UWorld NCLEX-PN Exam Study Guide

UWorld NCLEX-PN Exam Study Guide

B/P Medication side effects?(Ans-

• fatigue
• erectile dysfunction
• dizziness

Angina pectoris risk factors?(Ans-

• Smoking
• Extreme temperatures
• Physical exertion (including sex)
• Intense emotion
• Coronary artery narrowing
• Stimulants (cocaine, amphetamines)

Define angina pectoris (Ans- Chest pain due to myocardial ischemia (decreased blood flow to heart).

Purpose of an ICD (implantable cardioverter defibrillator)?(Ans-

• 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?(Ans- Don't lift arm of affected side above the shoulder unless cleared by the health care provider.

Where is an ICD placed?(Ans- In the endometrium via the subclavian vein.

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Home care instructions for discharging a patient with heart failure following myocardial infarction?(Ans-

• 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?(Ans-

• 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?(Ans- Sit up and lean forward

Pericarditis treatment?(Ans- NSAIDs or aspirin plus colchicine.

Pericarditis is characterized by what symptom?(Ans- Pleuritic chest pain.

Pericarditis is known to be aggravated by what actions?(Ans- Inspiration and coughing.

Normal urinary output?(Ans- 30 mL/hr

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