UWorld NCLEX-PN Exam Study Guide
B/P Medication side effects?(Ans-
- fatigue
- erectile dysfunction
- dizziness
Angina pectoris risk factors?(Ans-
- Smoking
- Extreme temperatures
- Physical exertion (including sex)
- Intense emotion
- Coronary artery narrowing
- Stimulants (cocaine, amphetamines)
Define angina pectoris (Ans- Chest pain due to myocardial ischemia (decreased blood flow to heart).
Purpose of an ICD (implantable cardioverter defibrillator)?(Ans-
- sense and defibrillate life-threatening dysrhythmias.
- overdrive pacing for rapid heart rhythms
- back-up pacing for bradycardia that may occur after defibrillation.
Postoperative teaching for ICD?(Ans- Don't lift arm of affected side above the shoulder unless cleared by the health care provider.
Where is an ICD placed?(Ans- In the endometrium via the subclavian vein.
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Home care instructions for discharging a patient with heart failure following myocardial infarction?(Ans-
- How to take own pulse
- Monitoring weight daily
- Reduction of sodium in diet
- Take blood pressure and keep record of it
- Avoid temperature extremes
- Increase walking, but plan for rest periods
Chronic Venous Insufficiency (CVI) s/sx?(Ans-
- Brownish skin discoloration on lower extremities
- Chronic edema
- Inflammation
- Leathery skin
- Venous leg ulcers inside of ankle
How to improve pain due to acute pericarditis?(Ans- Sit up and lean forward
Pericarditis treatment?(Ans- NSAIDs or aspirin plus colchicine.
Pericarditis is characterized by what symptom?(Ans- Pleuritic chest pain.
Pericarditis is known to be aggravated by what actions?(Ans- Inspiration and coughing.
Normal urinary output?(Ans- 30 mL/hr
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