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