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Exam (elaborations)

NSG 223 Exam 1 | Medical-Surgical Nursing II Exam 1 | Questions and Answers Rated A+ | 2025/2026 Guide | Herzing

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NSG 223 Exam 1 | Medical-Surgical Nursing II Exam 1 | Questions and Answers Rated A+ | 2025/2026 Guide | Herzing NSG 223 Exam 1 | Medical-Surgical Nursing II Exam 1 | Questions and Answers Rated A+ | 2025/2026 Guide | Herzing NSG 223 Exam 1 | Medical-Surgical Nursing II Exam 1 | Questions and Answers Rated A+ | 2025/2026 Guide | Herzing

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Uploaded on
March 24, 2025
Number of pages
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Written in
2024/2025
Type
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Questions & answers

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NSG 223 Exam 1 | Medical-Surgical
Nursing II Exam 1 | Questions and
Answers Rated A+ | 2025/2026 Guide |
Herzing

Exercise stress test and Pharmacologic stress test Contraindications?
- Correct Answer - - Acute MI within 48 hours
- Unstable angina
- Uncontrolled dysrhythmias w/hemodynamic compromise
- aortic stenosis
- myocarditis and pericarditis
- HF


Pharmacologic Stress test and Exercise Stress Test Preparation
- Correct Answer - - Avoid smoking and coffee including decaf
- Avoid Meds
- Avoid Theophylline (Stimulant)
- NPO 4 hours
- clothes and rubber sole shoes


Pharmacologic Stress test:
- Correct Answer - - used on cognitively impaired, cant follow directions,
disabled


Transesophageal Echocardiography First-line diagnostic tool for
evaluating:

,- Correct Answer - - HF
-Valvular heart disease
- Dysrthmias




Potassium channel blockers action
- Correct Answer - Has vasodilating effects, decreases HR and the
contractility of the left ventricle


Potassium channel blockers Treats
- Correct Answer - - recurrent Vtach or Vfib
- maintains NSR after A-Fib and A-Flutter conversion


Potassium channel blockers complications
- Correct Answer –
- Hepatoxic- monitor labs
- Thyroid disfunction
- Respiratory complications- baseline pulmonary function test required
- Corneal deposits
- Photosensitivity


Atropine Overdose S/S
- Correct Answer - - decreased secretions
- Increase HR
- decrease GI and GU tone


Antidote for Overdose on atropine?
- Correct Answer - - Physostigmine- IV slow 1 mg/min

,Atropine Adverse Effects:
- Correct Answer - - Changes in HR
- Bowel sounds- Paralytic ileus
- Photophobia, mydriasis, blurred vision, and increased ICP
- Dry mouth and Increased Temp


Atropine Education
- Correct Answer - - Avoid High temps
- Drink water frequently
- Good dental hygiene
- Hard candy for dry mouth
- Void before mediation
- Visit ophthalmologist regularly


Ezetimibe (Zetia) Action
- Correct Answer - Acts in the small intestine to inhibit the absorption of
cholesterol and decrease the delivery of intestinal cholesterol to the liver


Ezetimibe (Zetia) Education
- Correct Answer - - Peak effect 4 to 12 hours
- Take at same time each day at night if used with combination with
statin
- May be given at the same time as statin
- Either 2 hours before of 4 hours after bile sequestrants to prevent
altered absorption


Dilated Cardiomyopathy Pathophysiology
- Correct Answer - Enlarged ventricles are to weak to pump enough
blood to your body for your usual daily activities

, - The ventricles have elevated systolic and diastolic volumes but a
decreased ejection fraction.
- Leads to HF- left side or right side


Restrictive Cardiomyopathy Pathophysiology
- Correct Answer - Is a disease of your heart muscle that causes the
ventricles to become stiff or weak, when they are stiff or weak your heart
does not fill with enough blood


Hypertrophic Cardiomyopathy Pathophysiology
- Correct Answer - Causes heart muscles to become large causing walls
of ventricles to become thick and stiff. Reduces the size of the
ventricular cavities and cause ventricles to take a longer time to relax
after systole


Manifestations: Dilated or Restrictive:
- Correct Answer - Is first diagnosed when the patients presents signs
and symptoms of heart failure
- Cough with exertion
- Peripheral edema
- Poor perfusion of GI system
- Syncope with exertion
- Severe heart failure


Cardiomyopathy Best indicator for diagnosing
- Correct Answer - ECHO


Cardiomyopathy : Pharmacological mgt

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