stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
Duplicate of CV - Ch. 21 Flashcards | StudBud
Explore
/
Duplicate of CV - Ch. 21
Duplicate of CV - Ch. 21
95 terms
·
StudBud Administration
·
38 plays
Imported from external platform
Flashcards
95 cards
F
Practice quiz
P
Host live
L
Questions
95
Answers
1
After a cardiac cath, how should the nurse care for the puncture site?
Apply a band-aid to the puncture site.
Maintain a pressure dressing on the site.
Apply gauze.
Keep the site uncovered.
2
Atrial natriuretic peptide is a hormone secreted by the ventricles of the heart that increases sodium excretion.
False
True
3
____ Measures pressure in heart chambers blood vessels and coronary arteries
Angiography
Cardiopulmonary bypass
Cardiac Catheterization
Hemodynamics test
4
What is the function of the serous fluid between the parietal & visceral membranes of the heart?
To prevent friction as the heart beats
To prevent the backflow of blood
To prevent abnormal clotting
To dilute sodium & potassium levels in the blood
5
Which is not one of the 6 P’s of peripheral vascular disease?
Paralysis
Parasthesia
Pain
Polkyneia
6
The apical pulse is assessed for how long
60 seconds
120 seconds
30 seconds
10000 seconds
7
What heart sound is normal when heard in children and young adults
S1
S2
S3
S4
8
Which of the following best describes "diastole?"
Relaxation & filling
Ejection fraction
Stroke volume
Contraction & emptying
9
You should assess if your patient is allergic to contrast dyes before which procedure?
Echocardiogram
Electrocardiogram
Angiogram
Tilt-table test
10
_________ carry blood from from the capillaries to the heart.
Arteries & arterioles
Veins & venules
Valves
Atria & ventricles
11
Patient instructions for cardiac Cath: NPO for ___
10 hours
8 hours
1 day
24 hours
12
__________ prevent backflow of blood in the veins.
Valves
Renin
Capillaries
Aldosterone
13
Which heart sound is “dub” and heard at the start of diastole
S1
S4
S2
S3
14
Pain, paresthesia, pallor, pulselessness, paralysis, pilkilothermia are the 6 p’s of peripheral vascular disease
True
False
15
__________ is a measure of ventricular efficiency.
Stroke volume
Cardiac output
Ejection fraction
Starling's law
16
___________ is the deposition of lipids in the walls of arteries over a period of years.
Claudication
Mitral regurgitation
Atherosclerosis
Arrhythmia
17
Which heart sound is “lub” and heard at beginning of systole
S3
S2
S1
S4
18
A patient expectorates pink, frothy sputum. Which condition does the nurse suspect?
Pneumonia
Chronic kidney disease
Hepatic failure
Heart failure
19
Edema is palpated where for a supine patient?
Back of foot
Knee
Sacrum
Elbow
20
Homocysteine is an amino acid that may damage arteries and promote blood clots
True
False
21
Pink frothy sputum and cough are seen with what?
Acute HF
R sided HF
L sided HF
22
With ___ pulse is weak irregular and thready-more common
Hypokalemia
Hyperkalemia
23
Capillary refill indicates ___ flow to extremity
Arterial
Venous
24
Which test should the nurse expect to be ordered for the patient with severe hyperkalemia?
Tilt table test
Cardiac catheterization
Electrocardiogram (ECG/EKG)
Echocardiogram
25
Normal cardiac impulses arise from the ____________. This is also known as the pacemaker of the heart.
bundle of His
atrioventricular (AV) node
purkinje fibers
sinoatrial (SA) node
26
JVD indicates increase in venous volume & often caused by ______
Acute HF
Death
Left sided Hf
R sided HF
27
S3 may be heard w/ ___ & ___ in older adults
R sided HF and Fluid Vol deficit
Acute HF and Fluid Volume deficit
L Sided HF, fluid Volume overload
28
The _________ heart sound is heard at the start of diastole when the aortic & pulmonary valves close.
third (S3)
second (S2)
fourth (S4)
first (S1)
29
_________ carry blood from arterioles to venules.
Valves
Arteries
Veins
Capillaries
30
A 3+ pulse quality is considered?
Absent
Bounding
Norma
Weak
31
How should the nurse describe the sound of a pericardial friction rub when educating the patient?
A grating sound, like sandpaper rubbing together
A deep, gurgling sound
A prolonged swishing sound
A high-pitched whistling noise
32
I should know the six P's of peripheral vascular disease.
True
False
33
__________ carry blood from the heart to the capillaries.
Atria & ventricles
Valves
Arteries & arterioles
Veins & venules
34
Patient instructions for Cardiac Cath: patient should be told they will be ___
Knocked out
Asleep
Awake
35
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.
Encourage ambulation every 4 hours.
Position knees at a 45 degree angle.
Perform passive range of motion exercises every shift.
36
Decreased BP stimulates the kidneys to secrete ________.
angiotensin
renin
aldosterone
epinephrine
37
Which health problem could the nurse suspect when hearing a pericardial friction rub during auscultation?
Myocardial infarction (MI)
Mitral valve regurgitation
Pneumonia
Mitral valve prolapse
38
____ is a test done w/ a device that has a BP cuff hooked to computer that maps the waveforms
Holter
ECG
Ekg
Arterial Stiffness Index
39
The S4 sound I a low pitched sound (gallop) heard in diastole. It occurs w/ _____
Hypertension
Chest trauma
MI
Hypotension
40
Red found in lower extremities occurs from
Decreased arterial flow
Decreased venous flow
41
If the SA node becomes nonfunctional, the _________ can initiate each heartbeat at a slower rate of 40-60 bpm.
bundle of His
purkinje fibers
AV node
left bundle branch
42
Older adults have atypical symptoms of MI. Such as ___
Tachypnea
Hypotension
Tachycardia
Dyspnea
43
A norm vessel feels soft and springy. A ___ ____ feels stiff
Hard vessel
Sclerotic vessel
Crotic vessel
Scleractic vessel
44
Cardiac surg: a cardioplegic solution is infused into the aortic root along w/ iced saline to cause cardiac standstill
True
False
45
When kidneys secrete renin, the _________ mechanism is initiated, which raises blood pressure (BP).
renin-angiotensin-aldosterone
Starling's law
ANP-epinephrine-ADH
Atrial natriuretic peptide
46
Before which procedure is patient anti coagulated with heparin until ptt time is 5-6 times greater than norm
Cardiac Cath
Cardiac Surgery
Angiography
Cardiopulmonary Bypass
47
____ is an acute phase protein that increase during inflammation process
Homocysteine protein
Creatine Kinase protein
Troponin
C-reactive protein
48
Before going on the cardio/bypass pump, the pt will be given heparin until the PTT is _______ greater than normal.
5 to 6 times
8 to 10
10 to 15
1 to 2 times
49
__________ provides protection against coronary artery disease.
Triglycerides
Angiotensin
HDLs
LDLs
50
___ is a test that uses iodine contrast agent
Echocardiogram
Computed tomography Angiography
Achiography
ECG
51
Your patient has a venous blood flow problem. Which problem would you expect to see?
Decreased hair distribution
Brown discoloration of the legs
Thick, brittle nails
Shiny, taut skin
52
A left sided heart Cath is inserted into the radial brachial and femora artery
False
True
53
Patient should be told they will feel a ___ sensation when undergoing a cardiac Cath
Cold tingling
Warm flushing
Hot burning
54
Troponin levels usually stay elevated for _________ after cardiac damage has occured.
12 - 24 hours
10 - 14 days
18 - 36 hours
4 - 5 days
55
CVD is the number one cause of death in women
False
True
56
A right sided cardiac Cath is inserted into the:
Radial, brachial and femoral artery
Jugular, femoral and arm vein
57
During cardiac surgery the sternum is closed with wires through the sternum called a sternotomy
False
True
58
S3 is normal in older adults
False
True
59
The nurse plans to give __________ (the antidote for heparin) before the pt comes off the cardiopulmonary bypass pump.
vitamin K
clopidogrel (Plavix)
protamine sulfate
calcium chloride
60
Abnormal vessel that has a bulging or narrowed wall and a vibration is felt- ____
Thrill
Bruit
61
The physical signs edema, JVD, and weight gain are seen with what?
Acute HF
L Sided Heart Failure
R Sided Heart failure
62
The normal average of systemic arterial pressure is _________.
120/80
130/80
110/70
115/60
63
Older adults usually have chest pain and other typical symptoms when experiencing an MI.
True
False
64
The ___ is called the pacemaker of the heart
VA node
AV Node
Bundle of His
SA Node
65
I will read EVERY WORD of the math problems on the test thoroughly.
False
True
66
Crackles wheezes and dyspnea are seen with
Acute HF
L sided Hf
Death
R sided Hf
67
Dec hair distribution, thick brittle nails and shiny taunt dry skin occurs from reduced ___ ___ flow
Venous flow
Arterial blood
68
How should the nurse describe the sound of a heart murmur when teaching a patient?
A prolonged, swishing sound
A deep, gurgling sound
A grating sound, like sandpaper rubbing together
A high-pitched whistling sound
69
Erb’s point is where heart sound __ is best heard
S2
S3
S4
S1
70
The Atria of the heart secrete the hormone called
Aldosterone
Atrial Naturiuretic Peptide
Adh
Natureitic protein
71
________ is secreted in stressful situations and causes heart rate and blood pressure to increase.
Dopamine
Epinephrine
Serotonin
Norepinephrine
72
The nurse knows that high levels of LDLs means:
increased risk for coronary artery disease
decreased risk for atherosclerosis development
increased risk for developing diabetes
increased risk for a blood clot
73
Your patient is about to have cardiac surgery. Which home medication is most important to report to the surgeon?
Venlafaxine (Effexor)
Gabapentin (Neurontin)
Rosuvastatin (Crestor)
Warfarin (Coumadin)
74
Which sign/symptom would the nurse expect to see in the patient with hyperkalemia?
Hypertension
Muscle cramps
Tachycardia
Constipation
75
I’m areas of decreased are retail blood flow the ischemic areas feel ___
Icy
Warm
Hot
Cooler
76
Kidney function must be tested before a computed tomography angiography
True
False
77
_____________ is the difference between the systolic and diastolic pressures.
Cardiac output
Ejection fraction
Pulse pressure
Stroke volume
78
What rises first and detects MI earlier
Myoglobin
Globinase
Creatine Kinase
Troponin
79
_____ records the electrical activity of the heart
Electrocardiogram
Echocardigram
80
Which of the following best describes "systole?"
Contraction & emptying
Ejection fraction
Stroke volume
Relaxation & filling
81
____- the deposition of lipids in the walls of the arteries over yrs
Atherosclerosis
Thickosis
Arteriosis
Arteriosis
82
____________ is used to help diagnose the cause of syncope.
Cardiac biomarkers
Angiography
Echocardiogram
Tilt-table test
83
Which lab value would the nurse expect to be elevated in a patient who suffered an MI?
Amylase
Glucose
Troponin
Calcium
84
I should know my cardiac biomarkers - when they elevate and peak, how long they stay elevated, etc.
True
False
85
Jugular vein distension is seen in which of the following?
Atrial fibrillation
Right-sided heart failure
Hypertension
Crohn's disease
86
Varicose veins, stasis ulcers, scars around ankles, and signs of thrombophlebitis occur with ___ ___ return
Arterial blood
Venous blood
87
I will read what the math question is ASKING FOR and not get confused by distractors.
False
True
88
The _________ can also initiate a heartbeat at a much slower rate of 20-35 bpm.
bundle of His
SA node
purkinje fibers
AV node
89
__________ is the amount of blood ejected from the left ventricle in one minute.
Cardiac output
Starling's law
Stroke volume
Ejection fraction
90
Which ventricle is thicker and pumps with 5X more force
Left
Right
91
An S
4
heart sound may be heard in a patient with which of the following conditions?
Hypertension
Kidney disease
Gastroparesis
Asthma
92
A client gained 8 lbs in 3 days, is very fatigued, and has lower extremity edema. Which of the following do you suspect?
COPD
Left-sided heart failure
Myocardial infarction (MI)
Right-sided heart failure
93
Brown discoloration and purple skin may be seen with ____ ____ problems
Venous flow
Arterial flow
94
A narrowed heart valve opening or one that does not close tightly can cause which of the following?
Intermittent claudication
Blood clotting disorder
Pericardial friction rub
Murmur
95
_________ is a hormone produced by the adrenal cortex that helps regulate blood levels of sodium & potassium.
Melatonin
Aldosterone
Serotonin
Norepinephrine