BKAT 9R Final Exam (questions and answers)

Initial measure for the treatment of angina pectoris does not include which response below? 1. resting 2. beta blockers 3. oxygen 4. nitroglycerine - CORRECT ANSWER-beta blockers The classical ECG change with muscle injury in acute myocardial infarction is: 1. presence of a Q wave 2. ST segment elevation 3. myocardial electrical irritability 4. a peaked T wave - CORRECT ANSWER-ST segment elevation Elevated cardiac iso-enzyme generally does not occur in which response below? 1. Closed chest injury 2. pericarditis 3. congestive heart failure 4. cardiac surgery - CORRECT ANSWER-Congestive heart failure The major therapeutic goal in the treatment of cardiogenic shock is to: 1. Increase the afterload 2. Improve renal perfusion 3. Increase cardiac output 4. Decrease fluid volume - CORRECT ANSWER-Increase cardiac output You receive orders to starte Nipride and Dobutamine in your patient with end-stage cardiomyopathy. How will this treatment regimen affect cardiac output? 1. Increase preload and reduces afterload 2. Reduces preload and increases afterload 3. Reduces preload and afterload and improves contractility 4. Reduces preload and improves contractility - CORRECT ANSWER-Reduces preload and afterload and improves contractility In dealing with a depressed patient during the first days post AMI the most appropriate nursing action would be: 1. Encourage to patient to ventilate his/her concerns 2. Provide for privacy so the patient can rest 3. Limit visits only to family members 4. Provide a quiet environment for the patient - CORRECT ANSWER-Encourage the patient to ventilate his/her concerns Mr. Seamore is receiving thrombolytics (TPA) 3 hours after an AMI. Which of the following would most likely require discontinuing the infusion? 1. PVCs 2. Bleeding gums 3. Oozing at the insertion site 4. Change in mental status - CORRECT ANSWER-Change in mental status The following monitor would indicate that the pulmonary artery (Swan Ganz) catheter is in which position? 1. Superior vena cava 2. Right ventricle 3. Pulmonary artery 4. Pulmonary artery occlusion (wedge) - CORRECT ANSWER-Pulmonary arter