ECCO: Caring for Patients with Cardiovascular Disorders Part 1 Latest 2023 Graded A

ECCO: Caring for Patients with Cardiovascular Disorders Part 1 Latest 2023 Graded A A patient awaiting transfer to the catheterization lab for OCI reports...mild nausea with diaphoresis. Admin of which single agent... Plavix Which of these on a 12-lead ECG tracing indicates ischemia or infarction? NOT - QRS wide, ST elevation NOT - All BUT Q waves that are 1mm wide A patient with an acute inferior wall MI presents with vital signs of BP 90/60, HR 84, RR 22, clear breath sounds, and Sp)2 95%....which of the following? Fluid bolus What information about chest discomfort should a nurse seek from a patient to identify ACS? Where is the discomfort and where does it radiate? Did the discomfort start slowly or suddenly? How long did it last? The provider has ordered an echocardiogram to evaluate a patient's abnormal heart sounds. What are other indications for assessment by echocardiogram? All BUT persistent cough What criteria indicate it is appropriate to use fibrinolytics in a patient with acute MI? Symptom onset within the previous 12 hours, STEMI After a stress test, a patient with ACS is fatigued with prolonged dyspnea. The provider orders cardiac cath. What info to you expect...? All BUT perfusion A patient reports fainting and feeling persistent fatigue over the past month. Which heart sounds likely indicate the patient's cardiovascular status is normal? S1, S2 Administration of which of the following should the nurse anticipate for the patient? for a patient with non-STEMI ... morphine 2mg IV is indicated What action should a nurse perform when a post-PCI patient bleeds from a radial artery site when the inflatable compression device is removed? Apply inflatable compression device After a cardiac arrest, a patient's circulation returned, but the patient has not regained consciousness. Assessment findings include BP 92/50 (64, HR 102, and RR 12. ECG reveals non-STEMI...nurse anticipate? Targeted temperature management (TTM) A patient is admitted following an episode of chest pain. ECG revealed STEMI. Presence of which of the following....edema? Orthopnea and anxiety What are the main reasons nitroglycerin (NTG) is given to a patient with ACS? To reduce preload and dilate coronary arteries A patient is admitted with ACS and unstable angina. To assess myocardial ischemia in the patient, what test should the nurse anticipate? Stress echo Morphine is used to relieve pain and anxiety. What other functions does morphine perform in a patient with ACS? Decreases preload and may decrease afterload A patient with unstable angina is admitted and will undergo myocardial perfusion imaging. Which of the following will indicate abnormal test results? Poor uptake of isotope What abnormal findings can be revealed by a stress test? NOT - ECG changes, chest pain, no increase in HR NOT - ECG changes, chest pain, no decrease in O2 sats NOT - All BUT change in BP Post-PCI, a patient ready for discharge tells the nurse she will call her doctor for any chest pain. What other statements demonstrate that the patient understnad postprocedure symptoms and care? "I'll call my provider for leg or foot numbness, or worsening site pain." "I'll watch the site for bleeding or signs on infection." "I'll limit what I lift for a week." From which of the following should thenurse suspect a patient developed a right ventricular MI? A patient with a history of: ST elevation in leads II and III Which ECG leads provide information about the functioning of the right coronary artery (RCA)? II, III, and aVF Which should the nurse include when educating a patient on reducing the risk of ACS? All BUT avoid A patient reports substernal chest pain. Which of the following ECG changes should suggest to the nurse that the patient had a posterior wall MI? ST depression A patient's chest pain is currently reported at 7 out of 10. The patient is diaphoretic and reports mild nausea. The nurse should anticipate administration of which of these? Morphine 2 mg IV When caring for a patient following cardiac catheterization, with which of these should the nurse be most concerned? Decreased pedal pulses Which of the following should be performed in post-procedure care following cardiac catheterization? Assess for presence Which of the following should the nurse include when teaching a patient who is undergo atherectomy? Plaque is cut out of the vessel, and pieces are removed through a catheter A patient with acute inferior wall MI reports chest pain and dyspnea. Vital signs...what development should the nurse suspect? RVMI Which of the following indicate arterial closure device failure? Diminished pulses to the extremity and presence of hematoma and access site A patient with a STEMI develops sudden difficulty in breathing, mental status change....The nurse should anticipate: Admin Which of the following impacts myocardial oxygen supply? Coronary perfusion A patient with a recent STEMI is being discharged. Which of the following should the nurse include in discharge teaching? Adhere to metoprolol A patient reports dull chest pain at 3/10 after walking up a hill. what other information should the nurse gather to help determine whether the chest pain is cardiovascular in origin? Dyspnea and/or diaphoresis during chest pain, S3 heard on auscultation, Duration of chest pain Blood tests of a patient with suspected ACS show elevated biomarkers. A GP LLb/III....nurse anticipate? X - Prepare, admin morphine X - admin morphine, admin heparin X - All BUT morphine **next try without PCI A patient with a STEMI develops lethargy and dyspnea; audible crackles on auscultation....considered for IABP therapy? Coronary occlusion could not be opened with PCI In preparing a patient for a cardiac catheterization or PCI, a nurse reviews lab results to discuss abnormalities with the provider. what other actions should the nurse perform? Mark pulse points distal to insertion site with pen or marker The patient develops lethargy and dyspnea. Crackles are audible on auscultation. Diminished peripheral pulses and cool, clammy skin are noted. Which should the nurse anticipate? Admin of dobutamine Following an acute MI, a patient develops a wide complex tachycardia and reports feeling increasingly lightheaded and dizzy. Vital signs are BP 78/56 (63) and HR 136. What should be the nurse's next step? Anticipate immediate synchronized cardioversion Which of the following sets of labs should the nurse anticipate six hours after the onset of chest pain from a myocardial infarction? Increased CK-MB and increased troponin I A patient with a STEMI received rtPA. Development of which of these should be of the greatest concern following rtPA admin? Altered neuro status A patient reports sternal chest pain unrelieved with rest. Which of these other symptoms should the nurse anticipate in a patient with ACS? Palpitations and arm pain Which of the following is information a nurse should include when teaching a patient who is to undergo a transesophageal echocardiogram (TEE)? A tube will be positioned directly behind the heart A patient diagnosed with cardiogenic shock has responded to IV milrinone, NIPPV, and 20 mg IV furosemide (Lasix). What signs should alert the nurse that the patient needs an IABP? Decreasing BP, Crackles in all lung fields, Decline in LOC A male patient is admitted with an inferior wall MI. Which of these sets of labs...should alert the nurse of reinfarction? A (5/0.8) A patient reports palpitations, mild nausea, and midsternal chest pressure radiating to the arm, and is anxious and diaphoretic. vital signs are BP 100/60 (73), HR 72, and RR 22. what should the nurse first anticipate? Obtaining cardiac biomarkers Five days after an MI, a patient reports a feeling of chest fullness....symptoms should the nurse assess for? X - Cough, dyspnea X - All BUT loud murmur A patient who had a STEMI one day ago reports anxiety and difficulty breathing sitting upright....What should the nurse expect? Furosemide (Lasix) and nitroglycerin (NTG) How can the supply of oxygen to the myocardium be increased in a patient with suspected ACS? X - Provide, increase A patient with cardiogenic shock has an IABP inserted. Which of the following reveals a desired response to therapy? decrease systemic vascular resistance Other than administering supplemental oxygen, how can the supply of oxygen to the myocardium be increased in a patient with suspected ACS? Lower Heart Rate A pt resuscitated from cardiac arrest is unresponsive to verbal commands on return of spontaneous circulation. Targeted temperature management (TTM) is started. for what should the nurse observe during therapy? Decreased immune function Following an acute MI, a patient reports a return of chest pain. The nurse notes dyspnea; cool, clammy extremities; diminished breath sounds with crackles; and BP 83/57 (66). What complication should the nurse suspect? Cardiogenic shock