NUR 307 Exam 2
xg xg xg
Anginaxg-xgcorrectxganswer✔ ✔ painxgcausedxgbyxgmyocardialxgischemia
Angina:xgPathophysiologyxg-xgcorrectxganswer✔ ✔ -
Occursxgwhenxgmyocardialxgoxygenxgdemandsxgexceedsxgsupply
-Canxgbexgrecurrentxgorxgpresentxgasxginitialxgincidence
Angina:xgSubjectivexgDataxg-xgcorrectxganswer✔ ✔ -
Substernalxgpainxgorxgintensexgpressurexgradiatingxgtoxgthexgneck,xgjaws,xgandxgarms,xgartic
ulacyxgonxgthexgleft
-OftenxgaccompaniedxgbyxgSOB,xgfatigue,xgdiaphoresis,xgfaintness,xgandxgsyncope
Angina:xgObjectivexgdataxg-xgcorrectxganswer✔ ✔ -
Noxgdefinitivexgfindingsxgsuggestxgangina
-Tachycardia,xgTachypnea,xghypertension,xgand/orxgdiaphoresis
-
Ischemiaxgmayxgleadxgtoxgpresencexgofxgcracklesxgduexgtoxgpulmonaryxgedemaxgorxgreducti
onxgofxgS1xgintensityxgorxganxgS2
-
Comorbidities:xgCOPD,xgxanthelasma,xghypertension,xgPeripheralxgarteryxgdisease,xgabno
rmalxgpulsation'sxgonxgpalpationxgoverxgprecordium,xgmurmurs,xgorxgarrhythmias
,CongestivexgHeartxgFailure-LeftxgSidexg-xgcorrectxganswer✔ ✔ -
Heartxgfailsxgtoxgpropelxgbloodxgforwardxgwithxgitsxgusualxgforce,xgresultingxginxgcongestionxgi
nxgpulmonaryxgcirculation
CongestivexgHeartxgFailure-LeftxgSide:xgPathophysiologyxg-xgcorrectxganswer✔ ✔ -
Leftxgventricularxghypertrophy
-Cardiomyopathy
-Damagedxgaorticxgorxgmitralxgvalves
-Ischemicxgcardiomyopathy
-Toxicxgexposure,xgalcoholxgorxgcocaine
-Virusesxg(CoxsackiexgB)
-DiastolicxgCHF:xgadvancedxgglycationxgcross-
linkingxgcollagenxgandxgcreatingxgstiffxgventriclexgunablexgtoxgdilatexgactively
-
DiastolicxgCHF:xgOlderxgadultsxgwithxgdiabetesxgmellitusxgwhosexgtissuexgisxgexposedxgtoxgg
lucosexgforxgaxglongerxgperiodxgofxgtime
CongestivexgHeartxgFailure-LeftxgSide:xgSubjectivexg-xgcorrectxganswer✔ ✔ -Fatigue
-Difficultyxgbreathing;xgSOB
-Orthopnea
-Exercisexgintolerance
,CongestivexgHeartxgFailure-LeftxgSide:xgObjectivexg-xgcorrectxganswer✔ ✔ -
Suddenxgwithxgacutexgpulmonaryxgedemaxgorxggradualxgsymptomsxgonset
-Cracklesxgonxgpulmonaryxgexamination
-SystolicxgCHF:xgnarrowxgpulsexgpressure
-DiastolicxgCHF:xgWidexgpulsexgpressure
CongestivexgHeartxgFailure-RightxgSidexg-xgcorrectxganswer✔ ✔ -
Heartxgfailsxgtoxgpropelxgbloodxgforwardxgwithxgitxgusualxgforce,xgresultingxginxgcongestionxgin
systemicxgcirculation
xg
CongestivexgHeartxgFailure-RightxgSide:xgPathophysiologyxg-xgcorrectxganswer✔ ✔ -
DecreasedxgCardiacxgOutputxgcausesxgdecreasedxgBloodxgFlowxgtoxgthexgtissues
-SamexgasxgLeft-sidedxgCHF
CongestivexgHeartxgFailure-RightxgSide:xgSubjectivexg-xgcorrectxganswer✔ ✔ -
Peripheralxgedema,xgparticularlyxgatxgthexgthexgendxgofxgdayxgorxgafterxgprolongedxgsitting
-Weightxggain
CongestivexgHeartxgFailure-RightxgSide:xgObjectivexg-xgcorrectxganswer✔ ✔ -
PittingxgEdema
-Jugularxgveinxgdistension
-Ascites
-Hepatomegaly
, Myocardialxginfarctionxg-xgcorrectxganswer✔ ✔
Ischemicxgmyocardialxgnecrosisxgcausedxgbyxgabruptxgdecreasexginxgcoronaryxgbloodxgflo
wxgtoxgaxgsegmentxgofxgmyocardium
Myocardialxginfarction:xgPathophysiologyxg-xgcorrectxganswer✔ ✔ -
Mostxgcommonxgaffectsxgthexgleftxgventricle
-Resultsxgfromxgatherosclerosisxgofxgthexgcoronaryxgbloodxgvessels
-
Atheroscleroticxgplaquesxgrupture,xgandxgthrombosisxgforms,xgrapidlyxgcausingxgobstructio
nxgofxgbloodxgflow
Myocardialxginfarction:xgSubjectivexgDataxg-xgcorrectxganswer✔ ✔ -
Painxgthatxgradiatesxgtoxgthexgjaw,xgneck,xgandxgleftxgarm
-MildxgDiscomfort,xgespeciallyxginxgolderxgadultsxgandxgdiabetics
-Nausea
-Fatigue
-SOB
Myocardialxginfarction:xgObjectivexgDataxg-xgcorrectxganswer✔ ✔ -Dysrhythmiasxg
-S4xgpresent
-DistantxgHeartxgSounds
-Soft,xgsystolic,xgblowingxgapicalxgmurmur
xg xg xg
Anginaxg-xgcorrectxganswer✔ ✔ painxgcausedxgbyxgmyocardialxgischemia
Angina:xgPathophysiologyxg-xgcorrectxganswer✔ ✔ -
Occursxgwhenxgmyocardialxgoxygenxgdemandsxgexceedsxgsupply
-Canxgbexgrecurrentxgorxgpresentxgasxginitialxgincidence
Angina:xgSubjectivexgDataxg-xgcorrectxganswer✔ ✔ -
Substernalxgpainxgorxgintensexgpressurexgradiatingxgtoxgthexgneck,xgjaws,xgandxgarms,xgartic
ulacyxgonxgthexgleft
-OftenxgaccompaniedxgbyxgSOB,xgfatigue,xgdiaphoresis,xgfaintness,xgandxgsyncope
Angina:xgObjectivexgdataxg-xgcorrectxganswer✔ ✔ -
Noxgdefinitivexgfindingsxgsuggestxgangina
-Tachycardia,xgTachypnea,xghypertension,xgand/orxgdiaphoresis
-
Ischemiaxgmayxgleadxgtoxgpresencexgofxgcracklesxgduexgtoxgpulmonaryxgedemaxgorxgreducti
onxgofxgS1xgintensityxgorxganxgS2
-
Comorbidities:xgCOPD,xgxanthelasma,xghypertension,xgPeripheralxgarteryxgdisease,xgabno
rmalxgpulsation'sxgonxgpalpationxgoverxgprecordium,xgmurmurs,xgorxgarrhythmias
,CongestivexgHeartxgFailure-LeftxgSidexg-xgcorrectxganswer✔ ✔ -
Heartxgfailsxgtoxgpropelxgbloodxgforwardxgwithxgitsxgusualxgforce,xgresultingxginxgcongestionxgi
nxgpulmonaryxgcirculation
CongestivexgHeartxgFailure-LeftxgSide:xgPathophysiologyxg-xgcorrectxganswer✔ ✔ -
Leftxgventricularxghypertrophy
-Cardiomyopathy
-Damagedxgaorticxgorxgmitralxgvalves
-Ischemicxgcardiomyopathy
-Toxicxgexposure,xgalcoholxgorxgcocaine
-Virusesxg(CoxsackiexgB)
-DiastolicxgCHF:xgadvancedxgglycationxgcross-
linkingxgcollagenxgandxgcreatingxgstiffxgventriclexgunablexgtoxgdilatexgactively
-
DiastolicxgCHF:xgOlderxgadultsxgwithxgdiabetesxgmellitusxgwhosexgtissuexgisxgexposedxgtoxgg
lucosexgforxgaxglongerxgperiodxgofxgtime
CongestivexgHeartxgFailure-LeftxgSide:xgSubjectivexg-xgcorrectxganswer✔ ✔ -Fatigue
-Difficultyxgbreathing;xgSOB
-Orthopnea
-Exercisexgintolerance
,CongestivexgHeartxgFailure-LeftxgSide:xgObjectivexg-xgcorrectxganswer✔ ✔ -
Suddenxgwithxgacutexgpulmonaryxgedemaxgorxggradualxgsymptomsxgonset
-Cracklesxgonxgpulmonaryxgexamination
-SystolicxgCHF:xgnarrowxgpulsexgpressure
-DiastolicxgCHF:xgWidexgpulsexgpressure
CongestivexgHeartxgFailure-RightxgSidexg-xgcorrectxganswer✔ ✔ -
Heartxgfailsxgtoxgpropelxgbloodxgforwardxgwithxgitxgusualxgforce,xgresultingxginxgcongestionxgin
systemicxgcirculation
xg
CongestivexgHeartxgFailure-RightxgSide:xgPathophysiologyxg-xgcorrectxganswer✔ ✔ -
DecreasedxgCardiacxgOutputxgcausesxgdecreasedxgBloodxgFlowxgtoxgthexgtissues
-SamexgasxgLeft-sidedxgCHF
CongestivexgHeartxgFailure-RightxgSide:xgSubjectivexg-xgcorrectxganswer✔ ✔ -
Peripheralxgedema,xgparticularlyxgatxgthexgthexgendxgofxgdayxgorxgafterxgprolongedxgsitting
-Weightxggain
CongestivexgHeartxgFailure-RightxgSide:xgObjectivexg-xgcorrectxganswer✔ ✔ -
PittingxgEdema
-Jugularxgveinxgdistension
-Ascites
-Hepatomegaly
, Myocardialxginfarctionxg-xgcorrectxganswer✔ ✔
Ischemicxgmyocardialxgnecrosisxgcausedxgbyxgabruptxgdecreasexginxgcoronaryxgbloodxgflo
wxgtoxgaxgsegmentxgofxgmyocardium
Myocardialxginfarction:xgPathophysiologyxg-xgcorrectxganswer✔ ✔ -
Mostxgcommonxgaffectsxgthexgleftxgventricle
-Resultsxgfromxgatherosclerosisxgofxgthexgcoronaryxgbloodxgvessels
-
Atheroscleroticxgplaquesxgrupture,xgandxgthrombosisxgforms,xgrapidlyxgcausingxgobstructio
nxgofxgbloodxgflow
Myocardialxginfarction:xgSubjectivexgDataxg-xgcorrectxganswer✔ ✔ -
Painxgthatxgradiatesxgtoxgthexgjaw,xgneck,xgandxgleftxgarm
-MildxgDiscomfort,xgespeciallyxginxgolderxgadultsxgandxgdiabetics
-Nausea
-Fatigue
-SOB
Myocardialxginfarction:xgObjectivexgDataxg-xgcorrectxganswer✔ ✔ -Dysrhythmiasxg
-S4xgpresent
-DistantxgHeartxgSounds
-Soft,xgsystolic,xgblowingxgapicalxgmurmur