Anatomy
Diagnosis
Symptoms
Nursing Interventions
Medications
100

Two large venous structures that return oxygen-poor blood to the heart. 

What is the superior vena cava and the inferior vena cava?

100
The diagnostic test that should be completed if the nurse suspects the patient has atrial fibrillation. 

What is an EKG?

100
The medical term for when the patient says "I feel like my heart is racing". 

What is palpitations? 

100
You know a patient with atrial fibrillation is at a high risk for what two adverse events?

What is myocardial infarction and a stroke?

100

A patient taking warfarin's INR is 4.5. The nurse knows the normal range is 2-3. The nurse may observe what symptom in the patient?

What is increased bleeding?

The patient may have black, tarry stools, dizziness, joint pain or swelling, and unexplained abdominal pain. 

200

The valve blood passes through when moving from the right atrium to the right ventricle.  

What is the tricuspid valve?

200

The condition that causes the atrium to fibrillate with ineffective conduction. There are no p-waves on the EKG. 

What is atrial fibrillation? 

200
Your patient reports fatigue, dizziness, and weakness. They state they feel like they may 'pass-out'. You may suspect a cardiac ...

What is a cardiac arrhythmia? 

200
A type of medication prescribed to prevent an MI or stroke (CVA) in a patient with afib. 

What is an anticoagulant?

200

The patient asks if it is okay to to take ibuprofen for pain and omeprazole for heartburn while taking Warfarin. You know that ...

What is ibuprofen and omeprazole potentiate or increase the effect of warfarin? 

Both of these medications can increase the effect of warfarin, which increases the INR and increases bleeding. 

300

The artery blood travels through to become re-oxygenated. 

What is the pulmonary artery?

300

The ventricular rate in afib RVR is conduced by what node?

What is the atrioventricular node?

300
You record the patient's heart rate as 180 beats per minute. What is the medical term for a heart rate over 100 beats per minute. 

What is tachycardia? 

300

The patient should decrease the consumption of what to reduce the risk of afib reoccurance. 

What is alcohol?


300
Types of medications that can be used for anticoagulation for afib. 

What is Warfarin or direct oral anticoagulants (DOACs)? 

DOAC examples - dabigatran (Pradaxa), rivaroxaban (Xarelto), apixaban (Eliquis), and edoxaban (Lixiana). 

400

The time when the heart relaxes. Also known as pre-load because it is filling and stretching the ventricles to 'pre-load' them with blood. 

What is diastole?

400

The condition when a patient has atrial fibrillation and the ventricles create a rapid, irregular response. 

What is atrial fibrillation with rapid ventricular rate?

400

When taking the patient's apical pulse you notice that the heart rate is slow and then fast and then slow again. You note it is irregular. The condition you may suspect is...

What is atrial fibrillation with rapid ventricular rate?


400

The type of medication prescribed to control the heart rate of a patient in afib. 

What is beta blockers (ex. metoprolol), calcium channel blockers (ex. diltiazem or verapamil) or digoxin? 

These medications help to slow the atrioventricular node. 

400

The laboratory test a patient taking Warfarin must check on a regular basis. 

What is the international normalized ratio (INR)?

INR is a lab value based on the patient's prothrombin time (PT) it calculated by dividing the patient's PT with the control PT. 

500

The node that is the main control of the impulse of the heart. Often called the 'pacemaker of the heart'.

What is the sinoatrial (SA) node?

500
The cardiac output for a patient with atrial fibrillation would be _____ (high or low)?

What is low cardiac output? 

CO = SV * HR; Even though the heart rate can be high in afib RVR, the stroke volume is low because the left ventricle is pumping less blood out at the end of systole contractions. 

500

The patient's blood pressure is suddenly 85/43 mmHg and their heart rate is irregular moving between 70 bpm to 150 bpm to 95 bpm and so forth. The patient is experiencing...

What is afib RVR with hypotension?

500

The medical procedure a patient may undergo with persistent afib that does not respond to drug therapy.

What is cardiac ablation? 

500

The patient is admitted to the hospital for an elective surgery. The nurse tells the patient he should stop taking Warfarin (Coumadin) 1 week before the surgery and start taking enoxaparin (Lovenox). Enoxaprin is a subcutaneous injection. Where and how does the nurse give the medicaiton?

What is in the fatty tissue at a 45 to 90 degree angle and hold pressure over the injection site?

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