PCCN - (PROGRESSIVE CARE NURSING CERTIFICATION) REVIEW – CARDIAC PCCN - (Progressive Care Nursing Certification ) Review – Cardiac 2024/2025 Questions And Answers Update Completely Answered 100% Correct (Answers Explained ) A 67 Year Old Male Is Admitted With Chest Pain After Collapsing At Home. He Is Arguing With His Wife That He Should Not Be Admitted Because He "Just Over Did It" While Wor king In The World. Lee's Wife States To You That His Chest Pain Is More Frequent, Severe And Prolonged Than Before. You Should Anticipate What Diagnosis? A. Exertional Angina B. Unstable Angina C. Variant Angina D. STABLE ANGINA The Change In Quality, Frequency, And Duration Indicates UNSTABLE ANGINA And May Indicate That The PATIENT Is At Increased Risk For An MI. This PATIENT Should Be Closely Monitored For EKG Changes And Rhythm Disturbances. PATIENT / Family Teaching Should Begin On How To Identify An MI And Basic CPR. Stroke Volume Is Comprised Of Which Of The Following Factors? A. Blood Volume, Viscosity, Impedance B. Cardiac Output, HR, Compliance C. CONTRACTIL ITY, PRELOAD, AFTERLOAD D. Compliance , Impedance, HR A Reflex Tachycardia Caused By The Stretch Of The Right Atrial Receptors Is Known As The ____ A. Herring -Sines Law B. Renin -Angiotensin System C. Starling's Law D. BAINBRIDGE REFLEX It Is Believed That This Reflex Exists To Spe ed Up The HR If The Right Side Becomes Overloaded, Thereby Helping Equalize Pressures On Both Sides PCCN - (PROGRESSIVE CARE NURSING CERTIFICATION) REVIEW – CARDIAC Diastole Comprises What & Of The Cardiac Cycle? a. ½ b. 2/3 c. ¼ d. 1/3 Some People That The Heart Is Virtually Static During Diastole. During This Period, The Cardiac Vessels And Ch ambers Fill —A Process That Takes Up 2/3s Of The Time Necessary To Complete The Cardiac Cycle What Is The MAP (Mean Arterial Pressure) For PATIENT ? BP 120/70 HR 80 MAP=2(DBP) + (SBP)/3 MAP=2(70) + 120/3 MAP=260/3 MAP=86.6 PATIENT s Should Maintain A MAP Of At Least 60 To Ensure Adequate Perfusion To The Brain And Kidneys. What Is The MAP (Mean Arterial Pressure) For PATIENT ? BP 120/70 HR 80 MAP=2(DBP) + (SBP)/3 MAP=2(70) + 120/3 MAP=260/3 MAP=86.6 PATIENT s Should Maintain A MAP Of At Least 60 To Ensure Adequate Perfusion To The Brain And Kidneys. PCCN - (PROGRESSIVE CARE NURSING CERTIFICATION) REVIEW – CARDIAC Calculate CI (Cardiac Index) HR 80 BP 110/70 SV 60 BSA 2.0 M2 Expressed In L/Min/M2 CI=CO/BSA CO=HR X SV CO=80 X 60 CI=4800/2.0 CI=2400 CI=2.4 L/Min/M2 Calculate CI (Cardiac Index) HR 80 BP 110/70 SV 60 BSA 2.0 M2 Expressed In L/Min/M2 CI=CO/BSA CI=CO/BSA CO=HR X SV CO=80 X 60 CI=4800/2.0 CI=2400 CI=2.4 L/Min/M2 The Resistance Against Which The Right Ventricle Must Work To Eject Its Volume Is Known As PCCN - (PROGRESSIVE CARE NURSING CERTIFICATION) REVIEW – CARDIAC a. Resting Heart Pressure b. Systemic Vascular Pressure c. Central Venous Pressure d. PULMONARY VASCULAR RESISTANCE This Pressure Represents A Mean Pressure In The Systemic Vasculature. The Higher The Resistance, The Harder The Heart Has To Work Against It. EXA: Colder Temperatures Will Cause Vasoconstriction; The Heart Then Has To Pump Harder To Deliver Blood Through The Narrowe d Vasculature. Mr. Ironclaw Lives On A Nearby Indian Reservation . He Is Retired And On A Fixed Income With No Insurance. He Is Being Discharged Today After An Observational Stay For Chest Pain . In Planning His Discharge Care, Which Of The Following Should Be Considered FIRST To Increase Compliance With Plan Of Care Once Home? a. Arrange For Home Health 1X /Week b. ASK DOC TO CONSIDER AN OTC ANTIPLATELET MEDICATION c. Schedule His Follow -Up Appt With The Cardiologist In 3 Months d. Suggest A Gym Membership Although He May Wish To Be Compliant With Plan Of Care At Home, Financial Limitations May Prohibit Him From Expensiv e Treatments, Meds, And Support Services. William Was Diagnosed With Unstable Angina. He Is Scheduled For An Exercise Stress Test. He Tells You He Has A "Bad Hip" And An Old Knee Injury That Makes It Difficult For Him To Walk Or Stand For More Than 20 Minutes. You Tell Him: a. You Only Need To Walk For 10 Minutes b. You Can Ride A Bike For 20 Minutes Instead c. I Will Call The Doc And Ask For The Weight -Life Test Instead d. I WILL CALL THE DOC AND ASK FOR A STRESS ECHOCARDIOGRAPHY TEST INSTEAD The Exercise Stress Test Requires The PATIENT To Walk On A Tre admill Or Stationary Bike For 30 -60 Minutes. The Stress Echocardiography Test Uses Dobutamine To Stress The Cardiac Tissues Without Requiring The PATIENT To Walk Or Ride. The Weight Lift Test Does Not Exist.
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