ECCO Cardiovascular Part 3 correctly answered 2023
A postmenopausal woman undergoing significant tension at work and home is admitted with chest pain and dyspnea. Troponin is negative. ECG reveals changes in leads V3 and V4. Administration of which should the nurse expect? - correct answer Metoprolol (Lopressor)
A patient has reduced cardiac output, an EF of 33%, and an increased LV end-diastolic volume. Which of these could be a nonischemic cause of the patient's impaired contractility? - correct answer Peripartum cardiomyopathy/ Congenital cardiac defect/ myocardial infection
A nurse observes HR 112, RR 28, and weak pulse in a patient just admitted for stress-
induced cardiomyopathy. In addition to supplemental oxygen, what interventions should the nurse anticipate? - correct answer Beta blocker or calcium channel blocker/ ACE-I or ARB/ Aspirin and other anticoagulants
Which best describes the pathophysiology of restrictive cardiomyopathy? - correct answer Impaired filling
For a patient with mitral stenosis, what interventions should the nurse anticipate to manage the patient's atrial fibrillation? - correct answer Warfarin/ Cathether or surgical ablation for persistent atrial fibrillation/ cardioversion with or without antidysrhythmic medication
Assessment reveals a patient's decreased CO/CI, increased SVR/SVRI, and increased PA and PAOP. What evaluations will distinguish the patient's heart failure as diastolic? -
correct answer Normal EF
A patient with systolic heart failure is being treated. Which reflects the patient is responding to therapy? - correct answer Normalizations of BP
In a patient with mitral stenosis, increased HR and shorter diastole ultimately result in what? - correct answer X pulm, pulm, decreased
X pulm edema, decreased CO
X decreased CO, pulm HTN
X RV failure, dec CO, pulm HTN Which statement best describes the pathophysiology of aortic regurgitation? - correct answer There is a backflow of blood to the LV
A patient with systolic heart failure receiving carvedilol (Coreg) requires additional afterload reduction. What treatment options should the nurse anticipate? - correct answer hydralazine/ nitroprusside
A patient with diastolic heart failure receiving an ACE-I, metoprolol (Lopressor), and moderate diuretic therapy, for which of these should the nurse contact the provider? - correct answer SpO2 88%/ elevated HR/ new onset atrial fibrillation
Which set of parameters should the nurse expect in a patient with aortic stenosis who is
starting to decompensate? - correct answer B - (3.0 CO/ 45 SV/ decreased UO/ 108 HR)
Evidence of which hemodynamic processes should the nurse anticipate in a patient with
systolic heart failure? - correct answer X decreased cardiac output, elevated pulmonary
artery
YES - decreased CO, elevated pulm artery, elevated system
A patient with chronic LV failure is admitted with JVD and a new S3. What best describes...? - correct answer A decrease in LV filling and CO
A nurse assessing a patient finds JVD, pedal edema, and hepatic tenderness. Which finding on auscultation should the nurse anticipate? - correct answer S3 at the mid right
sternal border and clear lungs
What assessment findings, in addition to dyspnea and fatigue, should the nurse anticipate in a patient with systolic heart failure? - correct answer edema and ascites/ BNP greater than 100 pg/ml
A patient with a history of rheumatic fever develops dever dyspnea....which should the nurse anticipate? - correct answer Nitroprusside
A patient with symptomatic mitral stenosis is admitted. Which signs/symptoms should the nurse anticipate? - correct answer JVD and pulm edema
Which set of parameters should the nurse anticipate in a patient with dilated cardiomyopathy? - correct answer C (3.0(L) CO, 112 HR, 1,600(H) SVR)
A patient with exertional chest pain, dyspnea, and syncope is admitted. ECHO shows enlarged basal portion of the septum. Which should the nurse avoid? - correct answer Nitroglycerin (Tridil)
A postmenopausal woman undergoing significant tension at work and home is admitted with chest pain and dyspnea. Troponin is negative. ECG reveals changes in leads V3 and V4. Administration of which should the nurse expect? - correct answer Metoprolol (Lopressor)
A patient has reduced cardiac output, an EF of 33%, and an increased LV end-diastolic volume. Which of these could be a nonischemic cause of the patient's impaired contractility? - correct answer Peripartum cardiomyopathy/ Congenital cardiac defect/ myocardial infection
A nurse observes HR 112, RR 28, and weak pulse in a patient just admitted for stress-
induced cardiomyopathy. In addition to supplemental oxygen, what interventions should the nurse anticipate? - correct answer Beta blocker or calcium channel blocker/ ACE-I or ARB/ Aspirin and other anticoagulants
Which best describes the pathophysiology of restrictive cardiomyopathy? - correct answer Impaired filling
For a patient with mitral stenosis, what interventions should the nurse anticipate to manage the patient's atrial fibrillation? - correct answer Warfarin/ Cathether or surgical ablation for persistent atrial fibrillation/ cardioversion with or without antidysrhythmic medication
Assessment reveals a patient's decreased CO/CI, increased SVR/SVRI, and increased PA and PAOP. What evaluations will distinguish the patient's heart failure as diastolic? -
correct answer Normal EF
A patient with systolic heart failure is being treated. Which reflects the patient is responding to therapy? - correct answer Normalizations of BP
In a patient with mitral stenosis, increased HR and shorter diastole ultimately result in what? - correct answer X pulm, pulm, decreased
X pulm edema, decreased CO
X decreased CO, pulm HTN
X RV failure, dec CO, pulm HTN Which statement best describes the pathophysiology of aortic regurgitation? - correct answer There is a backflow of blood to the LV
A patient with systolic heart failure receiving carvedilol (Coreg) requires additional afterload reduction. What treatment options should the nurse anticipate? - correct answer hydralazine/ nitroprusside
A patient with diastolic heart failure receiving an ACE-I, metoprolol (Lopressor), and moderate diuretic therapy, for which of these should the nurse contact the provider? - correct answer SpO2 88%/ elevated HR/ new onset atrial fibrillation
Which set of parameters should the nurse expect in a patient with aortic stenosis who is
starting to decompensate? - correct answer B - (3.0 CO/ 45 SV/ decreased UO/ 108 HR)
Evidence of which hemodynamic processes should the nurse anticipate in a patient with
systolic heart failure? - correct answer X decreased cardiac output, elevated pulmonary
artery
YES - decreased CO, elevated pulm artery, elevated system
A patient with chronic LV failure is admitted with JVD and a new S3. What best describes...? - correct answer A decrease in LV filling and CO
A nurse assessing a patient finds JVD, pedal edema, and hepatic tenderness. Which finding on auscultation should the nurse anticipate? - correct answer S3 at the mid right
sternal border and clear lungs
What assessment findings, in addition to dyspnea and fatigue, should the nurse anticipate in a patient with systolic heart failure? - correct answer edema and ascites/ BNP greater than 100 pg/ml
A patient with a history of rheumatic fever develops dever dyspnea....which should the nurse anticipate? - correct answer Nitroprusside
A patient with symptomatic mitral stenosis is admitted. Which signs/symptoms should the nurse anticipate? - correct answer JVD and pulm edema
Which set of parameters should the nurse anticipate in a patient with dilated cardiomyopathy? - correct answer C (3.0(L) CO, 112 HR, 1,600(H) SVR)
A patient with exertional chest pain, dyspnea, and syncope is admitted. ECHO shows enlarged basal portion of the septum. Which should the nurse avoid? - correct answer Nitroglycerin (Tridil)
