Cardio EOCQ / Notes

Question 1

What are the normal lab values of hemoglobin?

Answer 1

Male = 13.5 - 18 g/dL
Female = 12 - 15 g/dL

Question 2

What is cardiac output?

Answer 2

Stroke Volume (SV) x HR = CO. This indicates how well the heart is functioning.

Question 3

What is the normal cardiac output?

Answer 3

4 - 8 L/ min

Question 4

What are s/s of left sided heart failure?

Answer 4

Pulmonary congestion - cough, crackles, blood tinged sputum
Confusion
Orthopnea (ability to breathe only in upright position)
Tachycardia (over 100 BPM)
Tachypnea (fast respirations)
Fatigue
Cyanosis

Question 5

What are the s/s of right sided heart failure?

Answer 5

Fatigue
Enlarged liver and spleen
JVD
Dependent edema (low tissue pressure)
GI distress
Ascites (large amount of fluid accumulation in the abdominal cavity)

Question 6

You note in the patient’s chart that the patient recently had a myocardial infarction due to a blockage in the left coronary artery. You know that which of the following is true about this type of blockage?

Answer 6

Left coronary artery blockages can cause anterior wall death which affects the left ventricle

Question 7

Which of the following blood tests is most indicative of cardiac damage?

Answer 7

Troponin I

Question 8

A client develops left-sided heart failure. An appropriate nursing diagnosis is?

Answer 8

Ineffective airway clearance

Question 9

A client develops right sided heart failure. Which of the following s/s would the nurse expect to find?

Answer 9

Edematous legs and ankles