NUR 114/115 Exam 4: M:6 Questions With
Complete Solutions
1st degree heart block Correct Answers
*prolonged PR interval
- If R is far from P, then you have a 1st degree
2nd degree heart block: type 1 Correct Answers -
wenkebach
-longer, longer, longer drop then you have a
wenkebach
2nd degree heart block: type 2 Correct Answers -P
wave with no QRS following
-If some Ps don't get through then you have a
Mobitz 2
3rd degree heart block Correct Answers -when the
atrium & the ventricles are beating independently
-no QRS, but atria contract
*fatal
-rate slow/far apart/wide
A fib Correct Answers -most common irregular
rhythm
-No definitive P wave: atria just quivering
-Blood sits in atria and can form clot
-most dangerous time for pt in a fib is when they
get a NSR back (if clot, will be "shot" to brain
resulting in CVA/stroke)
,-cardioversion
A flutter Correct Answers -similar to a fib
-rate is extremely fast
-rhythm is regular
-2nd most common
-has F (flutter) wave; resembles P wave; called saw
tooth pattern
-cardioversion
Activity intolerance w/ HF pt Correct Answers -Bes
rest
-avoid extreme temps
-conserve energy
-positioning (How many pillows are you using?)
-more pillows sits the pt up to breathe better
Acute Lymphocytic Leukemia Correct Answers -
most common in children
-Prognosis is good in children.
Acute Myeloid Leukemia Correct Answers -most
common nonlymphocytic leukemia
-advances rapidly
Aneurysm precautions Correct Answers -non
stimulating environment
-absolute bed rest, HOB 30 degrees
-avoid all activity that may increase ICP (no
straining)
, -stool softener, laxatives
-dim lights, no reading, no tv, no radio
-visitors restricted
*pt needs to rest
Angina Correct Answers -chest pain
-caused by myocardial ischemia
-described as tightness, choking, or a heavy
sensation
-anxiety: not getting enough O2 will cause anxiety
to increase
-pain usually subsides with rest and NTG
-unstable if increase in frequency and severity and
not relieved by rest and NTG: medical attention
Aplastic anemia Correct Answers -damage to
marrow stem cells
-idiopathic
-viral infections and pregnancy may be triggers
-meds, radiation, and chemicals are suspected
causes
-complications could be: infection, petechiae (bl
under the skin), purpura (rash of purple spots),
cervical lymphadenopathy, splenomegaly, retinal
hemorrhage
-typical signs of anemia: fatigue, pallor, and
dyspnea
-Dx: bone marrow aspirate
-death usually from infection
Complete Solutions
1st degree heart block Correct Answers
*prolonged PR interval
- If R is far from P, then you have a 1st degree
2nd degree heart block: type 1 Correct Answers -
wenkebach
-longer, longer, longer drop then you have a
wenkebach
2nd degree heart block: type 2 Correct Answers -P
wave with no QRS following
-If some Ps don't get through then you have a
Mobitz 2
3rd degree heart block Correct Answers -when the
atrium & the ventricles are beating independently
-no QRS, but atria contract
*fatal
-rate slow/far apart/wide
A fib Correct Answers -most common irregular
rhythm
-No definitive P wave: atria just quivering
-Blood sits in atria and can form clot
-most dangerous time for pt in a fib is when they
get a NSR back (if clot, will be "shot" to brain
resulting in CVA/stroke)
,-cardioversion
A flutter Correct Answers -similar to a fib
-rate is extremely fast
-rhythm is regular
-2nd most common
-has F (flutter) wave; resembles P wave; called saw
tooth pattern
-cardioversion
Activity intolerance w/ HF pt Correct Answers -Bes
rest
-avoid extreme temps
-conserve energy
-positioning (How many pillows are you using?)
-more pillows sits the pt up to breathe better
Acute Lymphocytic Leukemia Correct Answers -
most common in children
-Prognosis is good in children.
Acute Myeloid Leukemia Correct Answers -most
common nonlymphocytic leukemia
-advances rapidly
Aneurysm precautions Correct Answers -non
stimulating environment
-absolute bed rest, HOB 30 degrees
-avoid all activity that may increase ICP (no
straining)
, -stool softener, laxatives
-dim lights, no reading, no tv, no radio
-visitors restricted
*pt needs to rest
Angina Correct Answers -chest pain
-caused by myocardial ischemia
-described as tightness, choking, or a heavy
sensation
-anxiety: not getting enough O2 will cause anxiety
to increase
-pain usually subsides with rest and NTG
-unstable if increase in frequency and severity and
not relieved by rest and NTG: medical attention
Aplastic anemia Correct Answers -damage to
marrow stem cells
-idiopathic
-viral infections and pregnancy may be triggers
-meds, radiation, and chemicals are suspected
causes
-complications could be: infection, petechiae (bl
under the skin), purpura (rash of purple spots),
cervical lymphadenopathy, splenomegaly, retinal
hemorrhage
-typical signs of anemia: fatigue, pallor, and
dyspnea
-Dx: bone marrow aspirate
-death usually from infection
