NSG-4100 EXAM 3 | QUESTIONS AND ANSWERS | VERIFIED
ANSWERS GRADED A+ | LATEST EXAM UPDATE
What can you infuse through the CVP monitoring system?
Hypertonic Solutions
-No hypotonic (dextrose) b/c it can cause infection and phlebitis
What procedure is the treatment for V-Tach (with a pulse)?
Synchronized cardioversion
V-Tach with NO pulse
Defibrillation
Know what V-Tach rhythm looks like:
-It's a fast HR with no P-waves
-DO NOT give atropine or epi
-Trx: synchronized cardioversion
What symptoms are emergent with restrictive cardiomyopathy?
Low O2 = dizziness and palpitations
What is the IV medication treatment for Torsades de pointes?
Magnesium Sulfate with Isoproterenol
-b/c it is a calcium channel blocker and shorten the Q-T interval
Cardioverter defibrillator vest
-Change battery every day
-You must wear this vest at all times under clothing
-shock is delivered once a life threatening dysrhythmia is detected
Where is an implantable cardioverter defibrillator placed?
-Upper chest for males
-Under the breast for females
MI s/s
,-Chest pain that continues after medications are given
-N/V and indigestion
-Impending doom
Vagal stimulation can ____ , even _____, what is given for bradycardia?
-Decrease a heart rate
-causing bradycardia
-atropine
Dilated cardiomyopathy can cause what kind of heart murmur?
Diastolic Murmur (S3)
Pacemaker contraindications
-High strength magnets (MRI)
-if pt has pocket near pacemaker to move phone away from pacemaker
What should you know about a patients history before IV thrombolytics
are administered?
-Microvessel hemorrhages
-bleeding disorders or is actively bleeding
-history of recent surgeries or has a trauma
-Do NOT give if they have a brain tumor, b/c this could cause the tumor to
bleed in the brain
Serum potassium levels <3 (Hypokalemia), causes progressive depression of
the ST-segment, a decrease in T-wave amplitude, and an increase in U-wave
amplitude
Ventricular Extrasystole
-no diastole just extra-systoles
Acute coronary syndrome is a collection of:
-Unstable angina
-MI
-or sudden cardiac arrest
How does a MI show on an ECG?
ST-elevation
CVP normal level
What is monitored with this?
Where is it inserted?
, What causes an abnormal high?
What causes an abnormal low?
-Normal: 2-6 mmHg
-the right atrium is monitored b/c it measures the preload (filling pressure)
-it is inserted in the right atrium (phelbostatic axis)
-cause for abnormal high >6: hypervolemia (right sided HF)
-cause for abnormal low <2: hypovolemia (dehydration)
Discharge teaching after MI should include?
-Teaching pt how to monitor pulseless rate (to maintain a decrease in stress
on the heart muscle)
-Small frequent meals, stop smoking, manage HTN, control DM, control
cholesterol levels, lose weight, low saturated fats
What allergy should you know about before a Percutaneous Transluminal
Coronary Angioplasty (PTCA)?
IODINE
-(b/c that's how they clean the skin)
After PTCA what is a sign (other than a hematoma) of an
occlusion/bleeding in the extremity?
Numbness or tingling of the extremities
Symptomatic bradycardia requires monitoring in case?
Have an AED to monitor them in case a shock is needed
-Trx: give atropine
cardiac tamponade
Causes atrial compression that leads to decreased venous return d/t the
inability to fill completely
Actions for Nitroglycerin ___
What condition would you not give nitro
-Nitro is a vasodilator
-DO NOT give to pt who are hypotensive (its going to bottom them out)
AAA what symptoms are reportable to MD
Hypertension- Systolic >180mmHg
ANSWERS GRADED A+ | LATEST EXAM UPDATE
What can you infuse through the CVP monitoring system?
Hypertonic Solutions
-No hypotonic (dextrose) b/c it can cause infection and phlebitis
What procedure is the treatment for V-Tach (with a pulse)?
Synchronized cardioversion
V-Tach with NO pulse
Defibrillation
Know what V-Tach rhythm looks like:
-It's a fast HR with no P-waves
-DO NOT give atropine or epi
-Trx: synchronized cardioversion
What symptoms are emergent with restrictive cardiomyopathy?
Low O2 = dizziness and palpitations
What is the IV medication treatment for Torsades de pointes?
Magnesium Sulfate with Isoproterenol
-b/c it is a calcium channel blocker and shorten the Q-T interval
Cardioverter defibrillator vest
-Change battery every day
-You must wear this vest at all times under clothing
-shock is delivered once a life threatening dysrhythmia is detected
Where is an implantable cardioverter defibrillator placed?
-Upper chest for males
-Under the breast for females
MI s/s
,-Chest pain that continues after medications are given
-N/V and indigestion
-Impending doom
Vagal stimulation can ____ , even _____, what is given for bradycardia?
-Decrease a heart rate
-causing bradycardia
-atropine
Dilated cardiomyopathy can cause what kind of heart murmur?
Diastolic Murmur (S3)
Pacemaker contraindications
-High strength magnets (MRI)
-if pt has pocket near pacemaker to move phone away from pacemaker
What should you know about a patients history before IV thrombolytics
are administered?
-Microvessel hemorrhages
-bleeding disorders or is actively bleeding
-history of recent surgeries or has a trauma
-Do NOT give if they have a brain tumor, b/c this could cause the tumor to
bleed in the brain
Serum potassium levels <3 (Hypokalemia), causes progressive depression of
the ST-segment, a decrease in T-wave amplitude, and an increase in U-wave
amplitude
Ventricular Extrasystole
-no diastole just extra-systoles
Acute coronary syndrome is a collection of:
-Unstable angina
-MI
-or sudden cardiac arrest
How does a MI show on an ECG?
ST-elevation
CVP normal level
What is monitored with this?
Where is it inserted?
, What causes an abnormal high?
What causes an abnormal low?
-Normal: 2-6 mmHg
-the right atrium is monitored b/c it measures the preload (filling pressure)
-it is inserted in the right atrium (phelbostatic axis)
-cause for abnormal high >6: hypervolemia (right sided HF)
-cause for abnormal low <2: hypovolemia (dehydration)
Discharge teaching after MI should include?
-Teaching pt how to monitor pulseless rate (to maintain a decrease in stress
on the heart muscle)
-Small frequent meals, stop smoking, manage HTN, control DM, control
cholesterol levels, lose weight, low saturated fats
What allergy should you know about before a Percutaneous Transluminal
Coronary Angioplasty (PTCA)?
IODINE
-(b/c that's how they clean the skin)
After PTCA what is a sign (other than a hematoma) of an
occlusion/bleeding in the extremity?
Numbness or tingling of the extremities
Symptomatic bradycardia requires monitoring in case?
Have an AED to monitor them in case a shock is needed
-Trx: give atropine
cardiac tamponade
Causes atrial compression that leads to decreased venous return d/t the
inability to fill completely
Actions for Nitroglycerin ___
What condition would you not give nitro
-Nitro is a vasodilator
-DO NOT give to pt who are hypotensive (its going to bottom them out)
AAA what symptoms are reportable to MD
Hypertension- Systolic >180mmHg
