List 5 ABSOLUTE contraindications to symptom-limited maximal exercise testing

Mrs. H is a pleasant 70yoa female who has had progressive SOB over the past few years. She currently struggles to walk more than 2 city blocks at a time and does not get out of the house often.  The patient has a modest cough and brings up about 1 tsp of creamy sputum each morning. She is a current smoker and has smoked 2 packs of cigarettes per day since she was 20.  Today is her first day in your pulmonary rehab program.   Throughly describe the physical examination on day 1 of pulmonary rehab. 

Mrs. H is a pleasant 70yoa female who has had progressive SOB over the past few years. She currently struggles to walk more than 2 city blocks at a time and does not get out of the house often.  The patient has a modest cough and brings up about 1 tsp of creamy sputum each morning. She is a current smoker and has smoked 2 packs of cigarettes per day since she was 20.  Today is her first day in your pulmonary rehab program.   List each of Mrs. H’s risk factors for respiratory disease

Mrs. H is a pleasant 70yoa female who has had progressive SOB over the past few years. She currently struggles to walk more than 2 city blocks at a time and does not get out of the house often.  The patient has a modest cough and brings up about 1 tsp of creamy sputum each morning. She is a current smoker and has smoked 2 packs of cigarettes per day since she was 20.  Today is her first day in your pulmonary rehab program.   While reviewing Mrs. H’s medical chart prior to meeting her, you come across recent ABG results as shown below. Is compensation present?   pH: 7.39 PaCO2: 48 PaO2: 61 HCO3-:28 SpO2: 91%

Mrs. H is a pleasant 70yoa female who has had progressive SOB over the past few years. She currently struggles to walk more than 2 city blocks at a time and does not get out of the house often.  The patient has a modest cough and brings up about 1 tsp of creamy sputum each morning. She is a current smoker and has smoked 2 packs of cigarettes per day since she was 20.  Today is her first day in your pulmonary rehab program.   While reviewing Mrs. H’s medical chart prior to meeting her, you come across recent ABG results as shown below. Is HCO3- normal or abnormal?   pH: 7.39 PaCO2: 48 PaO2: 61 HCO3-:28 SpO2: 91%

Mrs. H is a pleasant 70yoa female who has had progressive SOB over the past few years. She currently struggles to walk more than 2 city blocks at a time and does not get out of the house often.  The patient has a modest cough and brings up about 1 tsp of creamy sputum each morning. She is a current smoker and has smoked 2 packs of cigarettes per day since she was 20.  Today is her first day in your pulmonary rehab program   If Mrs. H had a positve screening for anxiety and depression, which of the following would NOT be an appropriate intervention for a CEP to perform.  

Mrs. H is a pleasant 70yoa female who has had progressive SOB over the past few years. She currently struggles to walk more than 2 city blocks at a time and does not get out of the house often.  The patient has a modest cough and brings up about 1 tsp of creamy sputum each morning. She is a current smoker and has smoked 2 packs of cigarettes per day since she was 20.  Today is her first day in your pulmonary rehab program   Looking at Mrs. H’s PFT results, was DLCO normal or abnormal?   Pre-bronchodilator: FVC: 70% predicted FEV1:  24% predicted FEV1/FVC: 35% predicted TLC: 120% predicted   Post Bronchodilator: FVC: 79% predicted; 12% change FEV1:  27% predicted; 14% change FEV1/FVC: 43% predicted; 23% change DLCO: 43% predicted

List 3 considerations that may require adjunctive imaging with a graded exercise test in the assessment of ischemic heart disease.

Mrs. H is a pleasant 70yoa female who has had progressive SOB over the past few years. She currently struggles to walk more than 2 city blocks at a time and does not get out of the house often.  The patient has a modest cough and brings up about 1 tsp of creamy sputum each morning. She is a current smoker and has smoked 2 packs of cigarettes per day since she was 20.  Today is her first day in your pulmonary rehab program   Looking at Mrs. H’s PFT results, is the FVC normal or abnormal?   Pre-bronchodilator: FVC: 70% predicted FEV1:  24% predicted FEV1/FVC: 35% predicted TLC: 120% predicted   Post Bronchodilator: FVC: 79% predicted; 12% change FEV1:  27% predicted; 14% change FEV1/FVC: 43% predicted; 23% change DLCO: 43% predicted

Which of the following thrombolytic medications will the nurse anticipate administering in the acute treatment of a patient diagnosed with an acute myocardial infarction (MI)?