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