UWorld NCLEX-PN Rationale-based Study Questions and Answers

B/P Medication side effects? - fatigue - erectile dysfunction - dizziness Angina pectoris risk factors? - Smoking - Extreme temperatures - Physical exertion (including sex) - Intense emotion - Coronary artery narrowing - Stimulants (cocaine, amphetamines) Define angina pectoris Chest pain due to myocardial ischemia (decreased blood flow to heart). Purpose of an ICD (implantable cardioverter defibrillator)? - sense and defibrillate life-threatening dysrhythmias. - overdrive pacing for rapid heart rhythms - back-up pacing for bradycardia that may occur after defibrillation. Postoperative teaching for ICD? Don't lift arm of affected side above the shoulder unless cleared by the health care provider. Where is an ICD placed? In the endometrium via the subclavian vein. Home care instructions for discharging a patient with heart failure following myocardial infarction? - How to take own pulse - Monitoring weight daily - Reduction of sodium in diet - Take blood pressure and keep record of it - Avoid temperature extremes - Increase walking, but plan for rest periods Chronic Venous Insufficiency (CVI) s/sx? - Brownish skin discoloration on lower extremities - Chronic edema - Inflammation - Leathery skin - Venous leg ulcers inside of ankle How to improve pain due to acute pericarditis? Sit up and lean forward Pericarditis treatment? NSAIDs or aspirin plus colchicine. Pericarditis is characterized by what symptom? Pleuritic chest pain. Pericarditis is known to be aggravated by what actions? Inspiration and coughing. Normal urinary output? 30 mL/hr Urinary output below 30 ml/hr may signify what? - low vascular volume - decreased renal perfusion - intrinsic kidney injury - urine outflow obstruction A client with heart failure with decreased urine output, what action is the priority? Auscultate for lung sounds to assess for crackles due to decreased cardiac function and buildup of fluid in the lungs. Anticipated treatment for a client with decreased urine output r/t to heart failure? Loop diuretics.