Risky Business
Diagnostics and Labs
Cardiac 911
PV or PA Something??
N it to win it!
100
Name one modifiable risk factor for heart disease.
smoking, diabetes, obesity, sedentary lifestyle, hypertension, poor diet, substance abuse
100
What is the normal ejection fraction?
50-70%
100
A patient complains of chest pain that radiates to the jaw and down the arm. These symptoms may indicate a
myocardial infarction (heart attack)
100
Pain that occurs with walking and disappears with rest.
Intermittent claudication
100
List three things that a person with Raynaud disease should avoid
caffeine, tobacco, cold temperatures, tight clothing, stress
200
Which population has the highest incidence of hypertension?
African Americans
200
Which diagnostic test records the electrical activity of the heart?
electrocardiogram (ECG/EKG)
200
Following a femoral angioplasty, which pulse should be assessed FIRST?
pedal pulse
200
What is the BEST treatment for arterial occlusive disease?
walking regularly
200
Mr. Carter has PAD. What is the priority intervention for his lower extremities.
Position legs below heart level to facilitate arterial blood flow through gravity.
300
List two nonmodifiable risk factors
age, gender, ethnicity, family history
300
Which lab indicates heart muscle damage?
troponin
300
A client with an abdominal aortic aneurysm suddenly develops severe pain and is light-headed. What should the nurse do first?
Notify the provider
300
List two conditions for which compression socks are an appropriate intervention.
venous insufficiency and varicose veins
300
The priority intervention postoperatively to prevent deep vein thrombosis is
Early ambulation(walking)
400
Diabetes increases the risk for developing what cardiovascular condition?
atherosclerosis/arteriosclerosis
400
Which test visualizes coronary artery patency?
Cardiac Catheterization (angiogram)
400
What is the most life-threatening complication of a DVT (deep vein thrombosis)
Pulmonary embolism
400
Name it based on the description: Cool extremity, diminished pulses, severe pain, pale skin, bony prominence
arterial ulcer
400
The priority intervention for this client's lower extremities is
Elevate legs above the level of the heart to promote venous return.
500
List for behaviors that help prevent cardiovascular disease
exercise , low sodium diet, low fat diet, maintaining a healthy weight, managing chronic conditions like DM/HTN/cholesterol, no smoking
500
During an exercise stress test what symptom requires stopping the test immediately?
Chest pain and/or severe shortness of breath
500
What is usually the first medication used to treat a DVT (deep vein thrombosis)
Heparin to be followed by warfarin
500
Name the six P's of arterial occlusion
Pain, pallor, pulselessness, paresthesia, paralysis, poikilothermia
500
A client has a heart rate of 80 bpm and a stroke volume of 70 mL. What is the cardiac output?
5,600 mL/min