NR324 / NR-324: Adult Health I Exam 1 Latest Update Chamberlain College of Nursing

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NR-324 Adult Health I NR 324 Exam 1 1. What is wrong with the body during DKA? - It is too acidic 2. Do people with COPD and other chronic respiratory illnesses hyper or hypo ventilate? - H... YPOventilate 3. What organs are the two regulators of acid in our body? - Lungs and kidneys 4. When will a patient display Kussmaul breathing in relation to acid-base balance? - 5. Normal pH range of blood - 6. normal PaCo2 - 7. PaO2 normal levels - 8. Normal HCO3 levels - 9. Ratio of carbonic acid to bicarbonate in a healthy state - 10. Three regulatory mechanisms of acid-base regulation - 11. Which regulatory system responds immediately? - 12. Which system responds in minutes and reaches its maximum effort within hours? - 13. Which regulatory system takes 2-3 days to respond? - 14. What type of acid-base imbalance would someone who took too much Aspirin have? - 15. Why is a brown bag helpful for someone with respiratory alkalosis to breathe into? - 16. What type of meds are useful for someone in Respiratory alkalosis? - 17. What are two common causes for metabolic acidosis? - 18. Common cause for metabolic alkalosis: - 19. When you auscultate cardiac sounds what are you hearing? - 20. What is the major purpose of the cardiac system? - 21. Ejection fraction - 22. If cardiac output is insufficient, what does this mean? - 23. what are the three layers of the heart? - 24. why is the left ventricle thicker? - 25. What artery supplies the heart's oxygen and nutrients? - 26. What happens when blood flow to a coronary artery is obstructed? - 27. Complete occlusion of coronary artery lead to ... - 28. partial occlusion of coronary artery - 29. SA node - 30. what is the direction of electric flow to heart? - 31. What is the relationship between sodium and potassium and your heart? - 32. How do you measure the electricity of the heart? - 33. Systole - 34. diastole - 35. stroke volume - 36. Cardiac output - 37. Why do you have fatigue if you have an ineffective cardiac output? - 38. Preload - 39. afterload - 40. contractility - 41. Blood pressure - 42. all arteries carry oxygenated blood except - 43. all veins carry deoxygenated blood except - 44. Why is blood in arteries bright red and blood in veins ashy - 45. arteries vs veins - 46. Sympathetic nervous system - 47. parasympathetic - 48. Baroreceptors and chemoreceptors - 49. Blood pressure = - 50. When taking a BP - 51. If you get a bad BP reading what should you do? - 52. If heart rate is high and blood pressure is low, what is most likely happening? - 53. What do you use if you cannot auscultate a blood pressure? - 54. pulse pressure - 55. What are two reasons HTN is more common in older adults? - 56. beta adrenergic (spelling?) receptors - 57. Orthostatic HTN in older adults - 58. thready pulses - 59. bounding pulses - 60. normal pulses - 61. Troponin - 62. What lab will tell you the difference between MI and angina? - 63. First thing they will do for a patient with chest pain in ER - 64. CK-MB - 65. How often will you draw Troponin level and why? - 66. c-reactive protein - 67. homocysteine - 68. BNP - 69. When drawing a lipid panel pt must be - 70. lipid panel/lipoprotein - 71. LDL - 72. HDL - 73. echocardiogram - 74. Cardiac cath/angiography - 75. angiography nursing implications - 76. Coronary artery disease - 77. angina - 78. Pt teaching for CAD - 79. The main cause of CAD - 80. One of the first symptoms of CAD - 81. Explain what happens during CAD - 82. collateral circulation - 83. modifiable risk factors for CAD - 84. Hypertension and plaque - 85. Smoking - 86. Diabetics have _______circulation. Why is this a problem? - 87. lack of oxygen to the heart will cause - 88. Angina that can be treated at home: - 89. angina that requires hospitalization - 90. unstable angina - 91. P wave - 92. QRS - 93. T wave - 94. after checking the airway, what is the first thing you will do for a patient with angina? - 95. silent angina and who is it most common in? - 96. angina decubitus - 97. nocturnal angina - 98. printzmetal's angina - 99. microvascular angina - 100. Nitroglycerin - 101. What should never be taken with nitroglycerin (for men) - 102. Main two side effects of nitroglycerin - 103. Meds for chronic stable angina - 104. purpose of cardiac cath/angiography - 105. If a cardiac cath/angiography shows that the coronary blockage can be intervened, what will occur next? - 106. PCI - 107. After a cardiac cath a patient must: - 108. acute coronary syndrome - 109. STEMI heart attack - 110. non-STEMI heart attack - 111. which heart attack looks similar to unstable angina - 112. What are some symptoms that will occur with MI and not angina? - 113. In heart attack, the heart muscle is. - 114. sx of heart attack - 115. heart failure will commonly occur on.... - 116. cardiogenic shock - 117. pericarditis - 118. Dressler syndrome - 119. Why is it important to distinguish between STEMI and non-STEMI heart attack? - 120. Initial interventions of Acute Coronary syndrome (unstable angina) - 121. If cardiac markers are present, what is next? - 122. If PCI is not available what is next? - 123. Thrombolytic therapy - 124. purpose of IV heparin - 125. CABG (coronary artery bypass grafting) & post op interventions - 126. why do we give stool softeners for a patient with acute coronary syndrome? - 127. drug therapy for acute coronary syndrome - 128. what are the two purposes of giving morphine? - 129. interventions for chronic stable angina - 130. MI interventions - 131. PCI interventions - 132. CABG interventions - 133. post-op complications of CABG & interventions - 134. Hypertension can cause - 135. COx systemic vascular resistance = - 136. When the BP is too low the kidneys will activate: - 137. SNS: - 138. HTN is BP > than - 139. what body system is highly affected by HTN? - 140. BP is highly - 141. Most important intervention for a patient with pre-HTN - 142. 3 stages. - 143. primary HTN - 144. HTN risk factors - 145. why are older people more prone to HTN? - 146. High blood pressure can rupture your? - 147. Diuretics - 148. Monitor for orthostatic hypotension especially in - 149. Most common reason for non-compliance of BP meds - 150. Pt teaching for HTN - 151. HTN crisis - 152. Sx of HTN crisis - 153. unit functions of the lung - 154. Priority assessment - 155. Why is airway patency so important? - 156. What occurs at alveoli level? - 157. alveoli are highly.... - 158. Where is the respiratory center? - 159. As we age, what decreases? - 160. What is most important when inspecting someone's chest? - 161. What are the normal sounds to hear during percussion of the lungs? - 162. If you have the pt say "ninety-nine" and you feel your hand vibrate what does this mean? - 163. What can sputum study be used for? - 164. Bronchoscopy - 165. thoracentesis - 166. What will you check for as a nurse for a pt with respiratory acidosis? - 167. What are you checking for during a TB skin test? - 168. how long after skin test do you check results? - 169. what are the induration sizes that indicate a positive TB test? - 170. TB - 171. why do we mostly see TB in the lungs? - 172. acid fast bacillus test takes... - 173. When can you take someone off of TB isolation? - 174. What medication will someone get if they have latent TB? - 175. If they have active TB, they can receive - 176. important to know about all TB meds: - 177. Why would a nursing diagnosis be ineffective airway clearance for TB? - 178. Direct observation for TB - [Show More]

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