Cardiovascular

Question 1

Someone with endocarditis has a prosthetic valve. What is important before they have a procedure?

Answer 1

Prophylactic antibiotics

Question 2

Will someone with endocarditis have decreased or increased urine output? What defines this?

Answer 2

Decreased- less than 30ml output/hr

Question 3

What venous delivery method is used when treating infective endocarditis from the bacteria streptococcus?

Answer 3

PICC line

Question 4

What is it essential to assess in patients with endocarditis?

Answer 4

Dyspnea

Question 5

Once orders for endocarditis are written, what is the nurse’s first action?

Answer 5

Obtain blood cultures

Question 6

What is the first step when a patient loses consciousness?

Answer 6

Report to practitioner for them to assess

Question 7

What health teaching is necessary in endocarditis?

Answer 7

Why echocardiogram and ECG are essential for monitoring

Question 8

How do you assess a pericardial friction rub?

Answer 8

Auscultate lower left sternal border with the diaphragm of the stethoscope

Question 9

Two common manifestations seen in infective endocarditis?

Answer 9

Murmurs and fever

Question 10

What drug is used to treat pain in acute pericarditis?

Answer 10

Colchicine

Question 11

You notice a patient with pericarditis has JVD, what do you do?

Answer 11

Report immediately to provider

Question 12

What is the most common manifestation of acute pericarditis?

Answer 12

Pain

Question 13

What is the most common complication of myocarditis?

Answer 13

Heart failure

Question 14

How would you determine a delay in conduction to the atria?

Answer 14

P wave

Question 15

Length of PR interval

Answer 15

0.12-0.2 sec

Question 16

QRS duration

Answer 16

0.08-0.1 sec

Question 17

QT interval length

Answer 17

0.4-0.43 sec

Question 18

RR interval length

Answer 18

0.6-1.0 sec

Question 19

T wave height

Answer 19

less than 5 mm in limb leads, less than 10 mm in percordial leads, and variable presentations in III, AVL, AVF, and V1-V2

Question 20

How do you assess heart rate with a regular rhythm on a 6 second strip?

Answer 20

Count QRS complexes in the 6 seconds and multiply by 10

Question 21

What are the 8 steps in analyzing for an arrhythmia?

Answer 21

1. Rate
2. Rhythm
3. Axis
4. Intervals
5. P wave
6. QRS complex
7. ST segment, T wave
8. Overall interpretation

Question 22

Symptom of PAD?

Answer 22

Prolonged cap refill

Question 23

Someone has a venous thromboembolism, what new onset symptom requires immediate action?

Answer 23

Shortness of breath

Question 24

Signs and symptoms of DVT?

Answer 24

Redness, pain, warm extremity, swelling

Question 25

What teaching point is important for patients with venous ulcers?

Answer 25

Use of compression on legs