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NUR 144 Final Exam Questions With Correct Answers

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NUR 144 Final Exam Questions With Correct Answers

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NUR 144 Final Exam Questions With
Correct Answer

Deoxygenated Blood - CORRECT ANSWER✔✔-Right atrium, through
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tricuspid valve to right ventricle, through pulmonary valve to the lungs
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Oxygenated Blood - CORRECT ANSWER✔✔-Through the pulmonary
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veins to the left atrium, through the mitral valve to the left ventricle,
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through the aortic valve to the aorta
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Starling's law of the heart - CORRECT ANSWER✔✔-the more the cardiac
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muscle is stretched, the stronger the contraction
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Diastole: Period of rest; Blood is returned to the heart by veins
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Systole: Period of contraction, or systole; Blood is pumped out of the
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heart


Heart-Lung or Pulmonary Circulation - CORRECT ANSWER✔✔--The right
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side of the heart sends blood to the lungs.
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-Carbon dioxide and some waste products are removed from the blood.
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-Oxygen is picked up by the red blood cells.
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,Systemic Circulation - CORRECT ANSWER✔✔-The left side of the heart
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sends oxygenated blood out to all of the cells in the body.
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Preload - CORRECT ANSWER✔✔-degree of stretch of the cardiac muscle
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fibers at the end of diastole
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-left ventricular end-volume
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Afterload - CORRECT ANSWER✔✔-the amount of resistance to ejection
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of blood from the ventricle
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coronary artery disease - CORRECT ANSWER✔✔-atherosclerosis of the
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coronary arteries that reduces the oxygen-rich blood supply to the heart
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muscle
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*high oxygen demand with very little oxygen supply
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atherosclerosis - CORRECT ANSWER✔✔-condition in which fatty | | | | | | |



deposits (plaque) build up on the inner walls of the arteries
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angina pectoris - CORRECT ANSWER✔✔-suffocation of the chest
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-when the supply of oxygen and nutrients in the blood is insufficient to
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meet the demands of the heart
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,chronic stable angina - CORRECT ANSWER✔✔-classic/effort angina
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unstable angina - CORRECT ANSWER✔✔-pre-infarction/crescendo
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(builds) angina |




vasospastic angina - CORRECT ANSWER✔✔-Prinzmetal or variant angina
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-caused by coronary artery spasms
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drugs for angina - CORRECT ANSWER✔✔--Nitrates/nitrites
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-Beta blockers
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-Calcium channel blockers
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Therapeutic objectives of angina therapy - CORRECT ANSWER✔✔--
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Minimize the frequency of attacks and decrease the duration and
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intensity of anginal pain
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-Improve the patient's functional capacity with as few adverse effects as
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possible
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-Prevent or delay the worst possible outcome: MI
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MOA of nitrates/nitrites - CORRECT ANSWER✔✔--Cause vasodilation -
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the relaxation of smooth muscles increases the supply of oxygen
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, -Potent dilating effect on coronary arteries
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-Result: oxygen to ischemic myocardial tissue, decreased workload of
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the heart
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-Used for prevention and treatment of angina
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-Increases blood flow to the myocardium
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nitrates/nitrites rapid-acting forms - CORRECT ANSWER✔✔--used to
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treat acute anginal attacks
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-sublingual tablets; IV infusion | | |




nitrates/nitrites long-acting forms - CORRECT ANSWER✔✔-Used to
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PREVENT anginal episodes | |




Nitroglycerin - CORRECT ANSWER✔✔--Prototypical nitrate
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-Large first-pass effect with oral forms
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-Used for symptomatic treatment of ischemic heart conditions (angina)
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-IV form used for BP control in perioperative hypertension, treatment of
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HF, ischemic pain, pulmonary edema associated with acute MI, and
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hypertensive emergencies |




Nitroglycerin adverse effects - CORRECT ANSWER✔✔-*SEVERE
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HYPOTENSION bc arteries open up quickly | | | | |




-headache: indicates the drug is beginning to work
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