ACTUAL EXAM 450 QUESTIONS AND 100

NUR 242 Exam 4 Cardiac LATEST UPDATE -

ACTUAL EXAM 450 QUESTIONS AND 100%

VERIFIED CORRECT ANSWERS GUARANTEED

A+

absence of leg hair - CORRECT ANSWER: poor circulation

acites - CORRECT ANSWER: right sided HF

amputation decreased perfusion - CORRECT ANSWER: if pt has decreased tissue

perfusion notify surgeon/ rapid response

if bp drops and pulse increases suspect hidden bleeding

amputation dressing - CORRECT ANSWER: never remove dressing, check under pt for

bleeding, reinforce dressing

Amputation wound care - CORRECT ANSWER: -elevate limb for first 24 hours

-gabapentin for nerve pain -PCA pump -prevent contractures -no semi fowlers -pt lays lateral side to side (supported with pillows) -prone position for 20 mins every 2-3 hours ( to prevent contractors) -monitor for bleeding -compression dressing

antidote for warfarin - CORRECT ANSWER: Vitamin K

arterial PVD s/s - CORRECT ANSWER: - intermittent claudication, pain (pain with

activity)

• no edema
• no pulse or weak pulse, no drainage
• round smooth sores
• black eschar

-no leg hair

• location of sores on toes and feet

arteriosclerosis - CORRECT ANSWER: hardening of the arteries common with aging

Artherosclerosis - CORRECT ANSWER: Hardening and narrowing of the arteries due to buildup of cholesterol plaques

Atrial Flutter - CORRECT ANSWER: Rate:Atrial 250-350 1 / 4

Ventricular: 100 -175

P: Irregular or absent, often "saw tooth"

QRS: Normal

Rhythm: Regular or irregular

• Often underlying cardiac disease

Carotid massage: increases block

atrial flutter s/s - CORRECT ANSWER: Palpitations

SOB Anxiety Weakness Angina Syncope

atrial flutter treatment - CORRECT ANSWER: beta blockers and

calcium channel blockers "ditlizam or amiodorone" digitalis

cardioversion

AV node rate - CORRECT ANSWER: 40-60 bpm

aystole - CORRECT ANSWER: no heart beat

aystole nursing considerations - CORRECT ANSWER: do not shock

cpr epi and atropine

Best place to hear S3 - CORRECT ANSWER: aortic

BNP levels - CORRECT ANSWER: <100 pg/mL i

elevation indicates heart failure

Bueger's Disease - CORRECT ANSWER: occlusive artery

risk:

Genetic, autoimmune, smokers

treatment vasodilators -nifedipine (no grapefruit juice) avoid cold weather and caffeine stop smoking

Cardiac Cath Home Care - CORRECT ANSWER: limit exercise for several days

leave dressing in place for first day 2 / 4

observes insertion sit for signs of infection (bruising is normal)

Cardiac modifiable risk factors - CORRECT ANSWER: smoking

sedentary lifestyle psychological components (anger, competitive, stress) alcohol diet

Cardiac Non Modifiable Risk Factors - CORRECT ANSWER: age

sex family hx chronic illness (CAD, DM, ect)

cardiac symptoms - CORRECT ANSWER: chest pain (male vs female)

dyspnea (ask how many pillows they sleep with) fatigue palpitations sudden weight increase syncope extremity pain

crackles - CORRECT ANSWER: left sided HF

deep vein thrombosis (DVT) s/s - CORRECT ANSWER: unilateral

-edema -redness -warmth -bilateral circumference measure differences

DVT diagnosis - CORRECT ANSWER: D-dimer (lab test)

ultrasonography

DVT treatment - CORRECT ANSWER: anticoagulants

surgery monitor breathing NO Massages

echocardiography - CORRECT ANSWER: an ultrasonic diagnostic procedure used to

evaluate the structures and motion of the heart

EKG heart rate calculation - CORRECT ANSWER: number of complexes x 10

EKG strips length - CORRECT ANSWER: 6 seconds

electrical flow of the heart - CORRECT ANSWER: 1. SA node (pacemaker)

• AV node (gate keper) 3 / 4

• bundle of his
• bundle branches
• Purkinje fibers

= coordinated heart

elevated blood pressure - CORRECT ANSWER: 120-129/less than 80

essential hypertension - CORRECT ANSWER: chronic high blood pressure with no

single known cause

many risk factors

heart failure treatment - CORRECT ANSWER: Upright postion

Nitrates (vasodilators that reduces afterload) Lasix Oxygen Ace inhibiters (helps with contractility) Digoxin (help hearts work stronger)

Fluids (decrease) Afterload (decrease) Sodium restriction Test (K levels, Dig and ABGs)

Hematocrit (Hct) - CORRECT ANSWER: • Females 37-47%

• Males 42-52%

Hemoglobin (Hgb) - CORRECT ANSWER: • Females 12-16 g/dL

• Males 14-18 g/dL

HF report to PCP - CORRECT ANSWER: -rapid weight gain 3lbs in a week or 1-2lbs

overnight -decrease exercise tolerance lasting 2-3 days -cold symptoms (cough) lasting more than 3-5 days -excessive awakening to urinate at night -dyspnea or angina -increased swelling in the feet, ankles or hands

HF self monitoring - CORRECT ANSWER: -avoid NSAIDs ( to prevent Na and fluid

retention) -stay active but do not over do it (be able to converstate when exercising) -weigh same time everyday

• limit fluids to 2 L

-limit sodium to 2 to 3 g

HTN meds - CORRECT ANSWER: -Diuretics

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