NUR 425 Exam 3 UPDATED ACTUAL Questions and CORRECT Answers
Narrows blood vessels / damages arteries / creates clots / causes high blood
what does smoking do to the heart?
pressure / causes heart disease
What is the path of conduction in the SA (sinoatrial) node ➞ internal nodes of the atria ➞ AV (atrioventricular) node ➞
heart? bundle of HIS ➞ right and left bundle branches ➞ purkinje fibers ➞ ventricles
- look for bleeding and hematoma
- monitor for chest pain
What should we look out for after Cardiac
- assess for s/s of stroke (confusion, weakness, slurred speech)
Catheterization?
- monitor for perforated artery (peripheral pulses, color, temp)
- monitor for kidney impairment related to contrast dye
What patient education should we provide - maintain flat bedrest for 2-6 hours!!!
post cardiac catheterization? - drink fluids to help body remove contrast dye
- cardiac monitoring
what are some other nursing interventions - frequent vitals
to perform after cardiac catheterization? - maintain adequate hydration
- get blood work to assess renal function, h&h, and coagulation studies
- continuous monitoring
- chest xray
- pain management
what are some nursing interventions post
- avoid shoulder movement
pacemaker placement?
- monitor incision
- watch for hiccups
- provide patient with a safety identification card
- always carry device ID card
- keep arm below head for 1-2 weeks
what is some patient education for
- check pulse daily and report if its different from pacemaker rate
pacmakers?
- no contact sports or heavy lifting (avoid being hit at site)
- NO MAGNETS over pacemaker
, what are the s/s of a pacemaker dizziness, fatigue, weakness, chest pain, hiccups, palpitations, dyspnea, or weight
complication that the patient should report gain
to the provider?
What is an AICD? automatic implantable cardioverter-defibrillator
- feels like a large shock/being hit in the chest
what should patients expect from an - may loose consciousness before shock
AICD? - if someone is touching them during impulse, they may feel the shock but will be
unaffected
what is a PTCA (percutaneous transluminal moderate atherosclerosis in coronary vessels
coronary angioplasty) used for? blockage in 1 or 2 arteries
what should you educate the patient to chest pain! indicates that device has failed and the artery is being occluded
report immediately if they have a PTCA?
why?
Transcatheter Aortic Valve Replacement is a technique to replace the Aortic Valve
without stopping the heart. It carries risk of Vasuclar Complications and is reserved
What is a TAVR?
for those too sick for Open Heart Surgery.
It uses a Compressible Valve sort of like a stent.
anticoagulant therapy forever
redo surgery every 7-10 years
what patient education should you provide change diet and lifestyle
to someone receiving a TAVR? require prophylactic antibiotics before dental procedures
conserve energy
watch for s/s of valve disease and HF
Improves blood flow to heart. Healthy vessel from the body is connected to the
What is CABG? (Coronary Artery Bypass
blocked coronary artery, creating a new path for oxygenated blood to flow to the
Graft)
heart.
circulation
LOC
incision
what should the nurse monitor after a BP
CABG? pain
chest tube drain
i's&o's
electrolytes
smoking cessation
report signs of infection
avoid stress/ stress management techniques
what patient education should we provide
cardiac rehab
after a CABG?
sternal precautions (no hits to chest)
treat angina
lifestyle change
what is an important safety consideration ensure everyone is clear from the patient before pressing the SHOCK button to
for operating a defibrillator? avoid electrocuting someone else
Narrows blood vessels / damages arteries / creates clots / causes high blood
what does smoking do to the heart?
pressure / causes heart disease
What is the path of conduction in the SA (sinoatrial) node ➞ internal nodes of the atria ➞ AV (atrioventricular) node ➞
heart? bundle of HIS ➞ right and left bundle branches ➞ purkinje fibers ➞ ventricles
- look for bleeding and hematoma
- monitor for chest pain
What should we look out for after Cardiac
- assess for s/s of stroke (confusion, weakness, slurred speech)
Catheterization?
- monitor for perforated artery (peripheral pulses, color, temp)
- monitor for kidney impairment related to contrast dye
What patient education should we provide - maintain flat bedrest for 2-6 hours!!!
post cardiac catheterization? - drink fluids to help body remove contrast dye
- cardiac monitoring
what are some other nursing interventions - frequent vitals
to perform after cardiac catheterization? - maintain adequate hydration
- get blood work to assess renal function, h&h, and coagulation studies
- continuous monitoring
- chest xray
- pain management
what are some nursing interventions post
- avoid shoulder movement
pacemaker placement?
- monitor incision
- watch for hiccups
- provide patient with a safety identification card
- always carry device ID card
- keep arm below head for 1-2 weeks
what is some patient education for
- check pulse daily and report if its different from pacemaker rate
pacmakers?
- no contact sports or heavy lifting (avoid being hit at site)
- NO MAGNETS over pacemaker
, what are the s/s of a pacemaker dizziness, fatigue, weakness, chest pain, hiccups, palpitations, dyspnea, or weight
complication that the patient should report gain
to the provider?
What is an AICD? automatic implantable cardioverter-defibrillator
- feels like a large shock/being hit in the chest
what should patients expect from an - may loose consciousness before shock
AICD? - if someone is touching them during impulse, they may feel the shock but will be
unaffected
what is a PTCA (percutaneous transluminal moderate atherosclerosis in coronary vessels
coronary angioplasty) used for? blockage in 1 or 2 arteries
what should you educate the patient to chest pain! indicates that device has failed and the artery is being occluded
report immediately if they have a PTCA?
why?
Transcatheter Aortic Valve Replacement is a technique to replace the Aortic Valve
without stopping the heart. It carries risk of Vasuclar Complications and is reserved
What is a TAVR?
for those too sick for Open Heart Surgery.
It uses a Compressible Valve sort of like a stent.
anticoagulant therapy forever
redo surgery every 7-10 years
what patient education should you provide change diet and lifestyle
to someone receiving a TAVR? require prophylactic antibiotics before dental procedures
conserve energy
watch for s/s of valve disease and HF
Improves blood flow to heart. Healthy vessel from the body is connected to the
What is CABG? (Coronary Artery Bypass
blocked coronary artery, creating a new path for oxygenated blood to flow to the
Graft)
heart.
circulation
LOC
incision
what should the nurse monitor after a BP
CABG? pain
chest tube drain
i's&o's
electrolytes
smoking cessation
report signs of infection
avoid stress/ stress management techniques
what patient education should we provide
cardiac rehab
after a CABG?
sternal precautions (no hits to chest)
treat angina
lifestyle change
what is an important safety consideration ensure everyone is clear from the patient before pressing the SHOCK button to
for operating a defibrillator? avoid electrocuting someone else
