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NUR 425 Exam 3 2024/2025 Questions & Verified Solutions ( A+ Graded 100% Verified)

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NUR 425 Exam 3 2024/2025 Questions & Verified Solutions ( A+ Graded 100% Verified) what does smoking do to the heart? Narrows blood vessels / damages arteries / creates clots / causes high blood pressure / causes heart disease

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NUR 425 EXAM 3 2024/2025 QUESTIONS & VERIFIED
05/29/2026
SOLUTIONS ( A+ GRADED 100% VERIFIED)




NUR 425 Exam 3 2024/2025 Questions & Verified Solutions (
A+ Graded 100% Verified)


what does smoking do to the heart?

Narrows blood vessels / damages arteries / creates clots / causes high blood pressure / causes heart
disease




What is the path of conduction in the heart?

SA (sinoatrial) node ➞ internal nodes of the atria ➞ AV (atrioventricular) node ➞ bundle of HIS ➞
right and left bundle branches ➞ purkinje fibers ➞ ventricles




What should we look out for after Cardiac Catheterization?

- look for bleeding and hematoma

- monitor for chest pain

- assess for s/s of stroke (confusion, weakness, slurred speech)

- monitor for perforated artery (peripheral pulses, color, temp)

- monitor for kidney impairment related to contrast dye




What patient education should we provide post cardiac catheterization?

- maintain flat bedrest for 2-6 hours!!!

- drink fluids to help body remove contrast dye
5/29/2026




what are some other nursing interventions to perform after cardiac catheterization?

- cardiac monitoring

1

, NUR 425 EXAM 3 2024/2025 QUESTIONS & VERIFIED
05/29/2026
SOLUTIONS ( A+ GRADED 100% VERIFIED)



- frequent vitals

- maintain adequate hydration

- get blood work to assess renal function, h&h, and coagulation studies




what are some nursing interventions post pacemaker placement?

- continuous monitoring

- chest xray

- pain management

- avoid shoulder movement

- monitor incision

- watch for hiccups

- provide patient with a safety identification card




what is some patient education for pacmakers?

- always carry device ID card

- keep arm below head for 1-2 weeks

- check pulse daily and report if its different from pacemaker rate

- no contact sports or heavy lifting (avoid being hit at site)

- NO MAGNETS over pacemaker




what are the s/s of a pacemaker complication that the patient should report to the provider?

dizziness, fatigue, weakness, chest pain, hiccups, palpitations, dyspnea, or weight gain
5/29/2026




What is an AICD?

2

, NUR 425 EXAM 3 2024/2025 QUESTIONS & VERIFIED
05/29/2026
SOLUTIONS ( A+ GRADED 100% VERIFIED)



automatic implantable cardioverter-defibrillator




what should patients expect from an AICD?

- feels like a large shock/being hit in the chest

- may loose consciousness before shock

- if someone is touching them during impulse, they may feel the shock but will be unaffected




what is a PTCA (percutaneous transluminal coronary angioplasty) used for?

moderate atherosclerosis in coronary vessels

blockage in 1 or 2 arteries




what should you educate the patient to report immediately if they have a PTCA? why?

chest pain! indicates that device has failed and the artery is being occluded




What is a TAVR?

Transcatheter Aortic Valve Replacement is a technique to replace the Aortic Valve without stopping
the heart. It carries risk of Vasuclar Complications and is reserved for those too sick for Open Heart
Surgery.

It uses a Compressible Valve sort of like a stent.




what patient education should you provide to someone receiving a TAVR?

anticoagulant therapy forever
5/29/2026




redo surgery every 7-10 years

change diet and lifestyle

3

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