Apply the nursing process for a client with a disorder of the cardiovascular system.
Application should include
- recognizing the clinical judgment model components
- identifying factors in the prevention of circulatory system disorders
- describing the steps in nursing assessment
- nursing management in diagnostic tests
- echocardiogram, radiographic studies
- CT
- MRI
- cardiac catheterization
- coronary angiography blood studies
- electrolyte
- cholesterol
- triglycerides
- creatinine
- serum enzymes and isoenzymes
- coagulation studies
- arterial blood gases
- electrocardiogram
- stress testing
- electrophysiologic studies
- ultrasound Doppler flow studies
- arteriogram
- interpretation of and intervention for cardiac rhythms
- venogram?
- procedures related to antiembolic stockings and other devices
- use of nursing management of selected disorders
- cardiac arrhythmias
- valvular disorders of the heart
- congestive heart failure
- hypertension
- occlusive disorders
- coronary artery disease
- angina pectoris
- myocardial infarction
- Raynaud's disease, embolism
- thrombosis, phlebothrombosis
- arterial occlusive disease
- aneurysm
- Buerger's disease
- varicose veins
- infectious/inflammatory disorders
- diagnoses and plan of care
- pharmacological management and dietary plan
- provision of educational guidelines.
Process/Skill Questions:
- How do exercise, weight control, and body mechanics relate to the prevention of circulatory system disorders?
- What are the steps included in the nursing assessment of the circulatory system?
- How would one explain the purpose and nursing management of diagnostic tests?
- How might one demonstrate procedures related to the application of thromboembolism deterrents (TEDs) and other antithrombotic devices?
- What is the importance of nursing care related to blood pressure, pulses, cardiopulmonary resuscitation (CPR), auscultation of heart sounds, use of doppler, and the assistance with oxygen-delivery equipment?
- What are nursing diagnoses related to the client with a cardiovascular system disorder?
- How would one develop the plan of care to meet the biological, psychological, social, and cultural needs of the client?
- What are the pre- and post-operative nursing care of the client experiencing surgical procedures (e.g., valvuloplasty and valve replacement, coronary artery bypass, commissurotomy, aortic aneurysm repair, embolectomy, vein ligation, insertion of pacemaker, heart transplant)?
- How would one explain the integration of pharmacological agents, such as
- cardiotonics
- antiarrhythmics
- antihypertensives
- calcium channel blockers
- nitrates
- anticoagulants
- beta blockers
- vasodilators
- thrombolytic agents
- diuretics?
- What is the importance of incorporating dietary principles, such as low-sodium diet, low-fat diet, and low-cholesterol diet in the care of the client?
- What are educational guidelines for dealing with the adult client with disorders of the circulatory system?