Title: Apply the nursing process for a client with a disorder of the cardiovascular system.
Course: Practical Nursing III (14052-III) > Section: Applying the Nursing Process to the Adult Client

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?