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In all but which of the following would the human immunodeficiency virus and hep B viruses be found - ✔✔Bone Which of the following statements might NOT be considered correct regarding the maintenance of the sterile field in the cardiac cath lab (CCL) - ✔✔once a person has scrubbed they can touch any item sterile or not sterile Which of the following would allow the physician to obtain angiography of the coronary arteries and the cardiac chambers - ✔✔cardiac ultrasound Which of the following could be considered a MAJOR complication of a cardiac cath - ✔✔congestive heart failure and thrombosis Which of the following sizes would typically be correct for a FOLEY catheter for an adult male or female - ✔✔ 14 - 18F The cardiac cath nurse would typically use which of the following sizes of FOLEY catheters for and adult male pt - ✔✔ 14 - 18F Of the following, which are typically mandatory for the staff members in the cardiac cath lab (CCL) to be certified in - ✔✔ACLS and BLS Of the following, which statement would be considered correct regarding the importance of the IV access during a cardiac cath - ✔✔IV access could be used for the administration of emergency medications to help counteract such conditions as vagal response IV access can be used to hydrate the pt during the cath Which of the following would be considered a correct description for the term "sterilization"? - ✔✔The complete destruction of all living organisms
This would include viruses and bacterial spores When assessing the pt prior to the procedure, which of the following would NOT be included? - ✔✔Review of past bone fractures When assessing the pt prior to the procedure, which of the following would be included - ✔✔smoking history review of all the major organ systems review of any drug use Which of the following equipment components is typically found in a cardiac cath lab (CCL) - ✔✔Fluoro, lateral x-ray generator Pt table Crash cart Which of the following would be considered the typical max dose for demerol that is administered for conscious sedation - ✔✔100mg or 1.5mg/kg Medical terms which are often used to describe a pts respirations would NOT include - ✔✔Acute Which terms would be used to describe a patient's respirations? - ✔✔shallow normal noisy If a power injector is being used during a cardiac cath procedure, which of the following would be considered an advantage - ✔✔Ensures that the amount of contrast medium which is injected would be correct
When a blockage returns to the vessel segment that has been dilated by a PCI, it is referred to as restenosis. Which of the following could be considered a mechanism of restenosis - ✔✔Vessel remodeling Elastic recoil Which of the following would be considered the correct formula for converting pounds to kilograms - ✔✔Pounds divided by 2.2 kilograms The formula (Gy): 1 Gy = 1 J/Kg (SI unit) would be used to determine the energy that is absorbed by each unit of mass for which of the types of radiation dose measurements - ✔✔Absorbed The anomaly in which the arterialized blood returns from the lungs into the left side of the heart and the left ventricle sends this arterialized blood into the pulmonary artery, which is then carried right back to the lungs would be considered which of the following - ✔✔Transposition of the great vessels Chronic obstructive pulmonary disease would have which of the following pulmonary pressures - ✔✔High pulmonary pressure Which of the following is not typically included in the medical regimen for a radial cath - ✔✔Furosemide 40 mg IV push Which of the following meds would be included in the medical regimen for a radial cath - ✔✔Heparin 2000 - 5000 units Verapamil 1 mg Topical anesthetic to be applied over the radial artery All BUT which of the following would be considered a layer of the wall of the heart - ✔✔Scapula What are the layers of the wall of the heart - ✔✔Endocardium
Epicardium Myocardium Which layer of the heart works to completely enclose the heart, helping to anchor and protect it - ✔✔Pericardium If a pt has sustained Vtach and continues to have a pulse, which type of cardioversion would be needed - ✔✔Synchronized The middle layer of the heart would be considered which of the following - ✔✔Myocardium An inferior MI could be seen on a 12 lead ECG in which leads - ✔✔II, III, aVF The normal T wave would be upright in which cardiac leads - ✔✔II Symptoms of acute coronary syndrome could be included in all of the following except - ✔✔Hyperglycemia What are some pf the symptoms of acute coronary syndrome - ✔✔A sudden shortness of breath Chest pressure in the center of the chest Chest discomfort that radiates to the back or between the shoulder blades The chest pain that accompanies a MI is typically which of the following - ✔✔It is more intense that angina It typically lasts longer than angina pain
Apply ice to the area of the hematoma Of the following, which arteries would be considered correct for the 2 major vessels that carry the deoxygenated blood back to the right side of the heart from the systemic circulatory system - ✔✔Pulmonary artery Superior vena cave The Pt in the cardiac cath lab develops pulseless Vtach. Which of the following meds would typically be administered first - ✔✔Epinephrine With the pt that is in Vfib, if the first defibrillation is not successful then which of the following steps should follow - ✔✔CPR should be continued During a PCI procedure, the pts monitor rhythm goes flat. Which of the following interventions should be done first at this time - ✔✔Check the pt first During the post procedural monitoring, a pt is unable to control their extremities has, has limited respirations, has a blood pressure that is greater or less than 20% of their baseline, is arousable, and is cyanotic. Of the following, which would be correct for their Aldrete Score for this pt? - ✔✔ 3 Which of the following would NOT be considered a type of shunt - ✔✔Arterial foramen ovale What are some types of shunts - ✔✔Patent foramen ovale Ventricular septal defects Patent ductus arteriosis Atrial flutter would have a rate of which of the following - ✔✔ 250 - 350 beats per minute Which of the following adverse reactions could aspirin cause - ✔✔Gastrointestinal distress
Ulcers Of the following, which might cause pulseless electrical activity (PEA) - ✔✔Tension pneumothorax Hypovolemia A septal MI would more than likely show electrocardiogram changes in which leads - ✔✔V1 and V The nurse checks the post-procedure radial cath pt and finds a grade III hematoma. All BUT which of the following might be considered potential interventions for the bleed - ✔✔Administer lasix Not all facilities administer premeds. If they do, which of the following might be ordered? - ✔✔Valium 10 mg orally Benadryl 25 mg orally Which of the following might be considered the best description for ultrasound - ✔✔Inaudible, high- frequency sound waves Detailed images provided by the intravascular ultrasound (IVUS) is provided by which of the following - ✔✔Sound waves Once the femoral artery has been located for a cath, what would be considered the next step - ✔✔A small skin incision of approx 2-4mm is made about 2 cm below the expected point of vascular entry In which of the following circumstances would a cardiac cath not be indicated for a pediatric pt - ✔✔If the pt is septic Which of the following would be considered correct for the study where there is an injection of a large bolus of contrast medium into the aortic root - ✔✔Aortography
What is the most common reason for the initiation of an intra-aortic balloon pump - ✔✔Cardiogenic shock An Angiojet can best be described as which of the following - ✔✔A mechanical rheolytic thrombectomy catheter Fentanyl is a synthetic opioid which has a ______ onset and a _____ duration of action? - ✔✔Quicker Shorter Which of the following would be considered correct for confirming the position during a pericardiocentesis - ✔✔Microbubble contrast The nurse is caring for a pediatric pt that is 8 yrs old and is experiencing tachycardia, Which of the following would be considered the typical intervention for this pt - ✔✔No treatment The predominant effect of a properly times intra-aortic balloon pump therapy could reduce which of the following - ✔✔Afterload Reentry and which of the following would be considered a classification of mechanisms for Vtach - ✔✔Triggered activity Medications which might have a risk factor for the patient having a cardiac cath would NOT include - ✔✔Acetaminophen Which medication might have risk factors for pets who are having a cardiac cath - ✔✔Warfarin ARBs Furosenide IABP stands for which of the following - ✔✔Intra-Aortic Balloon Pump
The settings for a power injector when performing a ventriculography would be - ✔✔ 30 - 45 ml at a rate of 10-15 ml/sec After a pt has had a balloon angioplasty intervention, which of the following medications would they more than likely need to take for the rest of their life - ✔✔Aspirin The distal end of the "impel" cath rests where when positioned - ✔✔left ventricle Of the following, which would be considered an advantage of using the pt ductus arteriosus closure procedure vs surgical ligation - ✔✔Less hospitalization Minimal scarring (access site) Less invasive A congenital cardiac defect in which the ductus arteriosus fails to close after birth would be considered which of the following - ✔✔PDA All but which of the following might be medications that are used prior to an ICD procedure - ✔✔Heparin Which medications would be used prior to an ICD procedure - ✔✔Prophylaxis antibiotics IV fluids The lowest psi nitrogen love range before starting a rotablator rotational angioplasty system would be - ✔✔500 psi All of the following statements would be considered correct about the intra-aortic balloon pt except - ✔✔The patient should be able to ambulate after the pump is inserted
The physicians is performing a pericardiocentesis and there is a micro bubble contrast seen, Which of the following would this micro bubble contrast indicate - ✔✔confirm placement The 3 primary components of the angiojet system include - ✔✔The angiojet catheter The disposable pump set The drive unit Which of the following might not be used as one of the medications that would be administered with a radial cath - ✔✔Humulin R insulin Which of the following medications might be administered with a radial cath - ✔✔Topical anesthetic Heparin Nitro An acute, systemic, and severe allergic reaction would be considered which of the following - ✔✔Anaphylaxis After the use of the Angio-seal, how long does it typically take for its components to be reabsorbed - ✔✔90 days _______ would be considered the most appropriate immediate treatment for symptomatic bradycardia - ✔✔Atropine With hemodynamic pressure, there would be a large _____ wave in lead VIwith left ventricular hypertrophy (LVH) - ✔✔S The nurse is removing cardia cath sheath and it becomes stuck. All but which of the following might be considered nursing interventions at this time - ✔✔Pull harder on the sheath
What should you do if you are pulling a radial sheath and it gets stuck - ✔✔Apply warm compresses over the forearm of the pt to help relax the spastic artery Administer sedation and or analgesia Nitro may be administered to help dilate the vessels If hypotension develops in the cardiac cath pt it is typically due to which of the following causes - ✔✔Hypovolemia The joint commission requires goals that apply to the cardiac cath lab (CCL). Which of the following would be part of the 6 goals - ✔✔Reconciliation of the pts medications across the continuum The use of universal protocol for preventing the wrong site, procedure or pt by conducting pre procedure verification process and time-out before the procedure Improving the communication effectiveness among the health care teams
