MED-SURG EXAM 2 JERSEY COLLEGE EXAM QUESTIONS
COMPLETE WITH 100% VERIFIED ANSWERS
\.angina could be triggered by ? - ANSWERS-eating a heavy meal
Exp: blood shunted to the GI area which decreases blood availability to
the myocardium
\.locations of chest pain? - ANSWERS-typically felt behind the sternum
and may radiate to:neck, jaw, shoulders, and along the inner aspect of
the left arm.
\.what is the classic finding of angina? - ANSWERS-it is relieved with rest
or nitroglycerine
\.Pt. education for nitroglycerin? - ANSWERS-1. keep in a dark bottle
2.renew every 6 months
3.place under tongue, never swallowed
4. can take every 5 minutes x 3 doses
5. call 911 after the first dose if pain is not relieved
,\.decrease in cardiac output, expect the pulse to be? - ANSWERS-weak,
thready pulse
\.signs of hypokalemia? - ANSWERS-muscle weakness
fatigue
muscle cramps
constipation
inverted T waves and a U wave on ekg
\.metabolic syndrome increases the risk of? - ANSWERS-heart disease
\.spironolactone is a potassium sparing diuretic that could? - ANSWERS-
potentiate fluid and electrolyte imbalances ( if given with potassium
supplements, hyperkalemia can occur)
\.how do bet-blockers work? end in -olol - ANSWERS-decreases heart
rate and blood pressure. mask the signs of hypoglycemia or worsen
asthma because of bronchoconstriction
\.why should you avoid discontinuing anti-hypertensives medications
abruptly? - ANSWERS-increase risk for rebound hypertension
,\.ACE inhibitors and Angiotensin 2 receptor blockers (ARBs) increase the
risk of? - ANSWERS-hyperkalemia
\.ACE inhibitors, how do they work? ends in -pril - ANSWERS-stop
angiotensin 1 from converting to angiotensin 2 (powerful
vasoconstrictor) thereby lowering total peripheral vascular resistance
and blood pressure
\.How to take a proper blood pressure reading? - ANSWERS-instruct pt.
to not eat or drink for 30 mins
support arm at heart level
make sure both feet are flat on the floor
\.the target organs affected by long standing hypertension? - ANSWERS-
retinopathy
neuropathy
nephropathy
\.decrease in output could cause what? - ANSWERS-decrease in tissue
perfusion which results in organ failure
, \.Following a pulmonary artery pressure reading you should deflate the
balloon. Why? - ANSWERS-to restore the blood flow through the
pulmonary artery
\.Straining with bowel movements is not good because? - ANSWERS-it
triggers the valsalva maneuver which increases intrathoracic pressure
decreasing the venous blood flow to the heart and results in decrease
cardiac output.
\.change patients position slowly to prebent? - ANSWERS-orthostatic
hypotension
\.Low central venous pressure levels could suggests? - ANSWERS-could
suggest dehydration or overdiuresis
\.increase central venous pressure could suggest? - ANSWERS-heart
failure
\.increase central venous pressure provides a measurement of what? -
ANSWERS-measurement of the volume of blood that returned to the
right side of the heart (2-6 mm Hg)
\.Hemodynamic monitoring is performed where? - ANSWERS-in ICU and
allows for direct cardiac monitoring
COMPLETE WITH 100% VERIFIED ANSWERS
\.angina could be triggered by ? - ANSWERS-eating a heavy meal
Exp: blood shunted to the GI area which decreases blood availability to
the myocardium
\.locations of chest pain? - ANSWERS-typically felt behind the sternum
and may radiate to:neck, jaw, shoulders, and along the inner aspect of
the left arm.
\.what is the classic finding of angina? - ANSWERS-it is relieved with rest
or nitroglycerine
\.Pt. education for nitroglycerin? - ANSWERS-1. keep in a dark bottle
2.renew every 6 months
3.place under tongue, never swallowed
4. can take every 5 minutes x 3 doses
5. call 911 after the first dose if pain is not relieved
,\.decrease in cardiac output, expect the pulse to be? - ANSWERS-weak,
thready pulse
\.signs of hypokalemia? - ANSWERS-muscle weakness
fatigue
muscle cramps
constipation
inverted T waves and a U wave on ekg
\.metabolic syndrome increases the risk of? - ANSWERS-heart disease
\.spironolactone is a potassium sparing diuretic that could? - ANSWERS-
potentiate fluid and electrolyte imbalances ( if given with potassium
supplements, hyperkalemia can occur)
\.how do bet-blockers work? end in -olol - ANSWERS-decreases heart
rate and blood pressure. mask the signs of hypoglycemia or worsen
asthma because of bronchoconstriction
\.why should you avoid discontinuing anti-hypertensives medications
abruptly? - ANSWERS-increase risk for rebound hypertension
,\.ACE inhibitors and Angiotensin 2 receptor blockers (ARBs) increase the
risk of? - ANSWERS-hyperkalemia
\.ACE inhibitors, how do they work? ends in -pril - ANSWERS-stop
angiotensin 1 from converting to angiotensin 2 (powerful
vasoconstrictor) thereby lowering total peripheral vascular resistance
and blood pressure
\.How to take a proper blood pressure reading? - ANSWERS-instruct pt.
to not eat or drink for 30 mins
support arm at heart level
make sure both feet are flat on the floor
\.the target organs affected by long standing hypertension? - ANSWERS-
retinopathy
neuropathy
nephropathy
\.decrease in output could cause what? - ANSWERS-decrease in tissue
perfusion which results in organ failure
, \.Following a pulmonary artery pressure reading you should deflate the
balloon. Why? - ANSWERS-to restore the blood flow through the
pulmonary artery
\.Straining with bowel movements is not good because? - ANSWERS-it
triggers the valsalva maneuver which increases intrathoracic pressure
decreasing the venous blood flow to the heart and results in decrease
cardiac output.
\.change patients position slowly to prebent? - ANSWERS-orthostatic
hypotension
\.Low central venous pressure levels could suggests? - ANSWERS-could
suggest dehydration or overdiuresis
\.increase central venous pressure could suggest? - ANSWERS-heart
failure
\.increase central venous pressure provides a measurement of what? -
ANSWERS-measurement of the volume of blood that returned to the
right side of the heart (2-6 mm Hg)
\.Hemodynamic monitoring is performed where? - ANSWERS-in ICU and
allows for direct cardiac monitoring
