ECCO: Caring for Patients with Cardiovascular
Disorders: Part 3 questions with correct answers
A patient with right-sided HF is being treated. Which should the nurse expect if the
patient is responding to therapy? - Answer Increased LV filling
A patient has reduced cardiac output, an EF of 33%... Which of these... - Answer YES - Peripartum, Congenital, myocardial infection
A patient with systolic heart failure is being treated. Which reflects the patient is responding to therapy? - Answer Normalization of Blood Pressure
A post-menopausal woman... troponin - Answer Metoprolol
A patient with a history of aortic regurgitation due to rheumatic fever develops severe dyspnea, fatigue, and pulmonary edema. What should the nurse anticipate? -
Answer Nitroprusside
A patient with a history of CAD, HTN, and EF 35% is admitted with decompensated systolic heart failure. Which should the nurse anticipate? - Answer Metoprolol (Lopressor)
A postmenopausal woman undergoing significant tension at work and home is admitted with chest pain and dyspnea. Troponin is negative. ECG reveals changes in leads V3 and V4. Administration of which should the nurse expect? - Answer Metoprolol (Lopressor)
A patient reports chest pain and fainting while on a class hiking trip. What assessment findings would suggest hypertrophic cardiomyopathy? - Answer - Harsh mid-systolic murmur at left sternal border - Ventricular basilar hypertrophy on trans thoracic ECHO
- Mitral regurgitation murmur
A patient with chronic hypertension and left ventricular hypertrophy is admitted with dyspnea and chest tightness. Which parameters should the nurse expect? - Answer A) HR 126, SV 30 (L), PAOP 16 (H)
For a patient with mitral stenosis, what interventions should the nurse anticipate to manage the patients A-Fib? - Answer - Warfarin (Coumadin)
- Catheter or surgical ablation for persistent A-Fib
-Cardioversion with or without antidysrhythmic meds
A patient has cool extremities and increased capillary refill time, thready pulse, decreased urine output, EF 56%, and BNP 300 pg/mL. What intervention should the nurse question? - Answer Aggressive diuretic therapy
A patient with exertion chest pain, dyspnea, and syncope is admitted. ECHO shows
an enlarged basal portion of the septum. Which should the nurse avoid? - Answer Nitroglycerin (Tridil)
A Patient is admitted with diastolic dysfunction, dyspnea on exertion, and cough. Which therapy should the nurse anticipate? - Answer Metoprolol (Lopressor)
A patient with aortic stenosis on ECHO reports no symptoms. What developments should the nurse anticipate over time? - Answer NO - Surgical replacement or repair is indicated at the time of diagnosis
NO - Patient is likely to develop pulmonary hypertension
YES - Patient will develop dyspnea, fatigue on exertion, and chest pain
NO - Patient may respond well to treatment with ACE-I or ARBs
Disorders: Part 3 questions with correct answers
A patient with right-sided HF is being treated. Which should the nurse expect if the
patient is responding to therapy? - Answer Increased LV filling
A patient has reduced cardiac output, an EF of 33%... Which of these... - Answer YES - Peripartum, Congenital, myocardial infection
A patient with systolic heart failure is being treated. Which reflects the patient is responding to therapy? - Answer Normalization of Blood Pressure
A post-menopausal woman... troponin - Answer Metoprolol
A patient with a history of aortic regurgitation due to rheumatic fever develops severe dyspnea, fatigue, and pulmonary edema. What should the nurse anticipate? -
Answer Nitroprusside
A patient with a history of CAD, HTN, and EF 35% is admitted with decompensated systolic heart failure. Which should the nurse anticipate? - Answer Metoprolol (Lopressor)
A postmenopausal woman undergoing significant tension at work and home is admitted with chest pain and dyspnea. Troponin is negative. ECG reveals changes in leads V3 and V4. Administration of which should the nurse expect? - Answer Metoprolol (Lopressor)
A patient reports chest pain and fainting while on a class hiking trip. What assessment findings would suggest hypertrophic cardiomyopathy? - Answer - Harsh mid-systolic murmur at left sternal border - Ventricular basilar hypertrophy on trans thoracic ECHO
- Mitral regurgitation murmur
A patient with chronic hypertension and left ventricular hypertrophy is admitted with dyspnea and chest tightness. Which parameters should the nurse expect? - Answer A) HR 126, SV 30 (L), PAOP 16 (H)
For a patient with mitral stenosis, what interventions should the nurse anticipate to manage the patients A-Fib? - Answer - Warfarin (Coumadin)
- Catheter or surgical ablation for persistent A-Fib
-Cardioversion with or without antidysrhythmic meds
A patient has cool extremities and increased capillary refill time, thready pulse, decreased urine output, EF 56%, and BNP 300 pg/mL. What intervention should the nurse question? - Answer Aggressive diuretic therapy
A patient with exertion chest pain, dyspnea, and syncope is admitted. ECHO shows
an enlarged basal portion of the septum. Which should the nurse avoid? - Answer Nitroglycerin (Tridil)
A Patient is admitted with diastolic dysfunction, dyspnea on exertion, and cough. Which therapy should the nurse anticipate? - Answer Metoprolol (Lopressor)
A patient with aortic stenosis on ECHO reports no symptoms. What developments should the nurse anticipate over time? - Answer NO - Surgical replacement or repair is indicated at the time of diagnosis
NO - Patient is likely to develop pulmonary hypertension
YES - Patient will develop dyspnea, fatigue on exertion, and chest pain
NO - Patient may respond well to treatment with ACE-I or ARBs
