RCIS CCI Practice Exam 6 Graded A+

all of the following would be considered pt lab tests that are typically ordered prior to the pt having a cardiac cath - AnswerCBC coagulopathy blood chemistry possibly a type and cross-match the first line medications used for conscious sedation would include - Answermidazolam demerol morphine fentanyl all of the might be used for teaching the pt about their cath except - Answerallowing them to view another pt having a cath although IV access is considered the second lifeline for the pt, which of the following statements would be considered the most correct regarding the IV access - AnswerIV access allows the administration of emergency meds to counteract such conditions as vagal or allergic reactions all but which of the might be considered a major complication of a cardiac cath - Answerjoint pain when a pt is admitted to the hospital in anticipation of having a cardiac cath procedure, when should the nursing staff start their education - Answerwhen the pt is admitted if the pt needs to be intubated, the mallampati class 4 pt would be considered which of the following levels of difficulty - Answermore difficult what are some of the factors that might be associated with a class 4 mallampati - Answerdysmorphic jaw short neck mouth or jaw abnormalities advanced rheumatoid arthritis history of sleep apnea, stridor, or snoring when a pt is scheduled for a cardiac cath, they must sign an informed consent prior to the procedure being performed. which of the following people would be considered the person that usually obtains the consent - Answeroperator/ physician performing the procedure because of the fact that sedative agents tend to impair the pts airway reflexes putting them at risk for aspiration, how long prior to the procedure should the pt be kept NPO for solid and non clear liquids - Answerat least 8 hrs if the cardiac cath pt is allergic to fish and taking NPH insulin, which of the following meds should they not be given during the cardiac cath procedure - Answerprotamine the pt is administered ____ to reverse the systemic heparinization after a cardiac cath - Answerprotamine a permanent/temp pacemaker might be needed for which of the following conditions - Answer1. previously demonstrated high-dose conduction block 2. prophylactic use for rotational atherectomy and thrombectomy 3. symptomatic bradycardia 4. a pre-existing LBBB with an anticipated R sided heart study 5. transluminal septal artery ablation in pts with hypertrophic obstructive cardiomyopathy 6. with a rapid ventricular pacing occurring during an aortic balloon valvuloplasty 7. a MI with a trifasicular block the adverse reactions for aspirin would include all of the following - Answertinnitus bleeding hepatotoxicity GI distress ulcers nausea/vomiting bronchospasms the cardiac cath lab staff is doing a procedure when the pts EKG rhythm goes flatline. which of the following should be considered the first thing they should do - Answercheck the pt immediately major complications from a cardiac cath could include - Answerrespiratory arrest cardiogenic shock congestive heart failure cardiac arrest Vtach Vfib MI death contrast reaction CVA which of these medications should not impact the risks of a cardiac cath - Answeracetaminophen which medications might impact the risks of a cardiac cath - AnswerNSAIDs furosemide metformin warfarin insulin (especially long acting) Ace inhibs ARBs sildentafil/vardenafil/tadalafil while assessing a male adult emergency room pt the nurse finds their respiratory rate is 8 breaths per min and shallow. which of the following statements would be considered correct for their respiratory status - Answerthe respiratory rate is too slow what is the normal respiratory rate for an adult pt - Answer12-20 breaths per min of the following, which effects of radiation would be governed by biologic damage that affects the bodys chromosomes causing an alteration in their genetic code - Answergenetic effect _____ will move an electron from the atomic structure - Answerbiologic effect ____ will result in biologic damage during the lifetime of the pt - Answerdeterministic effect ___ will be when the laws of probability rather than absolute value would govern - Answerstochastic of the following, which would be considered a cardiac anomaly - Answercoarctation of the aorta what are some of the cardiac anomalies - Answer1. transposition of the great vessels 2. persistent trunctus arteriosus 3. tricuspid atresia 4. total anomalous pulm venous return 5. congenital aortic stenosis 6. coarctation of the AO 7. patent ductus arteriosus 8. patent foramen ovale 9. ventricular septal defect 10. atrial septal defect 11. metrology of fallot which of the following would be considered a careless practice that could increase the risk for staffs exposure during a cardiac cath - Answer1. not returning used needles to the needle container or counter on the back table 2. not handling guide wires and catheters correctly 3. squirting vigorously into the back table waste bowl from a syringe causing splashing 4. the tossing of bloody guaze across the table into a waste bin the normal range for CO would be considered which of the following - Answer4-6 L/min which of the following would be considered the best description for hypoxemia - Answeran insufficient concentration of dissolved O2 in arterial blood ____ is when a persons body is deprived of an adequate O2 supply - Answerhypoxia the chest pain that a pt experiences that is secondary to cardiac ischemia would be considered which of the following - Answerangina ____ occurs bc of a mismatch between the myocardial O2 demand and the supply; if the demand of O2 is greater than the supply bc of atherosclerosis it can cause this - Answerangina post procedural interventions for a cardiac cath should include all of the following except - Answerthe pt should be up walking the halls after 30 mins post procedure which of the following works to completely enclose the heart and also helps anchor and protect it; helps to keep the heart from over distending - Answerpericardium ____ is the inner layer of the heart wall - Answerendocardium ____ is the middle layer of the heart wall - Answermyocardium of the following X-ray sources, which would have an arm on one end and a camera on the other end - AnswerC arm this is an X-ray machine on a movable frame with an X-ray source - AnswerC arm