention.
Entries by Collegly
Medical-Surgical Nursing
The main goal of treatment for acute glomerulonephritis is to: encourage activity. encourage high protein intake. maintain fluid balance. teach intermittent urinary catheterization.
Cardiac-Vascular Nursing
A patient recently had a cardiac catheterization via right-radial approach. The patient has a compression device in place. The patient complains of numbness and pain in the right hand. The cardiac-vascular nurse notes a diminished pulse, with a cool and cyanotic hand. The nurse: calls the physician. performs an Allen’s test. reduces the pressure on […]
A patient with negative troponins and stress test results reports recurring chest pain that is similar to the patient’s pain on admission. According to the American Nurses Association’s cardiovascular nursing scope and standards of practice, the cardiac-vascular nurse’s next action is to: activate the cardiac catheterization team. administer analgesics. obtain a 12-lead electrocardiogram. promote relaxation […]
Cardiac-Vascular Nursing
A patient is admitted to the hospital for a carotid angiogram with stent placement. The patient’s spouse states, “I don’t want my spouse to find out there is a risk of a stroke connected with this procedure because he or she won’t sign the consent form.” The cardiac-vascular nurse’s most appropriate action is to: assess […]
cardiac-vascular nurse
While the cardiac-vascular nurse preceptor is orienting a graduate nurse on the telemetry unit, a patient experiences cardiac arrest. Which action by the preceptor, during the emergency cardiac care procedure, facilitates the graduate nurse’s competence and professional development? Asking the graduate nurse to review the policy and procedure for cardiac arrest. Assigning the graduate nurse […]
A 55-year-old patient who is diagnosed with an evolving myocardial infarction (MI) insists on going home. The cardiac-vascular nurse encourages the patient to be admitted because the greatest risk within the first 24 hours of sustaining an MI is: heart failure. pulmonary embolism. ventricular aneurysm. ventricular fibrillation.
Cardiac-Vascular Nursing
A patient who underwent a percutaneous, transluminal coronary angioplasty four weeks ago has a subsequent ejection fraction of 30%. The patient returns for a follow-up visit. Examination reveals lungs that are clear to auscultation and slight pedal edema. The patient’s medications are digoxin (Lanoxin), furosemide (Lasix), enalapril maleate (Vasotec), and aspirin. The patient reports a […]
In an assessment for intermittent claudication, the cardiac-vascular nurse assesses for leg pain and cramping with exertion, then asks the patient: “Does shortness of breath accompany the leg pain?” “Does this same type of pain occur without activity?” “Is the leg pain relieved by rest?” “Is the leg pain relieved with elevation?”
Cardiac-Vascular Nursing
When caring for a patient who has intermittent claudication, the cardiac-vascular nurse advises the patient to: apply graduated compression stockings before getting out of bed. elevate the legs when sitting. refrain from exercise. walk as tolerated.
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