NURS 170 -EXAM 3 B COMPLETE ACTUAL EXAM WITH ALL
175 QUESTIONS AND VERIFIED ANSWERS GRADED A+
LATEST VERSION 2024.
What are the signs and symptoms of left sided heart failure? *DROWNING - ANSWER-Dyspnea, crackles,
orthopnea, weakness, nocturnal paroxysmal dyspnea, increased hr, nagging cough, gaining weight
What are the signs and symptoms of right sided heart failure? *SWELLING - ANSWER-swelling of legs and
hands, weight gain, edema (pitting), large neck (jvd), lethargy, irregular heart rate, nocturia, girth
(ascites); gi distress and ascites
How is heart failure diagnoses? - ANSWER-BNP, chest X-ray and echocardiogram
Nursing interventions for heart failure - ANSWER-Strict I/O, daily weight (report 2-3lb in week), diet
restrictions (low sodium, low fat, low cholesterol), elevate HOB (semi-fowlers)
What are the risk factors for left sided heart failure? - ANSWER-Hypertension, obesity, hx of mi,
substance abuse (cocaine), diabetes
What are the risk factors for right sided heart failure? - ANSWER-Left ventricular failure, right mi,
pulmonary hypertension, copd, acute respiratory distress
What is the treatment for heart failure? - ANSWER-Enalapril, Valsartan and furosemide/bumetanide
patient education for heart failure? *MAWDS - ANSWER-Meds, activity, weight (daily - 3 to 5lb a week),
diet (2-3g sodium), symptoms
What does a normal sinus rhythm include? - ANSWER-P, QRS, T
What is the measurement for a PR interval? - ANSWER-0.12 - 0.2
, What is the measurement for a QRS complex? - ANSWER-0.06 - 0.12
What is the measurement for a QT interval? - ANSWER-<0.40 seconds
A widened QRS complex could mean what? - ANSWER-PVCs, electrolyte imbalance and/or drug toxicity
Define sinus Brady - ANSWER-Regular sinus rhythm but at a rate lower than 60.
Define sinus tachy - ANSWER-Regular sinus rhythm but at a faster rate more than 100.
What are causes of sinus Brady? - ANSWER-Sleep, athletic, hypothyroidism, vagal stimulation,
medications (CCB, BB)
What is the treatment of sinus Brady? - ANSWER-Correct underlying cause, increase the hr to normal
What are causes of sinus tachy? - ANSWER-Blood loss, fever, exercise, dehydration, medications
(stimulants, illicit drugs, epi), heart failure, hyperthyroidism
What is the treatment of sinus tachy? - ANSWER-Identify underlying cause, decrease the hr to normal
Define ventricular tachycardia - ANSWER-Irregular waves; ventricles are quivering; no contraction or
cardiac output which can be fatal
Causes of v-tach - ANSWER-MI, electrolyte imbalance, dig toxicity, stimulants
Signs and symptoms of v-tach - ANSWER-Pt is awake, chest pain, lethargy, anxiety, syncope, palpitations
How to treat v-tach if patient has a pulse? - ANSWER-Oxygen, antidysrhythmics (amioderone stabilizes
hr)
175 QUESTIONS AND VERIFIED ANSWERS GRADED A+
LATEST VERSION 2024.
What are the signs and symptoms of left sided heart failure? *DROWNING - ANSWER-Dyspnea, crackles,
orthopnea, weakness, nocturnal paroxysmal dyspnea, increased hr, nagging cough, gaining weight
What are the signs and symptoms of right sided heart failure? *SWELLING - ANSWER-swelling of legs and
hands, weight gain, edema (pitting), large neck (jvd), lethargy, irregular heart rate, nocturia, girth
(ascites); gi distress and ascites
How is heart failure diagnoses? - ANSWER-BNP, chest X-ray and echocardiogram
Nursing interventions for heart failure - ANSWER-Strict I/O, daily weight (report 2-3lb in week), diet
restrictions (low sodium, low fat, low cholesterol), elevate HOB (semi-fowlers)
What are the risk factors for left sided heart failure? - ANSWER-Hypertension, obesity, hx of mi,
substance abuse (cocaine), diabetes
What are the risk factors for right sided heart failure? - ANSWER-Left ventricular failure, right mi,
pulmonary hypertension, copd, acute respiratory distress
What is the treatment for heart failure? - ANSWER-Enalapril, Valsartan and furosemide/bumetanide
patient education for heart failure? *MAWDS - ANSWER-Meds, activity, weight (daily - 3 to 5lb a week),
diet (2-3g sodium), symptoms
What does a normal sinus rhythm include? - ANSWER-P, QRS, T
What is the measurement for a PR interval? - ANSWER-0.12 - 0.2
, What is the measurement for a QRS complex? - ANSWER-0.06 - 0.12
What is the measurement for a QT interval? - ANSWER-<0.40 seconds
A widened QRS complex could mean what? - ANSWER-PVCs, electrolyte imbalance and/or drug toxicity
Define sinus Brady - ANSWER-Regular sinus rhythm but at a rate lower than 60.
Define sinus tachy - ANSWER-Regular sinus rhythm but at a faster rate more than 100.
What are causes of sinus Brady? - ANSWER-Sleep, athletic, hypothyroidism, vagal stimulation,
medications (CCB, BB)
What is the treatment of sinus Brady? - ANSWER-Correct underlying cause, increase the hr to normal
What are causes of sinus tachy? - ANSWER-Blood loss, fever, exercise, dehydration, medications
(stimulants, illicit drugs, epi), heart failure, hyperthyroidism
What is the treatment of sinus tachy? - ANSWER-Identify underlying cause, decrease the hr to normal
Define ventricular tachycardia - ANSWER-Irregular waves; ventricles are quivering; no contraction or
cardiac output which can be fatal
Causes of v-tach - ANSWER-MI, electrolyte imbalance, dig toxicity, stimulants
Signs and symptoms of v-tach - ANSWER-Pt is awake, chest pain, lethargy, anxiety, syncope, palpitations
How to treat v-tach if patient has a pulse? - ANSWER-Oxygen, antidysrhythmics (amioderone stabilizes
hr)
