My problems are vascular
Smoking causes vasoconstriction or vasodilation?
What is...
vasoconstriction
The first priority intervention that should be obtained when a patient comes in to the ED with suspected STEMI (given ABCs are accounted for)
What is...
Obtain 10-lead EKG
Treatment for symptomatic bradycardia, up to 3 doses can be given
what is atropine
This is known as the heart's natural pacemaker and is located in the right atrium
What is...
The SA node
antidote for heparin
What is...
protamine sulfate
Name one piece of information you would tell your patient who has both arterial disease and Raynaud phenomenon
What is..
smoking cessation, keeping environment warm, avoiding exposure to cold, avoiding stimulants, avoid emotional stress or anxiety
This test is used to diagnose angina
What is...
12-lead EKG
First line treatment for pulseless ventricular tachycardia
What is...
Defibrillation
A nurse is conducting a health history of a client with a primary diagnosis of heart failure. Which of the following disorders reported by the client is unlikely to play a role in exacerbating the heart failure? A) Atrial fibrillation B) Nutritional anemia C) Peptic ulcer disease D) Recent upper respiratory infection
C) Peptic ulcer disease
This blood test is MOST indicative of heart damage
What is...
Troponin I
What is Peripheral Arterial Disease is most commonly caused by?
What is...
Atheroschlerosis
Vasodilators have this effect on heart rate (does heart rate become irregular, unchanged, increased, decreased?)
What is...
decrease heart rate
First line treatment for ventricular tachycardia for patient who is hemodynamically stable
antidysrhythmics such as amiodarone
A home care nurse is making a routine visit to a client receiving digoxin (Lanoxin) in the treatment of heart failure. The nurse would particularly assess the client for which of the following? A) Diarrhea and hypotension B) Fatigue and muscle twitching C) Thrombocytopenia and weight gain D) Anorexia, nausea, and visual disturbances
D) Anorexia, nausea, and visual disturbances
This antihypertensive drug class is known to cause bronchoconstriction, especially in clients with asthma.
what are beta blockers
The brown pigmentation around a venous ulcer
What is...
Hemosiderin staining
This medication for angina can be given 5 minutes apart for a total of 3 doses.
what is nitroglycerin
A nurse is assessing an electrocardiogram rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16 second, and QRS complexes measure 0.06 second. The overall heart rate is 64 beats per minute. The nurse assesses the cardiac rhythm as
What is...
Normal Sinus Rhythm
Name 3 signs or symptoms of right-sided HF
1. JVD
2. Peripheral edema
3. SOB, chest discomfort
5. Fatigue
6. weight gain
A murmur is heard at the second left intercostal space along the left sternal border. Which valve is this?
What is...
Pulmonic
A client with a STEMI needs this surgical intervention ASAP
What is a cardiac catheterization?
What is percutaneous cardiac intervention (PCI)?
What is a stent?
A client with myocardial infarction is going into cardiogenic shock. Because of the risk of myocardial ischemia, for which of the following should the nurse carefully assess the client? A) Bradycardia B) Ventricular dysrhythmias C) Rising diastolic blood pressure D) Falling central venous pressure
B) Ventricular dysrhythmias
A client is in sinus bradycardia with a heart rate of 45 beats/min, complains of dizziness, and has a blood pressure of 82/60 mm Hg. Which of the following should the nurse anticipate will be prescribed? A). Defibrillate the client B). Administer digoxin (Lanoxin) C). Continue to monitor the client D). Prepare the transcutaneous pacing
D). Prepare the transcutaneous pacing
Name 3 signs or symptoms of left-sided heart failure
1. nocturnal dyspnea
2. pulmonary congestion- wheezing, crackles
3. tachycardia
4. cyanosis
5. orthopnea
A nurse is performing an assessment on a client with a diagnosis of left-sided heart failure. Which assessment component would elicit specific information regarding the client's left-sided heart function? A) Listening to lung sounds B) Assessing for peripheral and sacral edema C) Assessing for jugular vein distenstion D) Monitoring for organomegaly
A) Listening to lung sounds