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Exam (elaborations)

NUR 402 Study Guide Exam Questions And Actual Answers.

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  • Course
  • CNUR 402
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  • CNUR 402

modifiable risks for CAD - Answer elevated serum lipids increased BP tobacco use** physical inactivity obesity diabetes nonmodifiable risks for CAD - Answer age: middle age white men gender: female ethnicity: african american are at higher risk family history: 1st degree relativ...

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  • August 20, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CNUR 402
  • CNUR 402
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COCOSOLUTIONS
NUR 402 Study Guide Exam Questions
And Actual Answers.
modifiable risks for CAD - Answer elevated serum lipids

increased BP

tobacco use**

physical inactivity

obesity

diabetes



nonmodifiable risks for CAD - Answer age: middle age white men

gender: female

ethnicity: african american are at higher risk

family history: 1st degree relative

genetic disposition: poorly understood



LDL goal for CAD for pt at low risk - Answer 160 mg/dL



LDL goal for CAD pt at high risk - Answer less than 70 mg/dl



CAD cholesterol level - Answer more than 200 mg/dL



what does tobacco use do in CAD patients - Answer gives the plaques more ability to rupture



chronic stable angina characteristics - Answer - duration 5-15 minutes

- resolves with the precipitating factor is relieved

- should not persist longer than 20 minutes after rest and administration of nitroglycerine

, - relief is usually obtained with rest or cessation of activity

- frequently something caused it: physical activity, fight, stressed

- stop the activity, sit them down, take BP, give NTG, wait 5 min, check BP, looking for a drop



after 3 doses of nitroglycerin 5 min apart and there is still chest pain what should you do - Answer call
911



silent ischemia - Answer occurs in the absence of any subjective symptoms like pain and is confirmed
by ST depression



Prinzmetal angina occurs when: - Answer when coronary arteries spasm at rest or during sleep



in CAD the heart muscle is hypoxic in the 1st 10 seconds of occlusion which causes - Answer aerobic
metabolism to be impaired so anaerobic metabolism happens instead



when anaerobic metabolism occurs what accumulates? - Answer lactic acid which causes pain



acute coronary syndrome occurs due to - Answer plaque rupture which exposes the intima to blood
which stimulates platelet aggregation



platelet aggregation in acute coronary syndrome causes - Answer thrombus formation which results in
partial occlusion (NSTEMI) or total occlusion (STEMI)



why is IV heparin given in acute coronary syndrome - Answer to prevent thrombus formation



MI is characterized by - Answer ST elevation



what adverse effect of statins should be reported to HCP - Answer muscle aches and pain



most common complication of MI - Answer dysrhythmias

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