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Exam (elaborations)

Goodwin College Nur 100 FA18 Module 20 Questions With Complete Solutions

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Goodwin College Nur 100 FA18 Module 20 Questions With Complete Solutions

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Goodwin College Nur 100 FA18 Module 20 Questions With
Complete Solutions


_____________ is a potent vasoconstrictor Correct Answer
Angiotensin II

"Dub", or S2, is the beginning of diastole, or the
_____________ phase of the heart. It is the sound of the aortic
and pulmonic valves closing. During this time, the ventricles fill
and the atria contract. Correct Answer relaxation

"Lub" means that the heart is in ___________, or the ejection
phase of the heart. It is the sound of the mitral and tricuspid
valves closing as the body empties the ventricles into the lungs
and body. It is also known as _________. Correct Answer
systole
S1

a single elevation in ____ twofold is an indication for an MI
Correct Answer CK (creatine kinase)

Abdomen: fluid accumulation(ascites) or enlarged liver may
indicate_______, pulsating mass may indicate _____. Correct
Answer right sided heart failure
AAA

Absence of hair and thin skin in lower limbs may indicate
Correct Answer poor circulation

,Action of angiotensin converting Enzyme Correct Answer
Lowers BP and decreases strain on heart, which makes it easier
for heart to pump blood. Vasodilation occurs by suppressing
renin-angiotensin-aldosterone system, blocks conversion of
angiotensin I to angiotensin II

Action of Angiotensin II Receptor Blockers Correct Answer
Lowers BP and reduces strain on heart, which makes it easier for
heart to pump blood. Vasodilation occurs by blocking action of
angiotensin II at the receptor rather than interfering with its
production.

Afterload Correct Answer resistance to left ventricular ejection

An S1 split can sometimes indicate a Correct Answer bundle
branch block

Angiotensin II Receptor Blockers (ARBS) examples Correct
Answer Ibersartan
losartan
Valsartan

As alveolar ventilation decreases, what increases? Correct
Answer CO2

As the left ventricle continues to fail blood begins to pool in the
____________ causing pulmonary congestion. Clinical findings
include: Correct Answer pulmonary circulation
crackles in the bases of the lungs, hypoxia, SOB upon exertion,
cough, and paroxysmal nocturnal dyspnea.

, aterial blood gases (ABGs) Correct Answer Gives you your
acid base levels, pH, levels of oxygen, CO2, HCO3
Samples are drawn from: brachial, radial (common), femoral
artery
PACO2 (if elevated): More acidic
PAHCO3 (if elevated): more basic

Beta-blocker action Correct Answer Lowers BP and slows HR.
Alters hormones that damage the heart.
Binds with beta1-(cardiac) and beta 2-(lungs) adrenergic
receptor sites to prevent releases of catecholamine which would
otherwise increase BP

Beta-blocker examples Correct Answer atenolol
metoprolol
Troprol
carvedilol
propanolol

Biot's respirations Correct Answer varying depth and rate of
breathing, followed by periods of apnea; irregular

BiPAP stands for: Correct Answer bilevel positive airway
pressure

BNP (brain natriuretic peptide) may help determine the severity
of: Correct Answer CHF
<100pg/ML

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