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CV - Ch. 21 Flashcards | StudBud
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CV - Ch. 21
CV - Ch. 21
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1
____________ is used to help diagnose the cause of syncope.
Cardiac biomarkers
Echocardiogram
Angiography
Tilt-table test
2
__________ is a measure of ventricular efficiency.
Starling's law
Cardiac output
Stroke volume
Ejection fraction
3
The _________ heart sound is heard at the start of diastole when the aortic & pulmonary valves close.
first (S1)
third (S3)
second (S2)
fourth (S4)
4
__________ prevent backflow of blood in the veins.
Renin
Capillaries
Aldosterone
Valves
5
Before going on the cardio/bypass pump, the pt will be given heparin until the PTT is _______ greater than normal.
8 to 10
10 to 15
5 to 6 times
1 to 2 times
6
I should know my cardiac biomarkers - when they elevate and peak, how long they stay elevated, etc.
False
True
7
If the SA node becomes nonfunctional, the _________ can initiate each heartbeat at a slower rate of 40-60 bpm.
left bundle branch
purkinje fibers
AV node
bundle of His
8
Which is the correct action for the nurse to take for a patient recovering from a cardiac catheterization?
Avoid movement of the leg if femoral site was used.
Perform passive range of motion exercises every shift.
Encourage ambulation every 4 hours.
Position knees at a 45 degree angle.
9
After a cardiac cath, how should the nurse care for the puncture site?
Maintain a pressure dressing on the site.
Apply gauze.
Keep the site uncovered.
Apply a band-aid to the puncture site.
10
A narrowed heart valve opening or one that does not close tightly can cause which of the following?
Murmur
Blood clotting disorder
Pericardial friction rub
Intermittent claudication
11
How should the nurse describe the sound of a heart murmur when teaching a patient?
A deep, gurgling sound
A prolonged, swishing sound
A grating sound, like sandpaper rubbing together
A high-pitched whistling sound
12
The nurse plans to give __________ (the antidote for heparin) before the pt comes off the cardiopulmonary bypass pump.
vitamin K
calcium chloride
clopidogrel (Plavix)
protamine sulfate
13
Which of the following best describes "systole?"
Contraction & emptying
Relaxation & filling
Stroke volume
Ejection fraction
14
Which test should the nurse expect to be ordered for the patient with severe hyperkalemia?
Echocardiogram
Electrocardiogram (ECG/EKG)
Cardiac catheterization
Tilt table test
15
___________ is the deposition of lipids in the walls of arteries over a period of years.
Atherosclerosis
Mitral regurgitation
Arrhythmia
Claudication
16
__________ is the amount of blood ejected from the left ventricle in one minute.
Ejection fraction
Stroke volume
Starling's law
Cardiac output
17
Normal cardiac impulses arise from the ____________. This is also known as the pacemaker of the heart.
purkinje fibers
sinoatrial (SA) node
bundle of His
atrioventricular (AV) node
18
An S
4
heart sound may be heard in a patient with which of the following conditions?
Gastroparesis
Kidney disease
Asthma
Hypertension
19
Older adults usually have chest pain and other typical symptoms when experiencing an MI.
False
True
20
The nurse knows that high levels of LDLs means:
increased risk for coronary artery disease
decreased risk for atherosclerosis development
increased risk for a blood clot
increased risk for developing diabetes
21
A patient expectorates pink, frothy sputum. Which condition does the nurse suspect?
Pneumonia
Heart failure
Hepatic failure
Chronic kidney disease
22
__________ carry blood from the heart to the capillaries.
Veins & venules
Atria & ventricles
Arteries & arterioles
Valves
23
When kidneys secrete renin, the _________ mechanism is initiated, which raises blood pressure (BP).
Starling's law
Atrial natriuretic peptide
renin-angiotensin-aldosterone
ANP-epinephrine-ADH
24
You should assess if your patient is allergic to contrast dyes before which procedure?
Electrocardiogram
Angiogram
Tilt-table test
Echocardiogram
25
_________ carry blood from arterioles to venules.
Valves
Veins
Arteries
Capillaries
26
The _________ can also initiate a heartbeat at a much slower rate of 20-35 bpm.
AV node
purkinje fibers
SA node
bundle of His
27
The normal average of systemic arterial pressure is _________.
110/70
130/80
120/80
115/60
28
Which health problem could the nurse suspect when hearing a pericardial friction rub during auscultation?
Mitral valve prolapse
Mitral valve regurgitation
Myocardial infarction (MI)
Pneumonia
29
Atrial natriuretic peptide is a hormone secreted by the ventricles of the heart that increases sodium excretion.
False
True
30
A client gained 8 lbs in 3 days, is very fatigued, and has lower extremity edema. Which of the following do you suspect?
COPD
Right-sided heart failure
Left-sided heart failure
Myocardial infarction (MI)
31
Decreased BP stimulates the kidneys to secrete ________.
renin
angiotensin
epinephrine
aldosterone
32
I should know the six P's of peripheral vascular disease.
False
True
33
I will read what the math question is ASKING FOR and not get confused by distractors.
True
False
34
Jugular vein distension is seen in which of the following?
Atrial fibrillation
Crohn's disease
Hypertension
Right-sided heart failure
35
__________ provides protection against coronary artery disease.
HDLs
LDLs
Angiotensin
Triglycerides
36
I will read EVERY WORD of the math problems on the test thoroughly.
True
False
37
Your patient has a venous blood flow problem. Which problem would you expect to see?
Brown discoloration of the legs
Thick, brittle nails
Shiny, taut skin
Decreased hair distribution
38
Which sign/symptom would the nurse expect to see in the patient with hyperkalemia?
Muscle cramps
Constipation
Hypertension
Tachycardia
39
_____________ is the difference between the systolic and diastolic pressures.
Stroke volume
Cardiac output
Ejection fraction
Pulse pressure
40
Which of the following best describes "diastole?"
Ejection fraction
Relaxation & filling
Contraction & emptying
Stroke volume
41
Your patient is about to have cardiac surgery. Which home medication is most important to report to the surgeon?
Venlafaxine (Effexor)
Gabapentin (Neurontin)
Warfarin (Coumadin)
Rosuvastatin (Crestor)
42
________ is secreted in stressful situations and causes heart rate and blood pressure to increase.
Norepinephrine
Epinephrine
Dopamine
Serotonin
43
Which lab value would the nurse expect to be elevated in a patient who suffered an MI?
Glucose
Troponin
Calcium
Amylase
44
_________ carry blood from from the capillaries to the heart.
Veins & venules
Arteries & arterioles
Valves
Atria & ventricles
45
Troponin levels usually stay elevated for _________ after cardiac damage has occured.
10 - 14 days
18 - 36 hours
12 - 24 hours
4 - 5 days
46
_________ is a hormone produced by the adrenal cortex that helps regulate blood levels of sodium & potassium.
Aldosterone
Melatonin
Norepinephrine
Serotonin
47
How should the nurse describe the sound of a pericardial friction rub when educating the patient?
A high-pitched whistling noise
A deep, gurgling sound
A prolonged swishing sound
A grating sound, like sandpaper rubbing together
48
What is the function of the serous fluid between the parietal & visceral membranes of the heart?
To prevent the backflow of blood
To prevent abnormal clotting
To prevent friction as the heart beats
To dilute sodium & potassium levels in the blood