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A comprehensive set of questions and answers related to cardiac nursing, covering topics such as myocardial infarction, angina, cardiac procedures, and medications. It is a valuable resource for students preparing for nur 204 exams or those seeking to enhance their understanding of cardiac nursing concepts.
Typology: Assignments
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Pt is wearing continuous cardiac monitor. Which begins to alarm at nursing station. Nurse sees no cardiac activity, what do you do first? Check on pt
Nurse is caring for pt who just came to ED. Pt is placed on cardiac monitor. The nurse documents vtack and vfib. Pt is unresponsive what do you do first? CPR
Which statement by pt indicates no further teaching is necessary prior to his cardiac procedure. They cut out a vein in the leg and reroute the vein to the heart.
Pt admitted to emergency room with possible MI. Reports back from the lab which lab report is specifically for mialcardial damage? CKMB
Pt age 72, admitted to medical unit with angina pectoris. S/s are? Substernal pain that radiates down leg arm
s/s MI? chest pain w/o relief in center chest crushing, viselike, elephant. Radiate to back, neck, both arms, shoulders, jaw. R/o indigestion, gallbladder, abdominal pain w/dyspnea, dizziness, nausea, & diaphoresis. Rapid irregular pulse, additional heart sound (S3, S4)
Pt had stemi and cardiac cath yesterday and doesn't want to leave the hospital. What are they in? Dependence
What does TPA do? converts plasminogen to plasmin, dissolves clots
Nurse assess friction rub in pt who is 2 days post MI. Nurse recognizes this finding as? Pericarditis
Nurse clarifies stool softener is given as apart of routine post MI care. Why do they give this?
Get your blood checked every 2 months (liver could fail)
Pt experiencing acute angina pain. What group of drugs would the doc prescribe? Nitroglycerin and morphine
Nurse is assisting in care with a pt with MI. Who should reduce saturated fat and cholesterol. Which diet? ..
provocative/palliative, quality, region/radiation, severity, timing
Pt with MI is a candidate for alteplase therapy. What is an adverse reaction to this? Bleeding, prevent blood clots
Nurse is teaching pt who is taking warfarin for PVD. The nurse determines further teaching is needed when? Use soft brush, electric razor
Stable angina chest pain that occurs when a person is active or under severe stress
unstable angina chest pain that occurs while a person is at rest and not exerting himself
Nurse is caring for pt with angina pectoris who ask what happens to make his body experiences pain? Lack of O
Nurse is caring for pt with chest pain to rule out MI. The nurse observes that the pt is experiencing ECG change. Which lab value should the nurse report asap? troponin 1- <0. troponin 2- <0. CPK- men 55-170 women 30- 135 Myoglobin- 0 - 85
Pt has family history of heart disease undergoing work up for cardiac disease. What s/s is most alarming? ?
If nurse suspects pulmonary embolism. What are the interventions? Provide O2, lasix, morphine
Preparing to give digoxin. What labs do you look at? ?
What condition would be related to severe damage to aortic valve? Aortic stenosis
ACE inhibitors Vasodilators like Enalapril
What do ACE inhibitors do? Block conversion of angiotensin I to angiotensin II
Modifiable risk factors for hypertensive pt
No modifiable risk factors age, gender, genetics, family history
How do you treat hypercholesterolemia? 20. ?