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Exam (elaborations)

NUR 347 EXAM 2 QUESTIONS AND COMPLETE SOLUTIONS

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  • NUR 347

Post op teaching following cardiac valve replacement bc of anticoagulant use use electric razor Not increasing intake of vitals K+ Safety at home to prevent falls Watch for signs of bleeding Priority care for pts on the cardiac floor with cardiac catheterization percutaneous cardiac intervention (...

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  • August 27, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 347
  • NUR 347
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NUR 347 EXAM 2 QUESTIONS AND
COMPLETE SOLUTIONS
Post op teaching following cardiac valve replacement bc of anticoagulant use ✅use
electric razor
Not increasing intake of vitals K+
Safety at home to prevent falls
Watch for signs of bleeding

Priority care for pts on the cardiac floor with cardiac catheterization ✅percutaneous
cardiac intervention (PCI) is at risk for cardiac complications
This is a pt that would need immediate care
Risk for bleeding

Hypovolemic shock risks ✅include anything that causes a patient to bleed profusely
(femur fracture, etc.)

Tx of a pt with symptomatic bradycardia ✅atropine, dopamine, epinephrine

Tx of a pt with nonsymptomatic bradycardia ✅nothing, but monitor

If administering atropine to the pt is not effective, what do you do next? ✅administer IV
dopamine and/or epinephrine
Emergency transcutaneous pacing (external pacing)

What can tell if it is a STEMI or NSTEMI? ✅ECG

What is a STEMI indicative of? ✅significant blockage in the coronary arteries that
needs immediate action (PCI and MONA)

What does PCI stand for? ✅percutaneous coronary intervention

What do beta blockers treat? ✅hypertension
Used to help with MI if dysrhythmias occur

What do PAD pts experience? ✅intermittent claudication

What type of medication are pts with PAD prescribed? ✅antiplatelets (ie: cilostazol)

Intermittent claudication ✅pain in the lower legs when the pt is walking due to
decreased blood flow to the lower extremities

, Narrow arteries reduce blood flow to the limbs

After placement of a pacemaker and the pt has no complications, what should happen?
✅pt should be discharged a day after the procedure

What is the first intervention for Afib tx? ✅anticoagulant therapy to prevent stroke
Pts are at risk for developing clots

When would atropine be administered? ✅heart block with bradycardia

What is the goal of atropine? ✅increase HR

Tx for pt who complains of chest pain, becomes unresponsive and pulseless: ✅CPR

What does ICD stand for? ✅implantable cardioverter defibrillator

Why would an ICD be placed? ✅to protect a pt if they go into a lethal rhythm such as
Vtach

Pericarditis and pericardial effusion who has developed jugular vein distention ✅needs
priority care

Allen's test ✅performed to ensure the pt has good blood flow via the ulnar artery bc the
arterial line will be inserted in the radial artery
(assessment of arterial blood flow in hands)

S/s of chronic HF exacerbation ✅weight gain, edema, SOB, cough

CAD modifiable risk factors: ✅blood pressure, cholesterol, diabetes, smoking, physical
activity, diet, stress

CAD non-modifiable risk factors ✅age, gender (male), family history, race (Asian
Indians, Chinese, Filipinos)

BMI levels ✅>18.5 underweight
18.5-24.9 normal
25-29.9 overweight
30-34.9 obese
<35 extremely obese

When do you withhold digoxin? ✅pulse is below 55 and notify provider

What should the nurse do when there is a non-palpable pulse in the extremity that the
femoral angiogram was performed? ✅check the pulse using a doppler ultrasound

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