Chest pain happens on affected side. You may have relief laying on that same side with it referring to back, neck, and abdomen. It could be a sign of many things included pleurisy. Pleurisy is lining that seperates the ...?

Clubbing of the fingers is a sign of what type of hypoxic conditions?

Central cyanosis is bluish skin, a _ sign of hypoxia.

With labored breathing, you lose weight due to the work of breathing. Abdominal and intercostal muscle usage happens during which phase?

Which one do you hear over the neck?

Evaluates gas exchange. Hold bronchodilators, remove dentures, and don't smoke or eat 4-6 hrs before. What test am I?

Collect before abx first; initials are in 24 hrs; finals in 48-72 hrs. What am?

NPO is not required. Pts should be able to hold their breath and not cough. Which am I?

There may be a loud thumping/humming sound. Pts should be able to lie flat for how long?

Allows you to look directly at the lungs. Pts should be NPO 4-8 hrs to prevent aspiration, remove dentures. Small amounts of blood tinged sputum in first 24 hrs is fine. What am I?

After this procedure, pts should remain NPO until gag reflex returns. I am used for the diagnosis of cancer.

Pts are asked to take a deep breath, hold, and not cough. I can be done at the bedside. What am I?

Pneumonia within 48 hrs of hospitalization?

Anosmia is loss of smell. Ageusia is the loss of _?

For pts with pneumonia, the should use incentive spirometer hourly. What type of questions should you ask?

Sepsis would be expected with temp 100+, HR>90, RR>20, and WBC greater than _?

With septic shock, perfusion is?

To prevent aspiration, keep HOB at 30-45 degrees, use sedatives sparingly, confirm placement of tubes w/ x-ray and get swallow evaluation done by who?

Emphysema is impaired O2/CO2 exchange; destruction d/t distended alveoli which leads to increase in _?

COPD pts experience a great deal of work to breath, lose weight, use accessory muscles, and tend to lean _?

Cor pulmonale is the enlargement of which side of the heart d/t disease of the lungs?

To avoid toxicity in pts with COPD, administer O2 w/ caution. Aim to get O2 to which level or higher? (Select the target)

Cachexia is muscle weakness/wasting. The goal of COPD care is to decrease the work of breathing. Clients are encouraged to eat 6 small meals a day, take SABA before meals, consume extra carbs/protein, and increase fluid intake to 3L unless contraindicated.

How long should a client rest before eating?

I reduce respirations, increase alveolar ventilation, and help expel air during expiration, which technique am I?

I prolong exhalation, prevent colapse of bronchioles, and control rate/depth of expiration, which technique am I? Note: I can reduce feeling of panic.

I am a 6 wk program. Pts engaged in practices and training to improve their quality of life.

I aim to decrease the work of breathing. Pts sit with their arms on the table or sit with arms on knees.

Pt is experiencing respiratory failure? Select all that apply

Asymetric chest movement with absence of breath sounds on one side.

For asthma, which are not abortive. This meds are for maintenance/long-term tx.

The pt can't take albuterol and other SABA, what would be an alternative?

Corticosteroids are anti-inflammatory. After administration with a spacer, what should happen?

Pts w/ asthma will speak in words, not sentences and sit forward. What helps their smooth muscles relax?

Pt has pulmonary congestion, crackles, S3, and gallop. Which condition might I be?

There is some congestion, but JVD, edema, and hepatomegaly, ascites, and weight gain are tell-tale signs. Which condition might I be?

I am an early diastolic condition associated with low pitch and poor systolic function or volume overload. The mitral valve pushes blood into a full ventricle. Which heart sound might I be?

I am a late diastolic condition d/t poor diastolic funciton. The atrial kick squeezes blood into a stiff ventricle. Which heart sound might I be?

There is an increase in RR and decrease in PaO2, which stage of heart failure is the patient experiencing?

With treatment for acute decompensated HF there is an increase in O2, reduction in fluid, and improvement of ventricular function. Ultimately, the hearts contractility will increase. Which meds are inotropic?

A pt with PE should change their position. Which best represents the new position?

HF pts should limit Na to 2g/day, get exercise up to 30 mins/day, and wait 2 hrs after eating for activity. Which is the best diagnostic tool?

Which help with cholesterol or TG?

Which slow HR?

With atherosclerosis, pts need to focus on _.

With angina pectoris, relief w/ rest or NTG is?

Female pts may have a varied set of s/s like pressures, squeezing, upper body pain, cold sweat, and nausea, they may be suffering from what?

Which vasodilate; increase blood flow to the heart?

Which decreases oxygen demand?

Which decrease workload by lowering HR and BP?

You're not at the hospital and pt has chest pain. You give NTG, what do you do next?

With ACS, there is alot going on. Cardiac catheterization allows visual inspection of vessels, what is the biomarker?

Which is the widow maker? Found at the anterior wall of the heart. I am not the common one.

I result in abnormal biomarkers and ST changes in at least 2 leads. Which one am I?

PQRST is done with which type of assessment?

MONA is used for patients dealing with _?

STEMI protocol requires quick action w/ best response in _ minutes.

Atorvastatin is used for cholesterol and triglycerides, monitor which organ's function?

NTG pills _ be put in a container with other meds.

Which one am I?

Note: Pts may have low K.

Which one am I?

Note: Pts may have low K and low Mg.

Vagal stimulation may cause _?

Pts may be diagnosed at an early age. They may be thin or experienced recent weight loss. This type of diabetes is due to loss of _ cell function in the pancreas. Which one am I? Note: Pts may develop DKA with this type of diabetes.

Pts can develop HHS with this type of diabetes, develop the condition later in life, and are often obese. Oh yeah, they take metformin too. Which type of diabetes am I?

A pts BG should be monitored for 1-2 hrs, insulin will be held unless BG = 200+, and we discontinue metformin 24-48 hrs prior to, what is the pt being prepared for?

For pts with peripheral neuropathy, what should you do if a wound hasn't healed in 24 hrs?

What would a pt with anemia get?

The pt won't stop bleeding, what would they get?

Obtain blood from bank after the IV is setup, confirm prescription for blood, and do all of the other checks for type and match. What should happen before going to get the blood?

Note: change tubing after every 2 units; run pure RBC for 2+ hrs; blood runs for 4 hrs max; monitor for first 15 mins

After a PLT transfusion, how long should you wait to order the PLT count?

The donor's blood is not compatible w/ the pt; this type of reaction is seen w/ as little as 10 mL of packed RBC. Which am I?

Antibiodies create a reaction that occurs with pts that have past transfusions. Fever onset may be in 2 hrs; antipyretics help with the fever

This type of reaction is due to plasma proteins in the blood. You may administer antihistamines and other meds prior to transfusion. Pt may develop urticaria, what reaction am I?

A transfusion overload has s/s of dyspnea, orthopnea, tachycardia, JVD, crackles, and more. What is a best practice to avoid this complication? Select all that apply.

Barium would result in a white stool. Which allows evaluation of the upper GI?

Barium would result in a white stool. Which allows evaluation of the lower GI?

Which requires that you check for shellfish/iodine allergy?

With this exam, loss of gag reflex is expected; pts will be NPO until it returns. You can see the esophageal, gastric, and duodenal mucosa. Which am I?

I am the distruction of the mucosal barrier that protects the stomach tissue; I am caused by H. Pylori. There is relief w/ eating. What am I?

There is an erosion of the membrane in the stomach and close regions. It feels like a full, gnawing pain or burning. A 72-hr diet diary may be helpful. If a pt developed orthostatic hypotension, a provider should be notified. Which am I?

I am an immune response to products that contain gluten. S/S: diarrhea, steatorrhea, abdominal pain/distention, fart, and weight loss. What am I?

I am inflammation of the peritoneum - diffuse, constant, and more intense. Movement aggravates my pain. Pts suffer from a variety of effects including dehydration. Vitals are required every 4 hrs; pts sometime receive TPN. What am I?

Pre-umbilical pain in the lower right quadrant; I present as a low-grade fever and rebound tenderness. There will likely be elevated WBC and C-reative protein. Post-op put pt in high fowlers. What am I?

I am a sac-like formation that could result in fistulas. Avoid triggers like popcorn and peanuts. Diagnosis can be made with a colonoscopy. What am I?

Pt complains of wavelike/colicky pain and passage of blood and mucus w/ no stool or flatus. What am I?

Note: Loops in the larger organ can be seen in abdominal wall.

Which describes the auscultation of bowel sounds w/ a pt that has a large bowel obstruction?

I am a regional enteritis that provides relief w/ bowel movement. Can present anywhere in the GI tract. Pts have fistulas and/or abdominal mass. What am I?

Ulcerative/inflammatory disease of the large intestine only; can result in sever bleeding, and fistulas. If fluid runs out (IV) hang 10% dextrose (at night). Goal = normal bowel sounds w/ relief of pain/cramping. What am I?

Bubble on abdominal wall for small intestine; stool will be liquidy.

Drink fluids only until I work, pts can better regulate function.

Think Humalog; pts must eat in 5-15 or they could experience severe hypoglycemia. Peaks in1 hr; duration is 2-4 hrs. What am I?

The clear type, this type of insulin can be given in combo or monotherapy - think Humulin-R. Don't give w/ glargine and glulisine. NPH is cloudy. Which one am I?

Type 1 diabetics usually use it, some T2 can use it too. It is a long-acting insulin.

Which am I?

Think Novolin; I appear white/cloudy with onset in 2-4 and peak in 4-12 hrs. Roll me in btw hands while drawing medication.

Which am I?

Some options are Glargine or Detimir. I function over 24 hrs. Which am I?

Pts have a loss of cognitive function, subtle memory loss, or difficulty completing normal activities. What can they be showing signs of?

Changes may need to take place at home to ensure safety and prevent falls. Ocurs in men more than women. I am a disorder of the CNS that affects movement. What am I?

If a pt is on 3 HTN meds without success and needs a 4th, to get it under control, what may they be experiencing?

Pt has a 180/120, or one without the other. There is no sign of organ damage (or potential), what might I be?

BP is high, high. There is sign of worsening organ damage. What might I be?

During a hypertensive crisis, with aortic disection, reduce BP to <120 in 1st hr. With severe preeclampsia, reduce BP to <140 in first hr. In other cases, reduce BP by no more than _ in the first hr. What percentage is recommended?

A pt is dealing with a great deal of cramping/pain or claudication with some degree of exercise. What might the pt be suffering from?

ABI is the ratio of the BP at the right ankle divided by the BP in the right _?

What medication would be given for claudication?

Bypass grafting often involves which arteries? Select all that apply.

Which one uses a balloon?

Note: Stents/grafts reduce the risk of re-stenosis. With some procedures, pts can go home same day or next day.

Nursing care for PAD would recommend raising limb to?

With DVT, best practice for nursing care would expect that the legs are _ the heart at bedrest.

Arterial leg ulcers result in unrelenting, ischemic pain at rest. Venous ulcers present heavy/aching pain and can be painless. Which are at medial side of hallux or 5th toe?

Note: The other is medial/laterla to malleolus

Which procedure allows for diagnosis of varicose veins?

I am swelling/redness and pain. i can present with a fever. At specific spots, I display as redness w/ pitting/orange-peel appearance. What am I?