NUR 508 Exam 1 (2025) ACTUAL EXAM
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oxygen (sats >93%), 12-lead EKG (within 10 min),
chewable aspirin (162-325 mg), sublingual nitro,
Interventions performed
morphine (as needed if unresponsive to NTG, nitro
when a patient presents
drip after sublingual NTG has been used (titrate drip
to the ER with angina
to pain and BP, keep systolic BP >90, dosed
mcg/min)
an imbalance between the supply and demand of
What does chest pain
the myocardium (reduced perfusion to the heart) -
result from?
due to accumulation of lactic acid
ST elevation in >2 associated or contingent, later
ECG changes diagnostic
development of pathologic Q wave - sometimes
of a STEMI
might see inverted T wave or T wave changes
Cardiac biomarker that is Troponin most specific and sensitive (specifically
specific and sensitive to troponin-I, troponin-T), CK-MB also sensitive, but
myocardial cell death more useful when patient has reinfarction
Complication that can ventricular dysfunction from tissue infarction with
occur if death of subsequent necrosis (scar tissue does not contract
myocardial cells is well), systolic dysfunction is usually what we see
significant after MI
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, 4/5/25, 7:26 AM NUR 508 Exam 1 (2025) ACTUAL EXAM comprehensive questions and verified accurate solution (Detailed & Elaborated) |get it…
(manifestations of systolic heart failure) pulmonary
edema, pink frothy cough, crackles to auscultation,
physical findings of left
S3, pallor, cool extremities, low urine output - if we
ventricular dysfunction
suspect cardiogenic shock we see hypotension,
after MI
mental status changes, depressed level of
consciousness
common complication of dysrhythmias (ventricular, atrial and sinus node
MI dysfunction)
indications for TPA unable to get to cardiac cath lab within 90 min,
administration with MI outlying rural hospital, STEMI
nursing interventions monitor for significant signs and symptoms of
associated with TPA bleeding, ensure adequate IV access and avoid
administration invasive procedures during infusion
Complications of TPA bleeding, hemorrhage, more serious complications
administration such as retroperitoneal or intracranial
What would be seen with altered LOC (lethargy, hypotension, significant
serious complications of bruising throughout abdomen)
TPA administration?
monitor for excessive chest tube output or bleeding
and possible chest tube occlusion - concerns are
related to accumulation of blood in the chest cavity
Nursing interventions for
and surrounding pericardium which can lead to
the post-operative
cardiac tamponade - no specific numbers or values
patient after CABG with
for chest tube output - if pt has adequate output
chest tube drainage
one hour then none the next hour, you have a
problem - monitor color and consistency of
drainage
lab values of respiratory pH < 7.35, CO2 > 45,
acidosis
patient scenarios where COPD, drug overdose, advancing neuromuscular
we see respiratory condition (ALS, myasthenia gravis with
acidosis exacerbations)
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