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Cardiac
Misc 1
misc 2
100

What is the clinical manifestation of a myocardial infarction on EKG?

ST elevation

100

true or false: 

Cardiac tamponade 

  • causes decrease venous return as a result of atrial compression. In this condition the ventricles are unable to fully distend and adequately fill.

TRUE

100

Your patient is admitted with a chronic cough with copious amounts of sputum,  and hemoptysis, you suspect the patient has this respiratory condition.

  Bronchiectasis

200

The patient is showing bradycardia on the monitor. As the nurse you know that bradycardia causes a ___ metabolic need or demand.

low

200

Your patient is placed on cyclosporine s/p heart transplant, you provide education to your patient and include that this medication will put the patient at increase risk for ___.

infection

200

Acute epiglottitis is an emergency and as a nurse you will prepare the patient for 

Intubation

300

Your patient is experiencing torsades, you will administer electrolytes like ____ to correct the body's imbalance and if that doesn't work you will administer ___

Magnesium sulfate, isoproterenol

300

Indications that the AAA may be actively LEAKING or ACTIVELY RUPTURING include

constant, intense back pain, falling blood pressure, and decreasing hematocrit.

300

your patient has a Pulmonary embolism and has been ordered thrombolytic therapy. As the nurse you evaluate the patient and determine they cannot have thrombolytic therapy if:

  • : Stroke within past 2 months, Other intracranial processes, Active bleeding, Surgery w/in 10 days of thrombotic event, Recent labor and delivery, Trauma, Severe hypertension
400

Your patient has to wear a cardioverter-defibrillator for sudden cardiac  death risk factor. What education would you provide to the patient?

  • • Wear this vest at all times under clothes. Even when in the hospital or on ECG monitoring. • Change the battery everyday.
  • • Only ever remove it when showering or bathing.
  • • The vest will vibrate and beep prior to administering a shock.
  • • Information typically downloads 1/day, usually at night.
  • • Shock is delivered in less than a minute after a life-threatening rhythm is detected
400

What are some risk factors for DIC?

Shock, cancer pts have it chronically, trauma (Like a car accident), snake bites, placental abruption

400

Risk factor for ARDS

Aspiration (gastric secretions, drowning, hydrocarbons), COVID-19 pneumonia, drug ingestion and overdose, fat or air embolism, hematologic disorders (DIC, massive transfusion, cardiopulmonary bypass), localized infection (bacterial, fungal, viral, pneumonia), major surgery, metabolic disorders (pancreatitis, uremia), prolonged inhalation of high concentrations of oxygen, smoke, or corrosive substances, sepsis, shock, trauma (pulmonary contusions, multiple fractures, head injury

500

Your patient has an order for IV thrombolytic  as a nurse you recognize that contraindication to thrombolytic therapy is?

  • • Should NOT be used in patients who are actively bleeding or with pre-existing bleeding problems like hemophilia. (Also patients with a history of hemorrhagic strokes, intracranial vessel formation, recent surgery or trauma, or pregnant)
500

Patient education for ITP

NO contact sports, decrease activity, electric shaver, no flossing, soft toothbrush, NO injections, NO rectal temps

500

The nurse is preparing a client for percutaneous transluminal coronary angioplasty “PTCA” what is the nurse priority assessment pre-op?

assess patient for iodine allergy