Nclex-Study-Guide 1&2

Nclex-Study-Guide 1

Realize that you must answer all questions in relation to what’s safe for the patient

Realize that preventing the spread of disease is top priority

CADIOVASCULAR

Realize the following in regards to a plasma cholesterol screening (measures the amount of cholesterol that one has):

·          Realize that only sips of water are permitted for 12 hours before plasma cholesterol screening to achieve accurate results

Realize that after the application of a cast on the arm, the arm should be elevated to minimize swelling; it should be elevated for the first 24 – 48 hours; it should be protected from pressure and flattening of the cast

Realize that a Tredelenburg test is used with a client who may have varicose veins Realize that a heartburn that radiates to the jaw indicates chest pain

Realize that when a patient is receiving thrombolytic therapy, IM injections may cause bleeding. Realize that roasted chicken have low cholesterol

Realize that if the pulse increases, it indicates that the tissues are not being perfuse correctly Realize that the normal RBC

in males is 4.3 – 5.9 million/mm3; females 3.5 – 5.5 million

Realize that a low platelet count will give problems with no blood clotting, allowing blood to infuse joints, putting client at risk for injury

Realize that the most common cause of mitral valve problems is a history of rheumatic fever with a subsequent complication of carditis, which affects the valve

Realize that the BP should always be taken on the opposite arm from the graft

Realize that a normal range for CVP is 3 – 12 cm water pressure; a reading of 8 cm indicates a desired response to fluid replacement, avoiding a hypovolemic state

·          Realize that a CVP readings measures the pressure in the right atrium

·          Realize that a Swan-Ganz catheter measures the pulmonary artery wedge pressure, which is an indirect reading of the pressure in the left ventricle

·          Realize that a pulmonary artery catheter is a multi-lumen apparatus that allows for the following measurements:

o    Pulmonary artery pressures

o    Myocardial filling pressures

o    Cardiac output

o    Pulmonary resistance

o    Systemic resistance

o    Cardiac index – the cardiac output divided by the body surface area Realize that a nitroglycerine patch should be removed before an MRI test

Realize that Buerger’s disease (thromboangiitis obliterans) is a vascular occlusive disease of the extremities causing a decreased blood flow to the feet and legs

·          Nurse must check for ulcers formation and gangrene

·          Results in thrombus

·          Seen in men 20 – 35 year old

·          Smoking is a causative factor

·          Pain at rest and coldness is a major system

·          Pain control is a goal of treatment

·          Fluids are not restricted

Goal of medical management is to