NUR 257 EXAM 3 QUESTIONS AND
ANSWERS WITH CORRECT
GUARANTEED SUCCESS!!!
What immediate nursing action should be taken for a patient with a history of
pulmonary embolism who experiences sudden chest pain and shortness of breath?
✔✔ Elevate the head of the bed to facilitate breathing and immediately
perform a focused cardiopulmonary assessment.
If a patient scheduled for surgery is found to have a spinal curvature that prevents
them from lying flat, how should the nurse handle this new finding? ✔✔ Inform
the surgical and anesthesia teams, evaluate the degree of the spinal curvature,
and collaborate with the surgical team to plan appropriate intraoperative
positioning.
Which valvular heart condition is commonly linked to pulmonary hypertension,
shortness of breath, fatigue, and coughing up blood (hemoptysis)? ✔✔ Mitral
valve stenosis, which elevates pressure in the pulmonary vasculature and
frequently causes exertion fatigue, dyspnea, and hemoptysis.
What is the primary medical management approach for treating bacterial
endocarditis? ✔✔ Extended courses of targeted IV antibiotic therapy until the
infection is fully eradicated.
Patient starting an ACE-inhib or diuretics. What VS is a primary assessment?
Blood pressure (both medications can affect bp, monitor for effectiveness and
safety)
Labs...pt should do what prior?
Lipid profiles and lab work require at least 12 hr fasting time for accuracy. BNP
can give preliminary diagnosis of heart failure. Cholesterol findings could lead to
,finds of atherosclerosis. High levels of CPK usually indicate some sort of stress or
injury to your heart or other muscles.
Mechanical valve education
lifetime use of warfarin
prophylactic antibiotics
Anticoagulation therapy (warfarin: take as prescribed, monitor INR 2.5-3.5, no
grapefruit juice), Dietary: Vit K can affect INR levels, no grapefruit juice, limit
alcohol. Prevent infection: endocarditis risk (oral hygiene, prophylactic antibiotics)
Recognize complications (blood clots, valve malfunction, signs of bleeding.)
Cardiac stress test looks for what diseases
CAD, arrhythmias, HF, Ischemic heart disease, valvular heart disease,
cardiomyopathy, pulmonary HTN, peripheral artery disease.
What do you do if during the stress test pt develops cp?
Stop the test and assess the pt
Frequency of cardiac labs for a MI?
Serial labs are typically every 3 -4 hours when trending cardiac enzymes like
troponin and CK-MB. This normally runs for 12 hrs.
, What does pericarditis sound like?
friction rub (like sandpaper rubbed on wood)
What are the goals of intervention?
Improve cardiac output and peripheral blood flow, increase activity tolerance and
improve gas exchange, reduce anxiety. (cluster activities; legs down/monitoring
edema)(slide 58)
Heart failure what might you hear?
Third and fourth heart sounds s3, s4. murmurs. crackles (rales)
Dilated cardiomyopathy (DCM) is what (phys. Descipt. Of the heart)
Muscle fibers have stretched heart chambers enlarged. (walls of the heart become
thin and the heart gets larger)
Can your HF intervention intervene with a persons job?
Yes. Physical limitations, medication side effects, medical appointments,
emotional and cognitive effects all affect a persons job.
Cardiomyopathy related to young/athletes?
ANSWERS WITH CORRECT
GUARANTEED SUCCESS!!!
What immediate nursing action should be taken for a patient with a history of
pulmonary embolism who experiences sudden chest pain and shortness of breath?
✔✔ Elevate the head of the bed to facilitate breathing and immediately
perform a focused cardiopulmonary assessment.
If a patient scheduled for surgery is found to have a spinal curvature that prevents
them from lying flat, how should the nurse handle this new finding? ✔✔ Inform
the surgical and anesthesia teams, evaluate the degree of the spinal curvature,
and collaborate with the surgical team to plan appropriate intraoperative
positioning.
Which valvular heart condition is commonly linked to pulmonary hypertension,
shortness of breath, fatigue, and coughing up blood (hemoptysis)? ✔✔ Mitral
valve stenosis, which elevates pressure in the pulmonary vasculature and
frequently causes exertion fatigue, dyspnea, and hemoptysis.
What is the primary medical management approach for treating bacterial
endocarditis? ✔✔ Extended courses of targeted IV antibiotic therapy until the
infection is fully eradicated.
Patient starting an ACE-inhib or diuretics. What VS is a primary assessment?
Blood pressure (both medications can affect bp, monitor for effectiveness and
safety)
Labs...pt should do what prior?
Lipid profiles and lab work require at least 12 hr fasting time for accuracy. BNP
can give preliminary diagnosis of heart failure. Cholesterol findings could lead to
,finds of atherosclerosis. High levels of CPK usually indicate some sort of stress or
injury to your heart or other muscles.
Mechanical valve education
lifetime use of warfarin
prophylactic antibiotics
Anticoagulation therapy (warfarin: take as prescribed, monitor INR 2.5-3.5, no
grapefruit juice), Dietary: Vit K can affect INR levels, no grapefruit juice, limit
alcohol. Prevent infection: endocarditis risk (oral hygiene, prophylactic antibiotics)
Recognize complications (blood clots, valve malfunction, signs of bleeding.)
Cardiac stress test looks for what diseases
CAD, arrhythmias, HF, Ischemic heart disease, valvular heart disease,
cardiomyopathy, pulmonary HTN, peripheral artery disease.
What do you do if during the stress test pt develops cp?
Stop the test and assess the pt
Frequency of cardiac labs for a MI?
Serial labs are typically every 3 -4 hours when trending cardiac enzymes like
troponin and CK-MB. This normally runs for 12 hrs.
, What does pericarditis sound like?
friction rub (like sandpaper rubbed on wood)
What are the goals of intervention?
Improve cardiac output and peripheral blood flow, increase activity tolerance and
improve gas exchange, reduce anxiety. (cluster activities; legs down/monitoring
edema)(slide 58)
Heart failure what might you hear?
Third and fourth heart sounds s3, s4. murmurs. crackles (rales)
Dilated cardiomyopathy (DCM) is what (phys. Descipt. Of the heart)
Muscle fibers have stretched heart chambers enlarged. (walls of the heart become
thin and the heart gets larger)
Can your HF intervention intervene with a persons job?
Yes. Physical limitations, medication side effects, medical appointments,
emotional and cognitive effects all affect a persons job.
Cardiomyopathy related to young/athletes?
