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