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PN3, EXAM 2 QUESTIONS WITH VERIFIED ANSWERS. A+ GRADE 2025/2026.

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PN3, EXAM 2 QUESTIONS WITH VERIFIED ANSWERS. A+ GRADE 2025/2026.

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PN3, EXAM 2 QUESTIONS WITH
VERIFIED ANSWERS. A+ GRADE
2025/2026.




Homan's sign - ANS To assess DVT. Client forcefully dorsiflexes the foot. If pain is present,
may indicate positive result. Warm, tender, reddened, hardened area of calf indicates
thrombophlebitis


Most dangerous heart arrhythmia - ANS Ventricular tachycardia. Occurrence of 3 or more
consecutive PVC's. May go as high as 140-240BPM. Low BP, weak/absent pulses, body
weakness, possible unconsciousness. Treat immediately, otherwise possible v-fib


Fluid in pericardial space - ANS Some is normal as lubricant to help pump effectively. If
excess fluid, it is called pericardial effusion. S1 and S2 will be muffled & hard to hear bc of the
fluid


DVT complications - ANS Can lead to fatal PE. Treatments include anticoagulants.
Preventative measures are ambulation, leg exercises, antiembolism stockings or compression
devices


Discharge teaching for thrombophlebitis - ANS Anticoagulant such as coumadin. Drink 2-3
quarts of h2o daily, no crossed legs, elevate legs while sitting, avoid sitting or standing long
periods, wear support, shift weight back and forth for circulation. Notify PCP asap if assumed
DVT or PE




1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED

, Bradycardia - ANS HR 60 or lower. Causes include myocardial ischemia, electrolyte
imbalances, vagal stim, beta blockers, drug toxicity, intracranial tumors, sleep, vomiting.
Treatments: atropine. May require pacemaker. Athletes usually not treated.


Tachycardia - ANS 100-150BPM. Causes are stress, fever, meds, pain, anemia, pericarditis,
CHF, caffeine, tobacco. Treatments to stop: meds, heart shock. Treatments to prevent: catheter
ablation, meds, pacemaker, defibrillator, surgery


Complications of A-Fib - ANS 350-600BPM. Symptoms may be palpitations, dyspnea,
dizziness, angina, syncope. Blood pools in atria bc not contracting properly.


Foods to avoid with an atrial dysrhythmia - ANS fat, caffeine.


treatment of v-fib - ANS oxygen. amiodarone aka cordarone given thru IV. Lidocaine
hydrochloride, mag sulfate. Can also be cardioverted if peripheral pulses are present or defib if
peripheral pulses are absent


Landmarks of defibrillation - ANS The delivery of unsynchronized high energy electircal shock
during an emergency situation such as MI or pulseless VT


Placement of defib pads - ANS right of sternum below clavical at apex of heart. Lubed with
gel, done by cardiac doc or nurse. everyone should stand clear to prevent shock


PTT - ANS partial thromboplastin time. serum test that IDs abnormalities in clotting pathway.
Normal time is 60-70 sec clot time. If >100, higher clot risk. If taking heparin, do PTT test 30-60
mins before dose


cardiac complications from rheumatic fever - ANS carditis. valve between two left chambers
aka mitral valve but other valve may be affected. Valve stenosis, regurgitation, damage to
muscle, a-fib, heart failure.


Treatment for hemophilia who has pain in joints - ANS frequent blood transfusions


2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED

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