HONDROS NUR 212 EXAM 2 VERIFIED TEST
PAPER QUESTIONS AND SOLUTIONS
◉ Pt teaching before PTCA.
Answer: - Explain procedure: a balloon is inflated to reduce the
constriction in the artery
- Contrast is used, normally in femoral
- Pt is gonna feel a flush/warm everywhere when contrast is injected
- Pt should lay flat
- Pt will be sedated but awake
- Pt should sign Informed consent for PTCA and a future CABG
(Coronary Artery Bypass Grafting)
◉ S/S of left heart failure.
Answer: Lungs (Respiratory problems)
Dyspnea, paroxysmal nocturnal dyspnea, cough, frothy-blood-tinged
sputum, orthopnea, pulmonary crackles, radiographic evidence of
pulmonary vascular congestion with pleura effusion
◉ S/S of right heart failure.
Answer: Body (everything not related to lungs)
,Distended jugular veins, anorexia, nausea, abdominal distention,
liver enlargement, ascites (peritoneal edema), edema in feet, ankles,
sacrum
◉ Test for heart failure.
Answer: - CXR
- BNP (Brain Natriuretic Peptide)
◉ Cardiac rehabilitation orders.
Answer: - Low Na+ diet
- Lifestyle education (all that pt is doing wrong and have to correct)
- Use of medications (Metoprolol -Lopresol
- Exercise
◉ Non-pharmacological treatment for hypertension.
Answer: - Diet (low Na+, low fat, high K+, CA+, and Mg+) fruits and
vegetables
- Moderate aerobic exercises (walk 20 min/day/3 times/wk
◉ High Blood Pressure.
Answer: >140/90, is called the silent killer because it doesn't show
symptoms until is tissue damage
,◉ S/S of high blood pressure.
Answer: - Blurred vision
- Unexplained nose bleeding
◉ S/S of MI for males.
Answer: - Heavy severe chest pain, usually radiates to left arm, neck,
jaw
◉ S/S of MI for females.
Answer: Like indigestion symptoms, SOB, weakness
◉ Treatment for pt with MI symptoms.
Answer: No matter the symptoms pt gets a heart monitor and
receives MONA
◉ MONA.
Answer: Morphine
O2
Nitrates
Aspirin
◉ Diagnostics test for angina.
, Answer: Stress test (climbing stairs, treadmill)
ECG
EKG
◉ Diagnostic tests for MI.
Answer: Serum cardiac markers (CK-MB, myoglobin) MUGA, echo
gram, myocardial imaging, CXR
◉ Diet plan for CRF.
Answer: No salt substitutes (Na+), no banana or potato (K+), high
calories from Carbs and polyunsaturated fat, restriction on high Na+
and K+
◉ DVT.
Answer: Deep Vein Thrombosis
◉ S/S of DVT.
Answer: Swelling
Pain
Warm
Redness
PAPER QUESTIONS AND SOLUTIONS
◉ Pt teaching before PTCA.
Answer: - Explain procedure: a balloon is inflated to reduce the
constriction in the artery
- Contrast is used, normally in femoral
- Pt is gonna feel a flush/warm everywhere when contrast is injected
- Pt should lay flat
- Pt will be sedated but awake
- Pt should sign Informed consent for PTCA and a future CABG
(Coronary Artery Bypass Grafting)
◉ S/S of left heart failure.
Answer: Lungs (Respiratory problems)
Dyspnea, paroxysmal nocturnal dyspnea, cough, frothy-blood-tinged
sputum, orthopnea, pulmonary crackles, radiographic evidence of
pulmonary vascular congestion with pleura effusion
◉ S/S of right heart failure.
Answer: Body (everything not related to lungs)
,Distended jugular veins, anorexia, nausea, abdominal distention,
liver enlargement, ascites (peritoneal edema), edema in feet, ankles,
sacrum
◉ Test for heart failure.
Answer: - CXR
- BNP (Brain Natriuretic Peptide)
◉ Cardiac rehabilitation orders.
Answer: - Low Na+ diet
- Lifestyle education (all that pt is doing wrong and have to correct)
- Use of medications (Metoprolol -Lopresol
- Exercise
◉ Non-pharmacological treatment for hypertension.
Answer: - Diet (low Na+, low fat, high K+, CA+, and Mg+) fruits and
vegetables
- Moderate aerobic exercises (walk 20 min/day/3 times/wk
◉ High Blood Pressure.
Answer: >140/90, is called the silent killer because it doesn't show
symptoms until is tissue damage
,◉ S/S of high blood pressure.
Answer: - Blurred vision
- Unexplained nose bleeding
◉ S/S of MI for males.
Answer: - Heavy severe chest pain, usually radiates to left arm, neck,
jaw
◉ S/S of MI for females.
Answer: Like indigestion symptoms, SOB, weakness
◉ Treatment for pt with MI symptoms.
Answer: No matter the symptoms pt gets a heart monitor and
receives MONA
◉ MONA.
Answer: Morphine
O2
Nitrates
Aspirin
◉ Diagnostics test for angina.
, Answer: Stress test (climbing stairs, treadmill)
ECG
EKG
◉ Diagnostic tests for MI.
Answer: Serum cardiac markers (CK-MB, myoglobin) MUGA, echo
gram, myocardial imaging, CXR
◉ Diet plan for CRF.
Answer: No salt substitutes (Na+), no banana or potato (K+), high
calories from Carbs and polyunsaturated fat, restriction on high Na+
and K+
◉ DVT.
Answer: Deep Vein Thrombosis
◉ S/S of DVT.
Answer: Swelling
Pain
Warm
Redness
