RCIS CCI Exam 3 Question & Answer Solved 100%

if a pt is experiencing hyperkalemia, which of the following might be seen on the 12 lead ekg - Answera sharply pointed T wave this is generated by the last phase or the depolarization - AnswerT wave ____ is upright in leads I, II, V3-V6 - AnswerT wave the T wave is inverted in which lead - AnsweraVR which of the following might NOT be considered a side effect of cardizem - Answerjoint pain ____ is considered a calcium channel blocker - AnswerCardizem what are some of the side effects of cardizem - Answerasthenia (muscle weakness) ankle edema dizziness flushing which of the following would be considered classifications of aortic dissections according to DeBakey - AnswerType 1 (just above the AO valve and is most common) Type II (just above the AO valve but stop in the ascending AO not progressing into the AO arch) Type III (begins past the AO arch and distal to the L subclavian art) what is the great vessel that carries deoxygenated blood from the lower extremities back into the R atrium - AnswerIVC which of the following might be considered a typical loading dose for clopidrogrel (plavix) - Answer150mg-600mg what kind of drug is clopidrogrel (plavix) - AnswerADP inhibitor what is the daily dose for clopidrogrel (plavix) - Answer75mg which of the following devices uses a diamond dust-tipped burr that spins at 150,000-200,000 rpm within the art to pulverize the calcified plaque - Answerrotablator rotational atherectomy device this device selectively ablates the nonelastic diseased tissue and the normal healthy tissue is pushed out of the way and not touched - Answerrotablator during a cardiac cath which of the following is not done by the monitor - Answerperforms a direct assessment of the pt who would perform the direct assessment of the pt - Answercirculating nurse the primary objective of the ___ is to monitor the pts vital signs, enter hemodynamic data, pt demographic information, and documents all pertinent data from the procedure into the database - Answermonitor if the cardiac cath procedure is being performed on a newborn infant, which of the vessels would be considered the typical one used - Answerumbilical using this vessel for a cath on a newborn infant allows for easy access to the arterial and the venous circulation of the pt - Answerumbilical equipment that might be used in the pediatric cardiac cath lab could include all of the following EXCEPT - Answerbladder scanner what are some of the equipment that might be used in the pediatric cardiac cath lab - Answerresuscitation equipment defibrillator ECG transcutaneous O2 sat monitor BP monitor emergency meds an atherosclerotic lesion can be made of which of the following - Answerfibrotic tissue fatty lipid pools calcium deposits (all the above) then mnemonic FFR stands for which of the following - Answerfractional flow reserve what does IVUS stand for - AnswerIntravascular ultrasouns this provides a way to assess the vascular remodeling and atherosclerotic progression in a pt. it is considered an invaluable tool for the assessment of angiographic lesions in the symptomatic pt - AnswerIVUS all but which of the following might be included with a R heart cath - Answerthe pts brain activity when a R sided heart cath is performed it works to - Answermeasure the pressures in the heart visualize the cardiac structures visualize the pulmonary structures the volcano therapeutics phased array IVUS cath would have how many electronic elements that are mounted circumferentially near the distal tip of the catheter - Answer64 when performing a LV gram, which of the following is typically performed prior in order to establish the presence/absence of the worst-case disease scenario - Answercoronary angiogram what would be used to confirm the placement of the intra-aortic balloon pump that is inserted at the bedside - Answerportable chest xray when performing this, there should be at least 2 staff members present in addition to the physician. one staff member will assist the physician while the other connects the device, initiates, and monitors the pt - Answerplacing an IABP at bedside the most common congenital cardiac abnormality would be considered - Answeratrial septal defect (ASD) what is considered the most effective treatment for ASD - Answersurgical closure when the pt is transferred to the CCL for a PCI, which of the following would not typically need to be assessed - Answermedication history when the pt arrives in the CCL, they should be assessed for - Answerbaseline ECG O2 sat lab values BP if a pt is in need of temporary pacing, which would be considered the ideal choice for treatment of the emergency pt - Answerexternal transcutaneous pacing this type of pacer works by delivering a timed electrical impulse to the chest wall of the pt by the use of pacing electrode patches - Answerexternal transcutaneous pacer clinical evaluation for a mitral stenosis would include all of the following except - Answerliver enzymes clinical evaluation for mitral stenosis would include - Answermedical history in depth physical assessment transesophageal assessment (TEE) 2D echo with doppler study chest radiography if the pt has a temporary pacemaker in place, which of the following would not be considered correct - Answerif the temporary pacing is prolonged, the transesophageal method should be considered the V wave in the PCWP would indicated which of the following - Answerthe rise in the pressure that is brought on by the filling of the L atrium with oxygenated blood from the lungs this represents the contraction of the L atrium when you are looking at a PCWP tracing - AnswerA wave this shows the relaxation of the atrium when you are looking at a PCWP tracing - Answerx descent which of the following might be considered a cardinal symptom of mitral regurg - Answerorthopnea paroxysmal nocturnal dyspnea pulmonary congestion exertional dyspnea pulmonary edema (all the above) if the temp pacer is failing to pace due to output, all of the following interventions would be considered correct except - Answerdisconnect the pacer and hope the pt does well if the temp pacer is failing to pace due to output what are some of the interventions that might take place - Answer1. prepare for transcutaneous pacing 2. check the battery, power, and connections 3. prepare to administer chronotropic meds 4. increase the output to max (20mA atrial and 25mA ventricular) 5. consider switching to an asynchronous mode in the attempt to prevent oversensing 6. prepare to do CPR