SLCC Nurs 1200 final review UPDATED
ACTUAL Questions and CORRECT
Answers
Left sided HF - CORRECT ANSWER - Patho: left myocardial damage from MI, HTN
S/s: pulmonary congestion, SOB, cough w/blood, activity intolerance
Diagnostics: BNP, chest X-ray
Treatment: digoxin, diuretics, heart transplant
Nursing considerations: monitor k+, BP, monitor for digoxin toxicity, assess lung sounds
Right sided HF - CORRECT ANSWER - Patho: caused my L sided, venous distinction
S/s: peripheral edema
Diagnostics: bnp, chest X-ray
Treatment: diuretics, lasix
Nursing considerations: monitor k+
DVT - CORRECT ANSWER - Patho: clot caused by smoking and immobility
S/s: red, warm, painful
Diagnostics: d-dimer, leg US, CRP & ESR, CTA scan for soft tissue
Treatment: heparin, anticoagulants
Nursing: check for allergies for CT scan, check kidney functioned PTT PT/INR
Venous insufficiency - CORRECT ANSWER - Lead to a DVT
Patho: smoking and immobility increase risk, blood not circulating
S/s: treat underlying conditions, venous stasis ulcers(ulcers don't heal)
Diagnostics: ultrasound
Nursing: rest, feet elevated, monitor skin
, HTN - CORRECT ANSWER - Patho: high BP
S/s: headaches, high BP
Treatments: captopril (ace inhibitors)
Nursing: education, why is it important to treat it
CAD - CORRECT ANSWER - Patho: plaque formation from high cholesterol (LDL)
S/s: generally none, activity intolerance
Diagnostics: lipid panel greater than 200
*HDL lowers LDL
Treatment: surgery, lifestyle changes
Nursing: kidney failure, monitor for clots , MI
MI - CORRECT ANSWER - Patho: ischemia of heart
S:s: chest pain
Diagnostic: elevated troponin, EKG
Treatment: cath lab, open up artery
Nursing: bruising and bleeding after cath, monitor site for 6 Ps, lay flat
stable vs unstable angina - CORRECT ANSWER - Stable: pain goes away with nitro
Unstable: pain does not go away and very close to having a heart attack
Potassium imbalances - CORRECT ANSWER - Patho: Aces may increase it, ARBs can
lead to hyper kale is
S/s: peaked T wave, hyper: muscles tetanus spasms hypo: muscle cramps
Diagnostics: electrolyte panels
Treatment: for hypokalemia give potassium
Nursing: monitor heart function
ACTUAL Questions and CORRECT
Answers
Left sided HF - CORRECT ANSWER - Patho: left myocardial damage from MI, HTN
S/s: pulmonary congestion, SOB, cough w/blood, activity intolerance
Diagnostics: BNP, chest X-ray
Treatment: digoxin, diuretics, heart transplant
Nursing considerations: monitor k+, BP, monitor for digoxin toxicity, assess lung sounds
Right sided HF - CORRECT ANSWER - Patho: caused my L sided, venous distinction
S/s: peripheral edema
Diagnostics: bnp, chest X-ray
Treatment: diuretics, lasix
Nursing considerations: monitor k+
DVT - CORRECT ANSWER - Patho: clot caused by smoking and immobility
S/s: red, warm, painful
Diagnostics: d-dimer, leg US, CRP & ESR, CTA scan for soft tissue
Treatment: heparin, anticoagulants
Nursing: check for allergies for CT scan, check kidney functioned PTT PT/INR
Venous insufficiency - CORRECT ANSWER - Lead to a DVT
Patho: smoking and immobility increase risk, blood not circulating
S/s: treat underlying conditions, venous stasis ulcers(ulcers don't heal)
Diagnostics: ultrasound
Nursing: rest, feet elevated, monitor skin
, HTN - CORRECT ANSWER - Patho: high BP
S/s: headaches, high BP
Treatments: captopril (ace inhibitors)
Nursing: education, why is it important to treat it
CAD - CORRECT ANSWER - Patho: plaque formation from high cholesterol (LDL)
S/s: generally none, activity intolerance
Diagnostics: lipid panel greater than 200
*HDL lowers LDL
Treatment: surgery, lifestyle changes
Nursing: kidney failure, monitor for clots , MI
MI - CORRECT ANSWER - Patho: ischemia of heart
S:s: chest pain
Diagnostic: elevated troponin, EKG
Treatment: cath lab, open up artery
Nursing: bruising and bleeding after cath, monitor site for 6 Ps, lay flat
stable vs unstable angina - CORRECT ANSWER - Stable: pain goes away with nitro
Unstable: pain does not go away and very close to having a heart attack
Potassium imbalances - CORRECT ANSWER - Patho: Aces may increase it, ARBs can
lead to hyper kale is
S/s: peaked T wave, hyper: muscles tetanus spasms hypo: muscle cramps
Diagnostics: electrolyte panels
Treatment: for hypokalemia give potassium
Nursing: monitor heart function
