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NUR 254 TEST 1 REVIEW WITH ACCURATE ANSWERS
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NUR 254 TEST 1 REVIEW WITH ACCURATE ANSWERS
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NUR 254 TEST 1 REVIEW WITHACCURATE ANSWERS
Initial dose of amiodarone bolus IV - Correct Answer - 300mg
The med is administrated rapid iv push resulting In a brief flatline, used for SVT, code cart must be at
bedside - Correct Answer - adenosine
what are the doses for adenosine? - Correct Answer - 6mg, 12 mg, 12mg rapid IV push
medication used PRN for angina - Correct Answer - Nitro- warn of HA, low BP
Each large box on the ecg paper represents how many seconds - Correct Answer - 20 seconds
wo serum lab tests that would be elevated with MI - Correct Answer - CK (CREATININE KINASE) and
Troponin
What complication of CABG presents with manifestations of decreased urinary output, crackles, jvd, s3
gallop - Correct Answer - pump failure (heart failure)
Most carbohydrates in the diet should be complex such as whole grains. Name 2 foods that would be
considered complex carbs - Correct Answer - whole grain breads/pasta, legumes, potatoes
What would a high CVP reading indicate (normal readings are 3-12mmhg)(dehydrated means 2-3mmhg)
(20-22mmhg hypervolemia) - Correct Answer - hypervolemia
what would you see on an EKG with a pt with Hyperkalemia? - Correct Answer - peaked T waves
A PATIENT WITH HIGH LDL SHOULD BE ADVISED TO REPLACE FOODS HIGH IN SATURATED FAT WITH
FOODS HIGHER IN UNSATURATED FAT. NAME THREE (3) FOODS THE PATIENT SHOULD AVOID THAT ARE
HIGH IN SATURATED FAT. - Correct Answer - BUTTER, CHEESE, MILK, CREAM, ICE CREAM, COCONUT OIL
AND FATTY MEATS
ASIDE FROM PACER SPIKES WITH SUBSEQUENT P WAVES OR QRS COMPLEXES, HOW WOULD A NURSE
ASSESS THE INTENDED OUTCOMES OF A PACEMAKER? (THERE ARE SEVERAL, NAME AT LEAST ONE
CORRECTLY) - Correct Answer - HEART RATE >60, NORMOTENSIVE, SKIN COLOR APPROPRIATE
,WHICH CLASS OF ANTIHYPERTENSIVE MEDICATIONS HAS A COMMON SIDE EFFECTS OF COUGH,
HYPERKALEMIA (TOO HIGH) AND HYPOTENSION? - Correct Answer - ANGIOTENSION CONVERTING
ENZYME (ACE) INHIBITORS
THIS ANTICHOLINERGIC MEDICATION IS ADMINISTERED 0.5 MG TO 1 MG IV PUSH FOR SYMPTOMATIC
BRADYCARDIA - Correct Answer - ATROPINE
CHEST PAIN RELIEVED BY REST IS REFERRED TO AS - Correct Answer - STABLE ANGINA
NAME THREE (3) MODIFIABLE RISK FACTORS FOR CAD - Correct Answer - HYPERLIPIDEMIA
CIGARETTE SMOKING/TOBACCO USE
HTN
DM
OBESITY
ATHEROGENIC DIET
ORAL CONTRACEPTIVES (HRT)
PHYSICAL INACTIVITY
METABOLIC SYNDROME
ULTIMATELY THE RECOMMENDED GOAL FOR PHYSICAL ACTIVITY FOR CORONARY ARTERY DISEASE IS: -
Correct Answer - 30 minutes per day most days (5-6 days a week)
MOST CARBOHYDRATES IN THE DIET SHOULD BE COMPLEX SUCH AS WHOLE GRAINS. NAME TWO (2)
FOODS THAT WOULD BE CONSIDERED COMPLEX CARBOHYDRATES. - Correct Answer - WHOLE GRAIN
BREADS/PASTA, LEGUMES, POTATOES, RICE, STARCHY VEGETABLES.
USED TO INCREASE CARDIAC OUTPUT WHILE AWAITING A HEART TRANSPLANT - Correct Answer -
ventricular assistive device
THIS IS THE UMBRELLA TERM FOR UNSTABLE ANGINA, THAT IS WORSE THAN TYPICAL ANGINA, LASTS
GREATER THAN 15 MINUTES, INDICATES MYOCARDIAL INJURY, AND IS OFTEN A PRECURSOR TO
MYOCARDIAL INFARCTION? - Correct Answer - ACS- acute coronary syndrome
CHEST PAIN WITH MI IS TYPICALLY DESCRIBED AS (NAME AT LEAST 3): - Correct Answer - UNRELIEVED
BY REST/NITROGLYCERIN, OCCURS AT REST, RADIATING, CRUSHING/SQUEEZING, ASSOCIATED FACTORS
(DYSPNEA, DIAPHORESIS)
WHICH COMPLICATION OF CABG HAS MANIFESTATIONS OF MUFFLED HEART TONES, CT DRAINAGE
ABRUPTLY SUBSIDING, HYPOTENSION AND TACHYCARDIA? - Correct Answer - cardiac tamponade
, WHAT IS THE NORMAL MEASUREMENT IN SECONDS FOR THE PR INTERVAL? - Correct Answer - 0.12-
0.20 seconds
WHAT IS THE NORMAL MEASURMENT IN SECONDS FOR THE QRS COMPLEX? - Correct Answer - 0.6-0.10
seconds
THESE TWO (2) ABNORMALITIES ARE SEEN WITH MYOCARDIAL INFARCTION. - Correct Answer - ST
ELEVATION AND PATHOLOGIC Q WAVES***
A PATIENT SECOND DEGREE TYPE 2 HEART BLOCK THAT HAS PROGRESSED TO THIRD DEGREE
(COMPLETE) HEART BLOCK. WHAT IS THE PRIORITY INTERVENTION? - Correct Answer - pacemaker
WHAT ARE THE COMMON CAUSES OF SINUS TACHYCARDIA? - Correct Answer - FEVER, HYPOXIA,
ANEMIA, HYPOVOLEMIA, PAIN/ANXIETY
WHAT IS THE PRIORITY INTERVENTION FOR VENTRICULAR FIBRILLATION, THAT HAS THE GREATEST
IMPACT ON SURVIVAL RATE? - Correct Answer - defib
A PATIENT DEVELOPS PSVT AND IS SYMPTOMATIC. PRIOR TO ADENOSINE OR CARDIOVERSION, WHAT IS
A NONPHARMACOLOGIC INTERVENTION FOR PSVT? - Correct Answer - ELICIT VAGAL
RESPONSE/VALSALVA MANEUVER
WHAT DIAGNOSTIC TEST IS ESSENTIAL IN THE DIAGNOSIS OF STEMI (ST ELEVATION MYOCARDIAL
INFARCTION)? - Correct Answer - EKG
WHAT DIAGNOSTIC TEST IS ESSENTIAL IN THE DIAGNOSIS OF STEMI (ST ELEVATION MYOCARDIAL
INFARCTION)? - Correct Answer - echocardiogram
WHAT IS THE MOST LIKELY IMMEDIATE COMPLICATION FOLLOWING CARDIAC CATHETERIZATION
SHEATH REMOVAL? - Correct Answer - bleeding
Shock is a SYNDROME resulting from a decrease in
a. ____________, that causes inadequate
b. __________ resulting in ischemic organs/tissues that cannot carry out cellular metabolism. - Correct
Answer - a. blood flow
b. oxygenation
When monitoring for effectiveness of treatment, which value is often used to titrate medications such as
norepinepherine, as it is an indicator of tissue perfusion. - Correct Answer - MAP
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