(Exam 2 NR 545) QUESTIONS
WITH VERIFIED ANSWERS RATED A+
LATEST UPDATE!!PASSED!!
ChestmPainmAKAmAnginamPathom-
mCORRECTmANSWERSmPatho:mChestmpainmassociatedmwithmdecreasedmbloodmflowmormischemiamtom
themmyocardialmtissue.
ChestmpainmPAm-mCORRECTmANSWERSmPhysicalmAssessment:mchestmheaviness
Pressure
Squeezing
Fullness
Painmradiatesmtomleftmshoulder,marm,mormjaw.
Elevationmofmbloodmpressuremduringmattack
ChestmpainmPharmm-mCORRECTmANSWERSmPharm:mNitroglycerin-
mrelaxesmandmwidensmbloodmvessels
Dosing:m0.3-0.6mgmeverym5mminutesmformmaxmofm3mdoses
Long-termmtreatmentmtomconsider:mACEmInhibitorsm&mBeta-Blockers
Chestmpainmrisksm-mCORRECTmANSWERSmRisksmandmcomplications:mAcutemCoronarymSyndrome
MyocardialmInfarctionm-mCORRECTmANSWERSmbloodmflowmtomthemheartmismminimized.
Buildupmofmcholesterol
MImPathom-mCORRECTmANSWERSmimbalancembetweenmmyocardialmoxygenmsupplymandmdemand
Prolongedmformgreatermthanm30mminutesmcanmleadmtomcardiacmtissuemdeath.
,MImPAm-mCORRECTmANSWERSmPainmatmrest
Notmrelievedmwithmnitro
Lightheaded
Impendingmdoom
Nausea
Diaphoresis
Wheezing
MImDxm-
mCORRECTmANSWERSmTroponinsmelevated,moftenmstaymelevatedmformonemweekmafterminfarction.
EKG-mSTmelevationmormnewmleftmbundlembranchmblock
Atherosclerosism-
mCORRECTmANSWERSmwhenmbloodmvesselsmthatmcarrymoxygenmtomorgansmandmtissuesmismrestricted
.
Hardeningmofmvesselsmfrommbuildupmofmfats,mcholesterolminmthemarterymwalls
Happensmgradually.
Formedmplaquemcanmbreakmoffmandmburst,mtriggeringmambloodmclot.
Atherosclerosismpathom-
mCORRECTmANSWERSminflammatorymprocessmthatmbeginsmwithmdamagemtomthemendotheliummofte
nmresultmofmHTN,msmoking,mhighmcholesterol,mormothermriskmfactors.
Fattymstreakmtomfibrousmplaquemandmthenmcomplicatedmlesion
AtherosclerosismPAm-mCORRECTmANSWERSmmodifiablemriskmfactors
Fluidmretention
, Fatigue
Neckmveinmdistension
Edema
Calfmpain
AtherosclerosismDxm-mCORRECTmANSWERSmDx:mStressmtests
ChestmXray
EKG
Ankle-BrachialmIndexmtomassessmbloodmpressureminmthemextremities.
AtherosclerosismPharmm-mCORRECTmANSWERSmPharm:mAntiplateletsm(Aspirin)
Statins-mreduceminflammation.
ACEmInhibitor-mrelaxmbloodmpressuremandmreducemworkmandmpressuremonmheart.
Canmbemtreatedmwithmlifestylemmanagement.
HeartmFailurem-
mCORRECTmANSWERSmcomplexmclinicalmsyndromemthatmresultsmfrommstructuralmormfunctionalmimp
airmentmofmventricularmormejectionmofmblood,mwhichminmturnmleadsmtomthemcardinalmclinicalmsympt
omsmofmdyspneamandmfatigue,medema,mandmrales.
HeartmFailuremPAm-mCORRECTmANSWERSmPre-
existingmconditionsmsuchmasmdiabetes,mlivermfailure,mrenalmdisease,manemia.
Dyspneamonmexertion,morthopnea,mparoxysmalmnocturnalmdyspneam(PND),mnocturnalmangina,mChe
yne-Stokesmrespirationsm(askmfamiliesmormcaretaker)
Fatigue,mlethargy,mdecreasedmfunctionalmcapacityPatientmtakesmmedicationsmasmdirected,mobservi
ng,mandmadheringmtomdietarymrequirements.
Alcoholmormtobaccomuse
HistorymofmrheumaticmheartmdiseasemormChaga'smdisease
WITH VERIFIED ANSWERS RATED A+
LATEST UPDATE!!PASSED!!
ChestmPainmAKAmAnginamPathom-
mCORRECTmANSWERSmPatho:mChestmpainmassociatedmwithmdecreasedmbloodmflowmormischemiamtom
themmyocardialmtissue.
ChestmpainmPAm-mCORRECTmANSWERSmPhysicalmAssessment:mchestmheaviness
Pressure
Squeezing
Fullness
Painmradiatesmtomleftmshoulder,marm,mormjaw.
Elevationmofmbloodmpressuremduringmattack
ChestmpainmPharmm-mCORRECTmANSWERSmPharm:mNitroglycerin-
mrelaxesmandmwidensmbloodmvessels
Dosing:m0.3-0.6mgmeverym5mminutesmformmaxmofm3mdoses
Long-termmtreatmentmtomconsider:mACEmInhibitorsm&mBeta-Blockers
Chestmpainmrisksm-mCORRECTmANSWERSmRisksmandmcomplications:mAcutemCoronarymSyndrome
MyocardialmInfarctionm-mCORRECTmANSWERSmbloodmflowmtomthemheartmismminimized.
Buildupmofmcholesterol
MImPathom-mCORRECTmANSWERSmimbalancembetweenmmyocardialmoxygenmsupplymandmdemand
Prolongedmformgreatermthanm30mminutesmcanmleadmtomcardiacmtissuemdeath.
,MImPAm-mCORRECTmANSWERSmPainmatmrest
Notmrelievedmwithmnitro
Lightheaded
Impendingmdoom
Nausea
Diaphoresis
Wheezing
MImDxm-
mCORRECTmANSWERSmTroponinsmelevated,moftenmstaymelevatedmformonemweekmafterminfarction.
EKG-mSTmelevationmormnewmleftmbundlembranchmblock
Atherosclerosism-
mCORRECTmANSWERSmwhenmbloodmvesselsmthatmcarrymoxygenmtomorgansmandmtissuesmismrestricted
.
Hardeningmofmvesselsmfrommbuildupmofmfats,mcholesterolminmthemarterymwalls
Happensmgradually.
Formedmplaquemcanmbreakmoffmandmburst,mtriggeringmambloodmclot.
Atherosclerosismpathom-
mCORRECTmANSWERSminflammatorymprocessmthatmbeginsmwithmdamagemtomthemendotheliummofte
nmresultmofmHTN,msmoking,mhighmcholesterol,mormothermriskmfactors.
Fattymstreakmtomfibrousmplaquemandmthenmcomplicatedmlesion
AtherosclerosismPAm-mCORRECTmANSWERSmmodifiablemriskmfactors
Fluidmretention
, Fatigue
Neckmveinmdistension
Edema
Calfmpain
AtherosclerosismDxm-mCORRECTmANSWERSmDx:mStressmtests
ChestmXray
EKG
Ankle-BrachialmIndexmtomassessmbloodmpressureminmthemextremities.
AtherosclerosismPharmm-mCORRECTmANSWERSmPharm:mAntiplateletsm(Aspirin)
Statins-mreduceminflammation.
ACEmInhibitor-mrelaxmbloodmpressuremandmreducemworkmandmpressuremonmheart.
Canmbemtreatedmwithmlifestylemmanagement.
HeartmFailurem-
mCORRECTmANSWERSmcomplexmclinicalmsyndromemthatmresultsmfrommstructuralmormfunctionalmimp
airmentmofmventricularmormejectionmofmblood,mwhichminmturnmleadsmtomthemcardinalmclinicalmsympt
omsmofmdyspneamandmfatigue,medema,mandmrales.
HeartmFailuremPAm-mCORRECTmANSWERSmPre-
existingmconditionsmsuchmasmdiabetes,mlivermfailure,mrenalmdisease,manemia.
Dyspneamonmexertion,morthopnea,mparoxysmalmnocturnalmdyspneam(PND),mnocturnalmangina,mChe
yne-Stokesmrespirationsm(askmfamiliesmormcaretaker)
Fatigue,mlethargy,mdecreasedmfunctionalmcapacityPatientmtakesmmedicationsmasmdirected,mobservi
ng,mandmadheringmtomdietarymrequirements.
Alcoholmormtobaccomuse
HistorymofmrheumaticmheartmdiseasemormChaga'smdisease