Cardiac Disorders Turning Point Flashcards
Which of the following are signs of pericardial effusions (SATA)
A. Distant muffled heart sounds
B. Pericardial friction rub
C. Chest fullness
D. Hypertension
E. Dyspnea
Distant muffled heart sounds
Pericardial friction rub
Chest fullness
Dyspnea
Which of the following is a finding with paradoxical pulse?
A. Drop in DBP with expiration
B. Hypotension
C. Drop in SBP with inspiration
D. Strong apical pulse
E. Weak peripheral pulses
Drop in SBP with inspiration
When caring for a patient diagnosed with Cardiac Tamponade the nurse would anticipate preparing the patient for which one of the following diagnostic procedures to reverse symptoms?
A. Thoracentesis
B. Stent placement in cardiac cath lab
C. Bronchoscopy
D. Pericardiocentesis
Pericardiocentesis
The nurse is caring for a patient in CCU who had a pericardiocentesis. List some priority nursing interventions post procedure.
Monitor VS
Assess heart sounds
Keep upright
Telemetry
Ox sat
Emergency code cart ready
Monitor BP
Respiratory assessment
What are some symptoms of cardiac arrest? (SATA)
A. Loss of consciousness
B. +2 radial pulse
C. Absent BP
D. Skin pale and cyanosis
E. Pupils may begin to dilate
Loss of consciousness
Absent BP
Skin pale and cyanosis
Pupils may begin to dilate
List some basic interventions (BLS) during a cardiac arrest
Assess pulse and breathing
Activate code
Chest compressions and breaths
Rapid cardiac rhythm analysis and defibrillation
What are some nursing responsibilities after an advanced airway is placed by the code team leader? (SATA)
A. Auscultation breathe sounds while code team member is bagging patient
B. Assess for changes in the carbon dioxide detector
C. Order a chest x-ray for placement
D. Using bag administer about 10 breathes per minute
A
B
D
Which one of the following is an early indicator of cardiac valve dz?
A. Abnormal echocardiogram
B. Murmur heard on auscultation
C. Electrocardiogram
D. Location of the apical pulse
E. Findings on chest x-ray
Murmur heard on auscultation
Which of the following are correct descriptors for an insufficient cardiac valve? (SATA)
A. Valve does not close properly
B. Blood flows backwards into the preceding chamber
C. Blood flowing backward can dilate the preceding chamber
D. Blood flow is normal but the chamber is enlarged
Valve does not close properly
Blood flows backwards into the preceding chamber
Blood flowing backward can dilate the preceding chamber
Two common causes of cardiac valve disease are rheumatic fever and infective endocarditis
True or False?
True
The musset sign, water hammer pulse, thrill and ventricular heave at 3 ICS, LSB are clinical signs of which type of cardiac valve disease?
A. Aortic stenosis
B. Mitral prolapse
C. Aortic regurgitation
D. Mitral stenosis
E. Mitral regurgitation
Aortic regurgitation
What classes of medications and interventions would be helpful to management heart failure that develops from cardiac valve disease?
Diuretics
Beta blockers
Ace inhibitors
Vasodilators
Anticoagulant therapy
What are some priority nursing diagnosis for cardiac valve dz?
Goal is symptoms management
Nitrates if chest pain
Antibiotics if infective endocarditis, prophylaxis
Sodium restrictions
Daily weight
Limit caffeine
Monitor activity
A patient with cardiac valve dz from infective endocarditis would benefit from which of the following valvuloplasty procedures?
A. Repair of perforation “patching”
B. Resection of excess tissue
C. Balloon valvulotomy inflation in cath lab
D. Debridement of vegetation or calcifications
Debridement of vegetation or calcifications
What are some advantages of a mechanical valve replacement? (SATA)
A. Very durable
B. Lower risk of thrombus
C. Effective with younger pt
D. Requires anticoagulants
Very durable
Effective with younger pt
