A&P
Examination of a patient in a supine position reveals distended jugular veins from the base of the neck to the angle of the jaw. This finding indicates:
What is increased central venous pressure/fluid overload.
When educating the community about risks for coronary heart disease, the RN recognizes that there are 4 primary risk factors: 1) hypercholesterolemia
2) HTN, 3) physical inactivity, and 4)?
What is smoking?
For patients with asymptomatic peripheral arterial disease, prophylaxis would include:
What is ASA 75-100 mg daily
A patient with heart failure exhibits Cheyne-Stokes breathing while sleeping. This will typically result in:
Hypoxemia
You're caring for a patient, Mr. Jones, who is undergoing a PCI. He asks you if the treatment will cure his heart disease. You know that the chances of a complete cure are low. How do you respond to Mr. Jones while considering the principle of veracity in nursing?
A) Tell Mr. Jones that chemotherapy will definitely cure his cancer.
B) Explain to Mr. Jones that the PCI may not cure his heart disease but can help manage it and improve his quality of life.
C) Avoid the question and change the topic.
D) Tell Mr. Jones that you're not sure about the outcome of the treatment.
When a patient is undergoing therapeutic hypothermia after cardiac arrest, the patient should be maintained at this temperature at the lowest?
What 30 C.
Ideal is 32-34 for 12-24 hours; Must be monitored by 2 ways.
Based on NYHA classification of patients with heart disease, the RN would expect that a person classified as functional class III, therapeutic class C would exhibit:
What are symptoms with less than ordinary activity.
Class III: no symptoms @ rest, but symptoms w/ less ordinary physical activities. Therapeutic C: activity restrictions req'd
A patient with irregular SVT has received a 6 mg bolus of adenosine after no response to verapamil. What ECG changes should the nurse anticipated?
What is transient asystole/pause.
Antidysrhythmic which slows AV node conduction-very short ½ life, lasts a few seconds
Which of the following disorders will put patients at most risk for sudden cardiac death?
LV dysfunction
Especially w/ EF <30, ventricular dysrhythmias
A patient with a permanent implanted pacemaker complains of fatigue, palpitations, and dizziness. Assessment shows: JVD & pulsations in neck, and hypotension. The likely cause is
What is pacemaker syndrome
Inappropriate timing of A and V contractions = loss of AV synchrony
Your patient complains of sudden sharp, stabbing substernal pain, radiating to the neck and L shoulder. It worsens with inspiration and lying supine but is relieved by sitting upright and leaning forward. What is this consistent with?
What is pericarditis?
At which NYHA therapeutic class should a patient's ordinary activities remain unrestricted, while the patients should be cautioned to avoid severe/strenuous activity?
For patients with A. fib, the INR goal is usually?
What is 2-3.
According to Maslow's hierarchy of needs, which of the following nursing diagnoses has priority?
Risk for falls
Risk for ineffective coping
Compromised family coping
Ineffective airway clearance.
The patient self-determination act of 1991 primarily supports which of the ethical principles?
What is autonomy?
For percutaneous transluminal coronary angioplasty (PTCA) to be considered successful, the nurse knows that residual stenosis after balloon inflation should be?
What is 30%?
While educating a patient about managing meds and monitoring vitals & health conditions, the biggest problem is likely to be the patient's ability to:
What is retrieve stored information ?
Which of the following statements by a patient taking nitroglycerine indicates a need for further education?
I leave the pills on the counter so they're easy to get to.
What is the biggest obstacle to long-term management of CV disease?
Non-adherence
The first stage in the learning process for adults is:
What is paying attention.
A patient's oxygen saturation per pulse oximetry has been stable at 95-98%, but suddenly drops to 85%, although the patient is resting comfortably. What should the nurses first action be?
What is reposition the probe.
When assessing the ankle-brachial index, at what angle should the doppler wand be held in relation to the skin?
What is 45 degrees.
What is the normal value of troponin I in an adults (over the age of 18)?
Less than 0.35 mcg/L
According to ACC/AHA guidelines, if a patient is admitted with angina, and the ECG indicates a STEMI, what should the next step be?
What is reperfusion therapy.
The six-minute walk test is generally done over how many meters?
What is 30.