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Exam (elaborations)

NURS 642 Exam 2 Complete Questions With Correct Answers | Excellent Scores

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NURS 642 Exam 2 Complete Questions With Correct Answers | Excellent Scores

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NURS 642 Exam 2 Complete Questions
With Correct Answers | Excellent Scores



cardiomyopathy - Correct-answer-heart muscle structural or functional disorder




Acquired causes of cardiomyopathy include: - Correct-answer-infectious
myocarditis, chemotherapy, chronic alcohol use, cocaine, nutritional deficiencies,
endocrine disorders (DM, hypothyroid), pregnancy (late or post-partum),
tachyarrhythmias (a-fib), obesity




Subjective exam on cardiomyopathy - Correct-answer-will focus on symptoms of
cardiac dysfunction and heart failure




subjective exam findings with cardiomyopathy - Correct-answer-DOE, reduced
exercise intolerance, worsening dyspnea at rest, orthopnea, LE edema, ascities

Arrhythmias-palpitations, syncope, presyncope

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physical exam of cardiomyopathy - Correct-answer-in earlier disease, may not be
helpful




physical exam findings with cardiomyopathy - Correct-answer-Signs of heart
failure (left or biventricular)

LE edema, ascities, hepatomegaly, basilar crackles, JVD, displaced PMI, mitral
valve regurgitation (murmur @ apex), possible tricuspid valve regurgitation, S3
and S4, cardiomegaly, hypotension, weak pulses, possible Cheyne-stokes
respirations




Testing for dilated cardiomyopathy - Correct-answer-ECHO- helps assess the
structure/function and other causes of dysfunctions, also used to monitor disease
progression. Evaluates other exclusions such as valve disease




ECHO findings for dilated cardiomyopathy - Correct-answer-enlarged ventricular
dimensions, reduced EF (found with worsening disease), MR/TR, LV dysfunction




Further testing for dilated cardiomyopathy - Correct-answer-ECG, CXR, labs, MRI
may assist diagnosis, exercise testing helps identify functional limitations and
severity of disease

cardiac cath only for CAD, need for cardiac biopsy, or pre-transplant

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