ExamI2:INURSI620/INURS620I(New
Update)IAdult/GerontologyIHealthI
CareIIIGuideIwithIQsI&IAs|I100%ICorrect|
IGradeIAI(VerifiedIAnswers)-IMaryville
QUESTION
acuteIcoronaryIsyndromeI(ACS)IStagesI
Answer:
StableIangina-IpainIwithIexertion,IresolvesIwithIrest
UnstableIangina-IpainIatIrest
variantIanginaI-Ivaries
MyocardialIinfarction
QUESTION
NonIMIIcausesIofIchestIpainI
Answer:
PE-IaskIaboutIhxIofIDVT's,IextendedItraveling
AorticIdissextion
TensionIpnumo
cardiacItemponade
esophogealIrupture
panicIattacks
QUESTION
HPIIofIchestIpainI
Answer:
,OnsetI(abruptIorIgradual)
SizeIofIpainI(substernal,IchestIwall,Ilocalized)
Provocation/palliation(whichIactiviesImakeIitIbetterIorIworse)
QualityIofIpainI(sharp,Idull,Ipleuritic,Isqueezing)
Radiation
TimingI(constantIorIepisodic,IdurationIofIepisodes,IwhenIitIbegan)
AssociatedIsymptomsI(syncope,Idyspnea)
QUESTION
TypicalIchestIpainIofIAcuteIMiI
Answer:
SubsternalIcompressionIorIcrush
pressureItightness,Iheaviness,Icramping,Iaching
UnexplainedIindigestion,Ibelching,IepigastricIpain
radiatingIpainItoIneck,Ijaw,Ishoulders,IbackIorIbothIarms
dyspnea,IN/V,Idiaphoresis
QUESTION
OtherIimportantIMIIquestionsI
Answer:
•PriorIorIrecentIcardiacItesting?
•ChangeIinIactivityItolerance?
•SymptomsIw/IaIpriorIMII(ifIapplicable)
•Comorbities:IHTN,IDM,IHLD,IfamilyIhxIPVD,Imalignancy
•RecentItrauma,IproceduresIorItravel?
•SubstanceIabuse?
•MedicationIuse?
•Smoker?
QUESTION
ACS/MIIDiagnosticsI
,Answer:
•ECG-IsendItoIEDIevenIifInormalIandIpatientIlooksIawful.I
InIED:
•Cardiac-specificItroponinIIIandITI(cTnIIandIcTnT)
•SerumIcardiacIenzymes,IwhichIincludeItheIspecificIMBIisoenzymeIofICPKI(CPKmb)
•Myoglobin
•CompleteIbloodIcountI(CBC),IerythrocyteIsedimentationIrateI(ESR),IserumIelectrolytes,Iblood
IureaInitrogenI(BUN),IandIserumIcreatinine
QUESTION
MurmursIhistoryI
Answer:
Dizziness?Ipalipations?IhxIofIbeingItoldItheyIhaveImurmur?
QUESTION
MurmursIPhysicalIexamI
Answer:
-TimingI(isIitIeveryIbeat,IeveryI5Ibeats?)
-QualityI(isIitIsharpIandIcrisp,IsubtleIwooshing)
-Intensity(IscaleIofI1-6,I1IisIquietIandI6IisIveryIloud)
-LocationI(midIsternalIborder,IwhereIisIitItheIloudest?)
QUESTION
DiagnosticIworkupIforImurmursI
Answer:
-ECGI(alsoIthinkIaboutIhalterImonitor)
, -ChestIradiograph
-CardiacIultrasound
-Echo
-StressItest
CardiologyIreferral
QUESTION
AsymptomaticIsystolicImurmurI
Answer:
EjectionImurmur-IusuallyIhighIpitched,IheardIbestIatIMSB
QUESTION
ReguritationImurmursI
Answer:
mitralIvalveIincompetence
•Causes
-RheumaticImitralIvalveIdisease
-BacterialIendocarditis
-DilatedIcardiomyopathy
-PapillaryImuscleIrupture
-EndocardialIfibrosis
•Fen-fen
QUESTION
EjectionIMurmursI
Answer:
•EarlyIaorticIandIpulmonicIvalveIdisease
•CalcificIaorticIstenosis
