Cardiac

Question 1

When we perform a test with contrast ( angiogram) what is a significant question to ask the patient?

Answer 1

do you have allergies to shellfish and iodine

Question 2

What is another name for a ventricular gallop and in what situation could this be a normal finding?

Answer 2

S3 - normal in children and young adults

Question 3

what is another name for atrial gallop? is this ever a normal finding

Answer 3

S4 - it is not ever normal

Question 4

Modifiable risk factors for coronary disease

Answer 4

exercise, smoking, obesity, lower BP, lipids and blood sugar

Question 5

Non-modifiable risk factors for coronary disease

Answer 5

hereditary, age, gender and race

Question 6

why would we perform a stress test, what would we be evaluating?

Answer 6

shows ischemia, changes in the EKG during exercise

Question 7

why would we perform a TEE (transesophogeal echocardiogram

Answer 7

look at the back of the heart

Question 8

what does fibrous plaque of arterial sclerosis serve as?

Answer 8

a trap for substances, its like a sticky area that makes a clot

Question 9

Nursing diagnosis for patient with CHF JVD and dyspnea?

Answer 9

excessive fluid volume

Question 10

who most commonly gets malignant hypertension?

Answer 10

African American men

Question 11

nurse auscultating and hears a heart murmur. what does that indicate?

Answer 11

valves aren’t working properly

Question 12

How does walking help venous vascular disorders?

Answer 12

it massages the blood back up the legs

Question 13

what kind of precautions for people on anticoagulants

Answer 13

bleeding, tea colored urine, hematuria

Question 14

when a patient comes back from a cardiac cath what do you watch for?

Answer 14

bleeding - monitor vital signs

Question 15

what do you teach your patient about a stress test

Answer 15

non invasive, constantly monitor heart and BP, NPO 2 hr before, no caffeine 24 hours before

Question 16

chest pain more severe, more frequent and occurs at rest

Answer 16

unstable angina

Question 17

chest pain that occurs during exercise and rest makes it go away

Answer 17

stable angina

Question 18

A rub indicates

Answer 18

pericardial inflammation

Question 19

murmurs indicate

Answer 19

valves not closing properly

Question 20

desired cholesterol levels for a patient with CAD?

Answer 20

HDL > 40
LDL < 100
Trig < 150

Question 21

adverse effects of amiodarone?

Answer 21

dysrhythmias, blurred vision, tremors, headache

Question 22

expected action of lasix

Answer 22

increased urine output

Question 23

darkening around shins and ankles, blood cells seeping into tissues, poor venous return

Answer 23

stasis dermatitis

Question 24

calf pain when walking, circulatory issue

Answer 24

claudication

Question 25

cap refill under 3 seconds tells us?

Answer 25

blood is perfusing

Question 26

what is the homans maneuver

Answer 26

asses for calf pain - can indicate a blood clot

Question 27

venous stasis ulcer characteristics

Answer 27

red, lots of drainage, painless, located ankles shins calves

Question 28

arteriol ulcers

Answer 28

farther down, toes and feet

Question 29

signs and symptoms of arterial occlusion

Answer 29

absence of pulse, cold, numb, cyanosis

Question 30

risk factors for varicose veins

Answer 30

obesity, jobs on feet, pregnancy and age

Question 31

prehypertension vs hypertension

Answer 31

pre 120-139 or 80-90

hypertension 140-159 or 90-99

Question 32

COPD and asthma patients should not take which class of antihypertensive drugs

Answer 32

beta blockers

Question 33

what are some assessments the nurse should perform on a patient we may suspect has vascular disease peripherally?

Answer 33

pulse, pallor, peristhesia, pain, poklio thermia

Question 34

hommans sign

Answer 34

flex feet and knees - positive sign is calf pain

Question 35

important teaching for patient with mitral stenosis

Answer 35

avoid overhydrating.