MI

Question 1

MI:

Answer 1

Heart attack
Formation of localized necrotic areas within the myocardium

Abrupt decrease of blood and oxygen to the heart muscle

Question 2

Diagnostic Enzymes

Answer 2

CK-MB

Troponin T and I

Question 3

Nursing Care

Answer 3

Provide thrombocytes therapy
Relieve family anxiety
Ensure bed ready
Monitor VS and I&O
Lifestyle Modificarions

Question 4

Expect which lab to be elevated following an acute MI

Answer 4

CK, troponin, and myoglobin

Question 5

Troponin:

Answer 5

Protein released when the heart muscle is damaged

Question 6

Transcutaneous Pacemaker:

Answer 6

Used to maintain the HR until a transvenous or pemanent pacemaker can be inserted

Question 7

Defibrillation is indicated for

Answer 7

V Fib or unwitnessed v tach

Question 8

Why promote rest for a client following an Mi

Answer 8

Decreasss the workload on the heart

Question 9

S3 indicated which condition

Answer 9

MI

Question 10

Which enzyme elevates and peaks most rapidly if the client experiences a MI

Answer 10

CK-MB

Question 11

The nurse understands that oxygen is given to a client experiencing an Am I to prevent which problems at the ischemic heart muscle is likely to develop

Answer 11

Fatal Dysrhythmia

Question 12

Diet modifications

Answer 12

Reduce fat intake to less than 30%

Question 13

Manifestations of a heart attack

Answer 13

Tachypnea, vomiting, anxiety, Q waves change, ST elevation

Question 14

What is a complete heart block

Answer 14

When P waves that are not associated with QRS complex

Question 15

What is a Mobitz second-degree heart block

Answer 15

Intermittently absent QRS complex

Question 16

What does it mean when the PR interval is greater than .20 seconds

Answer 16

Firstdegree heart block

Question 17

Second- degree AV block can follow:

Answer 17

Heart attack

Question 18

Synchronize cardioversion is used for which dysrhythmia

Answer 18

VT

Question 19

True or False

ST Segment should be iso electric

Answer 19

True

Question 20

Cardiac output equals

Answer 20

Stroke volume times heart rate

Question 21

A typical or Prinzmetal Angina

Answer 21

Occurs at the same time each day and at rest

Question 22

Unstable angina

Answer 22

Not relieved by rest or nitroglycerin. It is less predictable

Question 23

Stable angina

Answer 23

It is induced by exercise and relieved by Rest or nitroglycerin

Question 24

Paroxysmal SVTs

Answer 24

Prepare for cardioversion, administer IV adenosine, admin beta blockers

Question 25

Torsades de pointes

Answer 25

Wide and bizarre QRS complexes

Type of VT

Question 26

Normal sinus rhythm

Answer 26

Of 60 to 100 bpm, regular rhythm, 1 P to 1 QRS, normal time for PR, normal time for QRS

Question 27

Time for QRS complex

Answer 27

.6-.10 seconds

Question 28

Ventricular fibrillation is a

Answer 28

Medical emergency

Question 29

True or false

Good collateral circulation can limit the size of a heart attack

Answer 29

True