N241 Final Exam Questions With
Accurate Answers
What are the 11 s/s of left-sided heart failure? - ANSWER -Weakness
-Hypotension
-Decreased perfusion
-Fatigue
-Dizziness
-Confusion
-Pulmonary cogestion
-SOB
-Crackles/rhonchi
-Oliguria
-Organ failure
What are the six s/s of right sided heart failure? - ANSWER -Distended neck
veins
-Hepatomegaly
-Hepato-jugular reflux
-Ascites
-Dependent edema
-Weight changes (clear marker of HF)
How long must a patient be NPO for a cardiac Cath? - ANSWER For at least 8
hours unless it is emergent
What labs should be reviewed prior to cardiac cauterization - ANSWER -
BUN/Cru
-PT/INR, PTT, H&H, platelets
-Electrolytes *K and Mg*
What allergies should be look for in a patient prior to their cardiac Cath
procedure - ANSWER Allergies to shellfish, iodine and dye used during
procedure
, What is one assessment that must be done prior to cardiac Cath? - ANSWER
Peripheral pulse evaluation of wrist and foot
Are routine medications normally given to patient prior to cardiac Cath? -
ANSWER Yes
With the exception of diabetes medications, but if patient does need coverage,
we will administer 1/2 the needed coverage
What are some medications typically given to patient before a cardiac Cath? -
ANSWER -Anticoagulations
-DM meds (1/2 cov.)
-IV fluids (NSS)
Acetylcysteine
-Corlopam (rare)
-Clopidegrel
-ASA
-Medications for sedation
What are seven things you should include when giving report on your patient
prior to them going to the Cath lab? - ANSWER -Accurate height and weight
-PErtinent PMH
-IV drips, meds with times given
-Most recent vitals
-PERTINENT labs
-Allergies
-Consent form verified
What are 3 things we should educate our patient on that they may experience
during cardiac catheterization? - ANSWER -Burning/pain at sight
-Flushing/warm feeling when dye is being injected
-Possible chest pain/discomfort
What may the doctor ask the patient undergoing a cardiac Cath to do? Why? -
ANSWER -Cough
-To expel the dye from the coronary arteries
How often should vitals be assess for a patient post cardiac Cath? - ANSWER -
Q15 x4
-Q30 x4
-Q1 x4
-Q4 or per policy
When assessing vital signs on a pt post cardiac Cath, what are five things to also
assess with each VS assessment? - ANSWER -Distal pulses
-Cap refill
Accurate Answers
What are the 11 s/s of left-sided heart failure? - ANSWER -Weakness
-Hypotension
-Decreased perfusion
-Fatigue
-Dizziness
-Confusion
-Pulmonary cogestion
-SOB
-Crackles/rhonchi
-Oliguria
-Organ failure
What are the six s/s of right sided heart failure? - ANSWER -Distended neck
veins
-Hepatomegaly
-Hepato-jugular reflux
-Ascites
-Dependent edema
-Weight changes (clear marker of HF)
How long must a patient be NPO for a cardiac Cath? - ANSWER For at least 8
hours unless it is emergent
What labs should be reviewed prior to cardiac cauterization - ANSWER -
BUN/Cru
-PT/INR, PTT, H&H, platelets
-Electrolytes *K and Mg*
What allergies should be look for in a patient prior to their cardiac Cath
procedure - ANSWER Allergies to shellfish, iodine and dye used during
procedure
, What is one assessment that must be done prior to cardiac Cath? - ANSWER
Peripheral pulse evaluation of wrist and foot
Are routine medications normally given to patient prior to cardiac Cath? -
ANSWER Yes
With the exception of diabetes medications, but if patient does need coverage,
we will administer 1/2 the needed coverage
What are some medications typically given to patient before a cardiac Cath? -
ANSWER -Anticoagulations
-DM meds (1/2 cov.)
-IV fluids (NSS)
Acetylcysteine
-Corlopam (rare)
-Clopidegrel
-ASA
-Medications for sedation
What are seven things you should include when giving report on your patient
prior to them going to the Cath lab? - ANSWER -Accurate height and weight
-PErtinent PMH
-IV drips, meds with times given
-Most recent vitals
-PERTINENT labs
-Allergies
-Consent form verified
What are 3 things we should educate our patient on that they may experience
during cardiac catheterization? - ANSWER -Burning/pain at sight
-Flushing/warm feeling when dye is being injected
-Possible chest pain/discomfort
What may the doctor ask the patient undergoing a cardiac Cath to do? Why? -
ANSWER -Cough
-To expel the dye from the coronary arteries
How often should vitals be assess for a patient post cardiac Cath? - ANSWER -
Q15 x4
-Q30 x4
-Q1 x4
-Q4 or per policy
When assessing vital signs on a pt post cardiac Cath, what are five things to also
assess with each VS assessment? - ANSWER -Distal pulses
-Cap refill
