Ch.34 Cardiac Disorder

Question 1

1. Is an inverted T wave normal?

Answer 1

no

Question 2

Will rehab fix the part of a heart that Is damaged during an MI?

Answer 2

no

Question 3

A heart valve can be replaced. After a replacement, what is important to monitor?

Answer 3

pt weight; risk for retaining fluids

Question 4

Why might a patient have dyspnea with exertion if they have mitral valve stenosis?

Answer 4

Narrowing increases pressure in the lungs

Question 5

Preload is the amount of blood remaining in a ventricle at the end of..

Answer 5

Diastole

Question 6

Why might Na be restricted in patient with heart problems?

Answer 6

fluid overload

Question 7

What segment of the ECG rhythm strip indicates a patient is having an MI?

Answer 7

ST segment

Question 8

Patient presents with S/S of an MI, you receive orders. What do you prioritize?

Answer 8

Breathing

Question 9

What vital sign do you need to check prior to giving atenolol

Answer 9

HR - can lower BP; given for BP and angina

Question 10

does the pt need to sign consent for stress test

Answer 10

yes

Question 11

what might trigger angina

Answer 11

stress and excercise

Question 12

how much Na might a heart pt be restricted to

Answer 12

1500 mg/day

Question 13

when should a pt take medication for cholesterol

Answer 13

at night; production of cholesterol peaks at night

Question 14

what could be a sign of an ineffective endocarditis

Answer 14

dyspnea - high risk for PE

Question 15

in heart failure, what is the most important nursing diagnosis to handle

Answer 15

excess fluid volume

Question 16

which is more dangerous an NSTEMI or a STEMI

Answer 16

STEMI - shoes ST Elevation and cardiac tissue dying

Question 17

List in the correct order, the conduction pathway through the heart

Answer 17

SA node (atria contract), AV node, bundle of his, Purkinje fibers (ventricle contract)

Question 18

peripheral edema a sign of left or right side HR

Answer 18

right

Question 19

NSTEMI stand for

Answer 19

non-ST elevation myocardial infraction

Question 20

how do you discover an apical-radial pulse deficit

Answer 20

take both pulses and calculate the difference

Question 21

STEMI stand for what

Answer 21

ST elevation myocardial infraction

Question 22

what are two things that always need to be included when discharging a pt

Answer 22

written diet and follow-up appointments

Question 23

what two things do you need to know before administering Digoxin

Answer 23

HR and K+ levels; treatment for arrythmiasa

Question 24

name a sign of digoxin toxicity

Answer 24

changes in vision; double/blurred/colored vision

Question 25

what can be a negative side effect of diuretic

Answer 25

hypotension

Question 26

why does a doctor order a transesophageal echocardiogram (TEE)

Answer 26

to see function of heart valves

Question 27

what lab values do you need to know when a pt is taking a statin medication

Answer 27

liver function

Question 28

amiodarone is used for dysrhythmias. What could a nurse watch for

Answer 28

ataxia-poor muscle control

Question 29

what three things affect stroke volume

Answer 29

preload, afterload, and contractility

Question 30

is there a cure for results of an MI or angina

Answer 30

no

Question 31

why is a fibrous plaque in arteries bad

Answer 31

catches other substances and blocks the vessels

Question 32

name a modifiable risk factor

Answer 32

smoking, poor nutrition, sedentary lifestyle, high BP, obesity

Question 33

An ACE inhibitor does what

Answer 33

lowers BP

Question 34

we give atropine sulfate for dysrhythmias. A nurse should be what for what

Answer 34

tachycardia

Question 35

what is the elevated from heat muscles damage that produces a protein

Answer 35

troponin (3 hrs)

Question 36

what do you hear when you auscultate heart sounds, and the blood is flowing backward

Answer 36

murmur - swooshing sounds

Question 37

pt has chest pain at rest and needs to take three nitro for relief. is this stable or unstable

Answer 37

unstable