BKAT 9R LATEST UPDATE

BKAT 9R LATEST UPDATE Initial measure for the treatment of angina pectoris does not include which response below? 1. resting 2. beta blockers 3. oxygen 4. nitroglycerine - CORRECT ANSWER beta blockers The classical ECG change with muscle injury in acute myocardial infarction is: 1. presence of a Q wave 2. ST segment elevation 3. myocardial electrical irritability 4. a peaked T wave - CORRECT ANSWER ST segment elevation Elevated cardiac iso-enzyme generally does not occur in which response below? 1. Closed chest injury 2. pericarditis 3. congestive heart failure 4. cardiac surgery - CORRECT ANSWER Congestive heart failure The major therapeutic goal in the treatment of cardiogenic shock is to: 1. Increase the afterload 2. Improve renal perfusion 3. Increase cardiac output 4. Decrease fluid volume - CORRECT ANSWER Increase cardiac output You receive orders to starte Nipride and Dobutamine in your patient with end-stage cardiomyopathy. How will this treatment regimen affect cardiac output? 1. Increase preload and reduces afterload 2. Reduces preload and increases afterload 3. Reduces preload and afterload and improves contractility BKAT 9R LATEST UPDATE 2 | P a g e 4. Reduces preload and improves contractility - CORRECT ANSWER Reduces preload and afterload and improves contractility In dealing with a depressed patient during the first days post AMI the most appropriate nursing action would be: 1. Encourage to patient to ventilate his/her concerns 2. Provide for privacy so the patient can rest 3. Limit visits only to family members 4. Provide a quiet environment for the patient - CORRECT ANSWER Encourage the patient to ventilate his/her concerns Mr. Seamore is receiving thrombolytics (TPA) 3 hours after an AMI. Which of the following would most likely require discontinuing the infusion? 1. PVCs 2. Bleeding gums 3. Oozing at the insertion site 4. Change in mental status - CORRECT ANSWER Change in mental status The following monitor would indicate that the pulmonary artery (Swan Ganz) catheter is in which position? 1. Superior vena cava 2. Right ventricle 3. Pulmonary artery 4. Pulmonary artery occlusion (wedge) - CORRECT ANSWER Pulmonary artery occlusion (wedge) A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is called: 1. aortic insufficiency 2. aortic stenosis 3. pulmonary insufficiency 4. pulmonic stenosis - CORRECT ANSWER aortic stenosis BKAT 9R LATEST UPDATE 3 | P a g e Which of the following wave patterns indicates proper functioning of an arterial line? - CORRECT ANSWER High to low After an arterial catheter is removed, direct pressure should generally be applied to the artery: 1. For 2 full minutes 2. For 8-10 minutes 3. Until the oozing of blood from the puncture site slows 4. Until a pressure dressing is applied - CORRECT ANSWER For 8-10 minutes A central venous pressure CVP reading directly reflects pressure in the: 1. Left atrium 2. Right atrium 3. Left ventricle 4. Pulmonary artery - CORRECT ANSWER Right atrium An elevated CVP reading may indicate: 1. Right heart failure 2. A fall in blood pressure 3. Acute dehydration 4. Onset of left ventricle failure - CORRECT ANSWER Right heart failure The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the: 1. aorta 2. left ventricle 3. right atrium 4. vena cava - CORRECT ANSWER left ventricle The normal pulmonary artery pressure is: 1. (10-20)/(0-4) mean 5-10