Cardiac-Vascular Nursing

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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 the patient’s level of understanding of risks, benefits, and alternatives.
 assure the patient’s spouse that the risk of stroke is minimal.
 offer the patient emotional support and reinforce the benefits of the procedure.
 perform a neurologic assessment to establish a baseline.

cardiac-vascular nurse

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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 to comfort the family during the arrest.
 Directing the graduate nurse to attempt IV access.
 Involving the graduate nurse in the resuscitation by assigning a basic task.

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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

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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 5-lb (2.27-kg) weight gain over the past two days. The cardiac-vascular nurse’s initial action is to:

 document the weight and reassess the patient at the next session.
 inquire about the patient’s medication compliance.
 notify the patient’s physician.
 review the patient’s most recent nuclear scan.

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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

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 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.

Nursing

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Examination of a patient in a supine position reveals distended jugular veins from the base of the neck to the angle of the jaw. This finding indicates:

 decreased venous return.
 increased central venous pressure.
 increased pulmonary artery capillary pressure.
 left-sided heart failure.

Review nursing theories

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Review nursing theories in the assigned reading. Select one nursing theory that you would like to integrate into your nursing practice. In your initial post address the following prompts and/or questions.

· Describe the components of the nursing theory. Include specific examples.

· Explain how you will incorporate this nursing theory into your nursing practice. Include rationales and examples.

 

Initial post requirement must be 250 words minimum

Hematology

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After viewing this module’s content (including course readings, live classroom, lab, and other supporting material), answer each of the following questions. All of your answers should be written in your own words , using full sentences, correct terminology, and proper spelling and grammar.

1. Explain the anatomical concepts associated with hematology. Summarize this module’s key points in 5-6 sentences.

2. Explain the physiological concepts associated with hematology. Summarize this module’s key points in 5-6 sentences.

3. How will you apply the concepts you have learned about hematology in real life and in your future career?

4. Which topic within this module has been the most valuable to your learning experience and why?

5. Which topic(s) within this module did you struggle to understand and why?

6. (Optional) Do you have any suggestions for your instructor on how they could help you connect with the difficult topics you’ve noted?

Drones in Agriculture

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Discuss the various uses of drones in Agriculture