NURS 341 Exam 2 – Questions With Right Solutions
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Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
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Terms in this set (144)
What ECG finding distinguishes atrial A-fib has an absence of normal P waves and an irregular
fibrillation from a normal sinus rhythm? ventricular response
Why are patients with AF at risk for embolus Blood pools in the atria due to ineffective atrial contraction,
formation? increasing the risk of clot formation
What is the first nursing action for a patient If alert, try vagal maneuver, start IV, give adenosine and flush;
presenting with SVT and hypotension? if unstable, prepare for synchronized cardioversion; meds:
beta-blockers, amiodarone, calcium channel blockers,
adenosine
How do premature ventricular complexes PVCs originate in ventricles with wide, bizarre QRS without P
(PVCs) differ from PACs? waves; PACs originate in atria with early P waves and regular
QRS
Which rhythm requires immediate Ventricular fibrillation
defibrillation: VT or VF?
What is the difference between primary and Primary: most common, damages organs, from obesity,
secondary hypertension? smoking, stress, etc.; Secondary: caused by another disease
like kidney disease, Cushing's, pregnancy, sleep apnea
Which four systems regulate blood Arterial baroreceptor system, body fluid volume, RAAS,
pressure? vascular autoregulation
What symptoms might a patient in Morning headaches, blurred vision, dyspnea, uremia, elevated
hypertensive crisis report? BP ≥180/120
Why is adherence to antihypertensive Side effects; patients feel fine and stop taking meds
medication often difficult?
Which patient should the nurse see first: a 53-year-old, because treatment isn't working
30-year-old with preeclampsia BP 120/68, or
a 53-year-old on diuretics with BP 160/80?
What is the difference between Arteriosclerosis: thickening/hardening of artery walls with
arteriosclerosis and atherosclerosis? age; Atherosclerosis: plaque buildup inside arteries
Which physical exam findings are associated Redness when dependent, pallor when elevated, hair loss, dry
with PAD? scaly skin, thick nails, sores that won't heal
, Name the 6 Ps of arterial insufficiency. Pain, pallor, pulselessness, paresthesia, paralysis,
poikilothermia
Why should a femoral aneurysm not be It could rupture
palpated?
What are three nonsurgical interventions for Anticoagulation therapy, compression therapy, and activity
venous thromboembolism? management
What are the classic symptoms of left-sided Decreased CO, activity intolerance, pulmonary congestion,
HF? cough, orthopnea, cyanosis
What are the classic symptoms of right- Peripheral congestion, JVD, ascites, edema, weight gain, GI
sided HF? distress
Why is daily weight the most reliable Early detection of fluid changes before visible edema
indicator of fluid status?
What does BNP indicate in HF patients? Elevated BNP supports HF diagnosis; higher BNP = more
severe
What is the primary teaching for patients on NSAIDs can worsen HF symptoms
NSAIDs with HF?
Which compensatory mechanism RAAS activation causing sodium/water retention and edema
contributes to fluid retention in HF?
Which valve disease is most often linked to Mitral stenosis
rheumatic fever?
What murmur is associated with mitral valve Mitral regurgitation
prolapse?
At what valve surface area is urgent surgery Valve area ≤1 cm²
indicated for aortic stenosis?
Which valve disorder is most often Aortic regurgitation
asymptomatic for years?
What diagnostic tests confirm valve Echocardiography, chest X-ray, ECG, CBC for infection
disease?
What are three hallmark findings of infective Fever, murmur, evidence of emboli (petechiae, Osler nodes,
endocarditis? Janeway lesions, Roth spots)
What is the emergency complication of Acute cardiac tamponade
pericarditis?
What classic sound is heard on auscultation Pericardial friction rub
with pericarditis?
Which organism most commonly causes Group A beta-hemolytic Streptococci
rheumatic carditis?
Why is antibiotic prophylaxis important in To prevent recurrence of infection
patients with endocarditis history?
Save
Students also studied
Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
jesssbee Preview kenanderson2017 Preview Brittany182
Terms in this set (144)
What ECG finding distinguishes atrial A-fib has an absence of normal P waves and an irregular
fibrillation from a normal sinus rhythm? ventricular response
Why are patients with AF at risk for embolus Blood pools in the atria due to ineffective atrial contraction,
formation? increasing the risk of clot formation
What is the first nursing action for a patient If alert, try vagal maneuver, start IV, give adenosine and flush;
presenting with SVT and hypotension? if unstable, prepare for synchronized cardioversion; meds:
beta-blockers, amiodarone, calcium channel blockers,
adenosine
How do premature ventricular complexes PVCs originate in ventricles with wide, bizarre QRS without P
(PVCs) differ from PACs? waves; PACs originate in atria with early P waves and regular
QRS
Which rhythm requires immediate Ventricular fibrillation
defibrillation: VT or VF?
What is the difference between primary and Primary: most common, damages organs, from obesity,
secondary hypertension? smoking, stress, etc.; Secondary: caused by another disease
like kidney disease, Cushing's, pregnancy, sleep apnea
Which four systems regulate blood Arterial baroreceptor system, body fluid volume, RAAS,
pressure? vascular autoregulation
What symptoms might a patient in Morning headaches, blurred vision, dyspnea, uremia, elevated
hypertensive crisis report? BP ≥180/120
Why is adherence to antihypertensive Side effects; patients feel fine and stop taking meds
medication often difficult?
Which patient should the nurse see first: a 53-year-old, because treatment isn't working
30-year-old with preeclampsia BP 120/68, or
a 53-year-old on diuretics with BP 160/80?
What is the difference between Arteriosclerosis: thickening/hardening of artery walls with
arteriosclerosis and atherosclerosis? age; Atherosclerosis: plaque buildup inside arteries
Which physical exam findings are associated Redness when dependent, pallor when elevated, hair loss, dry
with PAD? scaly skin, thick nails, sores that won't heal
, Name the 6 Ps of arterial insufficiency. Pain, pallor, pulselessness, paresthesia, paralysis,
poikilothermia
Why should a femoral aneurysm not be It could rupture
palpated?
What are three nonsurgical interventions for Anticoagulation therapy, compression therapy, and activity
venous thromboembolism? management
What are the classic symptoms of left-sided Decreased CO, activity intolerance, pulmonary congestion,
HF? cough, orthopnea, cyanosis
What are the classic symptoms of right- Peripheral congestion, JVD, ascites, edema, weight gain, GI
sided HF? distress
Why is daily weight the most reliable Early detection of fluid changes before visible edema
indicator of fluid status?
What does BNP indicate in HF patients? Elevated BNP supports HF diagnosis; higher BNP = more
severe
What is the primary teaching for patients on NSAIDs can worsen HF symptoms
NSAIDs with HF?
Which compensatory mechanism RAAS activation causing sodium/water retention and edema
contributes to fluid retention in HF?
Which valve disease is most often linked to Mitral stenosis
rheumatic fever?
What murmur is associated with mitral valve Mitral regurgitation
prolapse?
At what valve surface area is urgent surgery Valve area ≤1 cm²
indicated for aortic stenosis?
Which valve disorder is most often Aortic regurgitation
asymptomatic for years?
What diagnostic tests confirm valve Echocardiography, chest X-ray, ECG, CBC for infection
disease?
What are three hallmark findings of infective Fever, murmur, evidence of emboli (petechiae, Osler nodes,
endocarditis? Janeway lesions, Roth spots)
What is the emergency complication of Acute cardiac tamponade
pericarditis?
What classic sound is heard on auscultation Pericardial friction rub
with pericarditis?
Which organism most commonly causes Group A beta-hemolytic Streptococci
rheumatic carditis?
Why is antibiotic prophylaxis important in To prevent recurrence of infection
patients with endocarditis history?
