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NR 507 Midterm Exam Study Guide with Complete Solutions

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NR 507 Midterm Exam Study Guide with Complete Solutions Glomerulonephritis - Answer-The glomerular-capillaries can trap blood-borne Ab & Ag-Ab complexes - Causes: PRIMARY: infection, drugs, toxins, vascular disorders, ischemia, immunologic responses, free radicals. SECONDARY: DM, CHF, HIV, Lupus Triggering event (infection)- Ag-Ab complex formation & deposition in glomerulus- Activation of complement system & WBC infiltration- Glomerular injury & leakage- Proteinuria/hematuria- edema, increase creat, azotemia, oliguria OR after glomerular injury & leakage- Coagulation cascade activation & FIbrin deposition- Decreased capillary perfusion- decreased GFR- edema, increase creat, azotemia, oliguria S1 - Answer--Closing of mitral and tricuspid valve - Beginning of systole S2 - Answer-- Closure of the aortic and pulmonic valve - End of systole EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 Page 2/18 Valvular stenosis - Answer-the valve orifice is constricted and narrowed, impeding the forward flow of blood and increasing the workload of the cardiac chamber proximal to the diseased valve. Intraventricular or atrial pressure increases in the chamber to overcome resistance to flow through the valve. Increased pressure causes the myocardium to work harder, causing myocardial hypertrophy. Aortic stenosis - Answer-- LV hypertrophy - L heart failure - Pulmonary edema - Exertional dyspnea -Syncope -Angina pectoris - Systolic murmur Mitral Stenosis - Answer-- LA hypertrophy -R ventricular failure - Pulmonary edema - Orthopnea - Respiratory infections - PH -Edema EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 Page 3/18 -Atypical chest pain - Diastolic murmur Stroke volume - Answer-The volume of blood ejected per bear during systole Cor Pulmonale - Answer-right ventricular hypertrophy and heart failure due to pulmonary hypertension Cardiac output - Answer-HR x SV -Normal= 5Lpm -Preload, afterload, contractility, heart rate Preload - Answer-The volume inside the ventricle at th

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EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024




NR 507 Midterm Exam Study Guide with
Complete Solutions

Glomerulonephritis - Answer✔✔-The glomerular-capillaries can trap blood-borne Ab & Ag-Ab

complexes


- Causes: PRIMARY: infection, drugs, toxins, vascular disorders, ischemia, immunologic responses, free

radicals. SECONDARY: DM, CHF, HIV, Lupus




Triggering event (infection)- Ag-Ab complex formation & deposition in glomerulus- Activation of

complement system & WBC infiltration- Glomerular injury & leakage- Proteinuria/hematuria- edema,

increase creat, azotemia, oliguria


OR


after glomerular injury & leakage- Coagulation cascade activation & FIbrin deposition- Decreased

capillary perfusion- decreased GFR- edema, increase creat, azotemia, oliguria


S1 - Answer✔✔--Closing of mitral and tricuspid valve


- Beginning of systole


S2 - Answer✔✔-- Closure of the aortic and pulmonic valve


- End of systole




Page 1/18

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


Valvular stenosis - Answer✔✔-the valve orifice is constricted and narrowed, impeding the forward flow

of blood and increasing the workload of the cardiac chamber proximal to the diseased valve.

Intraventricular or atrial pressure increases in the chamber to overcome resistance to flow through the

valve. Increased pressure causes the myocardium to work harder, causing myocardial hypertrophy.


Aortic stenosis - Answer✔✔-- LV hypertrophy


- L heart failure


- Pulmonary edema


- Exertional dyspnea


-Syncope


-Angina pectoris


- Systolic murmur


Mitral Stenosis - Answer✔✔-- LA hypertrophy


-R ventricular failure


- Pulmonary edema


- Orthopnea


- Respiratory infections


- PH


-Edema




Page 2/18

, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


-Atypical chest pain


- Diastolic murmur


Stroke volume - Answer✔✔-The volume of blood ejected per bear during systole


Cor Pulmonale - Answer✔✔-right ventricular hypertrophy and heart failure due to pulmonary

hypertension


Cardiac output - Answer✔✔-HR x SV


-Normal= 5Lpm


-Preload, afterload, contractility, heart rate


Preload - Answer✔✔-The volume inside the ventricle at the end of diastole




Determined by:


- Amount of venous blood returning to the ventricle during diastole


- The amount of blood in the ventricle after systole


Afterload - Answer✔✔-The resistance to ejection of blood from the ventricle




total peripheral resistance (TPR)




Systemic vascular resistance (SVR)


Page 3/18

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