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Cardiac Introduction
Cardiac Introduction
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1
What should be assessed for a client with history of smoking, diabetes, and hypertension who is diaphoretic with nausea?
Acute coronary syndrome
Pulmonary embolism
Community-acquired pneumonia
Aortic dissection
2
An elevation in which blood test indicates the patient is having a myocardial infarction?
Troponin
Cholesterol
C-Reactive Protein (CRP)
Brain Natriuretic Peptide (BNP)
3
When aspirin is given to a cardiac patient its being used to relieve pain
True
False
4
Describe the correct order of the cardiac conduction system
Purkinje fibres, SA node, AV node, AV bundle
AV node, AV bundle, Purkinje fibres, SA node
SA node, AV node, AV bundle, Purkinje fibres
SA node, Purkinje fibres, AV node, AV bundle
5
What does the nurse recognize as an absolute contraindication for thrombolytic therapy?
Severe hepatic disease
Current anticoagulant therapy
Age of 75
Active bleeding
6
Angina that is relieved by rest or nitroglycerin is called
Unresponsive
Stable
Unstable
Normal
7
A client is pale and complains of dizziness. The nurse notes the following on the monitor. What orders are anticipated?
Vital signs and administration of a beta blocker
Vital signs and administration of potassium chloride
Vital signs and administration of calcium gluconate
Vital signs and administration of atropine
8
(SATA) Cardiac catheterization nursing interventions
Check liver function
Assess the quality of pulses and temperature of extremities
Check for allergy to iodine or shellfish
Check renal function
9
Which drug comes as a sublingual tablet used for angina (chest pain)?
lisinopril
nitroglycerin
amlodipine
carvedilol
10
An echocardiogram helps healthcare providers visualize problems with the heart including which of the following?
Problems with valves of the heart
all of these
Abnormalities with the chambers of the heart
abnormal Ejection Fraction (EF)
11
What type of angina occurs frequently with progressive severity unrelated to activity?
Classic
Variant
Unstable
Fatal
12
Diaphoresis and radiating jaw pain is also experienced by the new patient. What interventions should be done next?
Administer oxygen, place cardiac monitor, obtain vitals, give SL nitro
Complete assessment, establish an IV, notify provider and record vitals
Establish an IV, give SL nitro, insert a foley, alert the cath team
Alert the cath team, administer oxygen, obtain labs, and notify the MD
13
The AV node is known as the internal pacemaker of the heart
True
False
14
Nursing education for the cardiac catheterization include all except:
pressure dressing
bending the extremity
monitoring vital signs
allergy history
15
If a patient complains of angina during a stress test, the tech should
Decrease speed
Decrease incline
Notify provider of patient’s symptoms
Increase incline
16
After which diagnostic test will the patient need to remain on bedrest for 2-6 hours?
Exercise stress test
Cardiac catheterization
Traditional echocardiogram
Myocardial perfusion scan
17
2 hours after a right fem cardiac cath a client complains of numbness and pain in right foot. What should you do next?
Recognize this is an expected finding and reasses in one hour
Assess the client's blood pressure
Call the client immediately
Check the client's peripheral pulses
18
Cardiac catheterization:
Assess patient for allergy to iodine, shellfish, or contrast dyem
Patient maybe asked to cough or turn head during the procedure
Requires a signed consent
Contrast media is injected to visualize the shape of the coronary vessels.
Patient must be NPO for 6-8 hrs before test.
Have patient void before giving preoperative medication
19
Which of the following is not used to treat stable angina?
beta blockers
thrombolytics
calcium channel blockers
organic nitrates
20
The nurse recognizes a client with atrial fibrillation is at greatest risk for which complication?
Emboli
Pneumonia
Angina Pectoris
GI Bleed
21
****What is most important for readings on EKG
Patient laying supine
patient chest cleared
Standardized placement
bowlers position
22
***Cessation of cardiac mechanical activity resulting in absence of blood flow
Congestive heart failure
Cardiac Arrest
Coronary Artery disease
hemorrhage
23
The nurse notes a new onset of this on the monitor, what is the priority assessment?
Obtain a set of vital signs and perform a focused assessment
Notify the provider and call a rapid response
Lay the head of the bed down and place the client in reverse Trendelenburg
Place the client on a monitor and administer adenosine via IV push
24
Unstable angina often indicates an impending Myocardial Infarction (MI)?
True
False