Heart failure, myocardial infarction, and dysrhythmia nursing assessment priorities and interventions, distinct from the broad medical-surgical nursing deck.
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- What is the hallmark symptom pattern of left-sided heart failure?
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Pulmonary congestion: dyspnea, crackles, and cough- What is the hallmark symptom pattern of right-sided heart failure?
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Peripheral edema and jugular venous distension- Which lab value rises when the heart is stretched by fluid overload in heart failure?
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BNP (B-type natriuretic peptide)- How much weight gain in 24 hours should a heart failure patient report to their provider?
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2 to 3 pounds- What position best eases breathing for a heart failure patient in acute distress?
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High-Fowler's position- What dietary restriction is standard teaching for heart failure patients?
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Restrict sodium intake- What electrolyte must be monitored closely in a patient taking furosemide for heart failure?
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Potassium- What is a common early side effect of ACE inhibitors that patients report?
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A dry, persistent cough- What are early signs of digoxin toxicity?
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Nausea, vomiting, and visual disturbances such as yellow-green halos- What must a nurse check before administering digoxin?
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Apical pulse for one full minute; hold the dose if below 60 bpm- Orthopnea is ____.
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shortness of breath that occurs when lying flat- Paroxysmal nocturnal dyspnea is ____.
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sudden, severe shortness of breath that wakes a patient from sleep- What is the classic chest pain description for a myocardial infarction?
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Crushing, substernal pressure, often radiating to the left arm or jaw- Which patient populations most often present with atypical or silent MI symptoms?
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Older adults, women, and people with diabetes- Within how many minutes should a 12-lead ECG be obtained after a patient reports chest pain?
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10 minutes
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