human needs final: CV

Question 1

Dx studies for hematologic system (6)

Answer 1

• CBC
• ESR
• bone marrow aspiration/biopsy
• CT/MRI
• lymph node biopsy
• lumbar puncture

Question 2

when would a pt be considered thrombocytopenic

Answer 2

platelets less than 100,000

Question 3

what race is sickle cell anemia most common in

Answer 3

african american

Question 4

priorities of care for sickle cell crisis

Answer 4

1. oxygen
2. IV fluids
3. pain meds (IV opioids)
4. bedrest

Question 5

what pt is thrombocytopenia commonly seen in

Answer 5

cancer pts

Question 6

nursing considerations for thrombocytopenic pts

Answer 6

• fall precautions

- no NSAIDs/ASA

Question 7

2 risks (beside reaction) when giving blood fast

Answer 7

• pulmonary edema

- hypervolemia

Question 8

how fast should blood be infused generally

Answer 8

120 mL/hr

Question 9

nursing considerations for blood transfusion admin

Answer 9

• 2 RNs
• 3 pt identifiers
• only NS with blood
• watch for 1st 15 minutes
• infuse within 30 mins of receiving from bank
• blood has to be infused within 4 hours

Question 10

S+S adverse reaction with blood transfusion (4)

Answer 10

• temp rise of 1 C above baseline
• urticaria
• chills
• pruritis

Question 11

what should you do for pt experiencing adverse reaction to blood transfusion (5)

Answer 11

• stop transfusion
• check pt VS
• flush IV closest to insertion
• notify HCP
• notify blood bank

Question 12

pt teaching for thrombocytopenia (5)

Answer 12

• soft bristle toothbrush
• electric razor
• notify HCP of any signs of bleeding
• don’t blow nose forcefully
• no NSAIDs/ASA

Question 13

classic symptom PAD

Answer 13

intermittent claudication

Question 14

S+S arterial (7) v venous (7) ulcers in PVD

Answer 14

ARTERIAL:

• intermittent claudication
• no pulse
• cool and clammy
• round smooth sores
• black eschar
• on feet
• cap refill >3 sec

VENOUS:

• edema
• yellow slough, drainage
• sores with irregular borders
• warm and red
• pulse
• on ankles
• cap refill < 3 sec

Question 15

2 modifiable risk factors for PAD/PVD

Answer 15

• control DM

- control HTN

Question 16

pt education to prevent episodes of raynauds (4)

Answer 16

• no smoking
• avoid caffeine
• avoid extreme temps
• no vasoconstrictor meds

Question 17

pt teaching to reduce CV risk factors after AAA surgery (4)

Answer 17

• control bp
• no smoking
• normal body weight
• normal lipid levels

Question 18

important assessment after AAA repair

Answer 18

-hourly urine output check

Question 19

preop considerations aortic dissection (3)

Answer 19

• semi fowlers position
• frequent VS
• bp control

Question 20

what can the UAP assist with for pt with VTE (4)

Answer 20

• reposition q2h
• ambulate
• put on compression stockings/SCDs
• remind pt to flex/extend legs and feet q2h in bed