©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM
JERSEY COLLEGE
Med-Surg Exam 2 jersey college
Questions and Answers
angina could be triggered by ? - Answer✔️✔️-eating a heavy meal
Exp: blood shunted to the GI area which decreases blood
availability to the myocardium
locations of chest pain? - Answer✔️✔️-typically felt behind the
sternum and may radiate to:neck, jaw, shoulders, and along the
inner aspect of the left arm.
what is the classic finding of angina? - Answer✔️✔️-it is relieved with
rest or nitroglycerine
Pt. education for nitroglycerin? - Answer✔️✔️-1. keep in a dark bottle
2.renew every 6 months
3.place under tongue, never swallowed
4. can take every 5 minutes x 3 doses
5. call 911 after the first dose if pain is not relieved
decrease in cardiac output, expect the pulse to be? - Answer✔️✔️-
weak, thready pulse
1
, ©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM
JERSEY COLLEGE
signs of hypokalemia? - Answer✔️✔️-muscle weakness
fatigue
muscle cramps
constipation
inverted T waves and a U wave on ekg
metabolic syndrome increases the risk of? - Answer✔️✔️-heart
disease
spironolactone is a potassium sparing diuretic that could? -
Answer✔️✔️-potentiate fluid and electrolyte imbalances ( if given with
potassium supplements, hyperkalemia can occur)
how do bet-blockers work? end in -olol - Answer✔️✔️-decreases heart
rate and blood pressure. mask the signs of hypoglycemia or worsen
asthma because of bronchoconstriction
why should you avoid discontinuing anti-hypertensives medications
abruptly? - Answer✔️✔️-increase risk for rebound hypertension
ACE inhibitors and Angiotensin 2 receptor blockers (ARBs) increase
the risk of? - Answer✔️✔️-hyperkalemia
ACE inhibitors, how do they work? ends in -pril - Answer✔️✔️-stop
angiotensin 1 from converting to angiotensin 2 (powerful
2
, ©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM
JERSEY COLLEGE
vasoconstrictor) thereby lowering total peripheral vascular
resistance and blood pressure
How to take a proper blood pressure reading? - Answer✔️✔️-instruct
pt. to not eat or drink for 30 mins
support arm at heart level
make sure both feet are flat on the floor
the target organs affected by long standing hypertension? -
Answer✔️✔️-retinopathy
neuropathy
nephropathy
decrease in output could cause what? - Answer✔️✔️-decrease in
tissue perfusion which results in organ failure
Following a pulmonary artery pressure reading you should deflate
the balloon. Why? - Answer✔️✔️-to restore the blood flow through the
pulmonary artery
Straining with bowel movements is not good because? - Answer✔️✔️-
it triggers the valsalva maneuver which increases intrathoracic
pressure decreasing the venous blood flow to the heart and results
in decrease cardiac output.
3
, ©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM
JERSEY COLLEGE
change patients position slowly to prebent? - Answer✔️✔️-orthostatic
hypotension
Low central venous pressure levels could suggests? - Answer✔️✔️-
could suggest dehydration or overdiuresis
increase central venous pressure could suggest? - Answer✔️✔️-heart
failure
increase central venous pressure provides a measurement of what?
- Answer✔️✔️-measurement of the volume of blood that returned to
the right side of the heart (2-6 mm Hg)
Hemodynamic monitoring is performed where? - Answer✔️✔️-in ICU
and allows for direct cardiac monitoring
homocysteine - Answer✔️✔️-damage the endothelial lining of the
arteries
increase risk for thrombus formation and lead to stroke, CAD, and
peripheral artery disease
the radiology procedure ECHOCARDIOGRAM shows what about the
heart? - Answer✔️✔️-direction of blood flow
heart shape and size
ventricular function
4
JERSEY COLLEGE
Med-Surg Exam 2 jersey college
Questions and Answers
angina could be triggered by ? - Answer✔️✔️-eating a heavy meal
Exp: blood shunted to the GI area which decreases blood
availability to the myocardium
locations of chest pain? - Answer✔️✔️-typically felt behind the
sternum and may radiate to:neck, jaw, shoulders, and along the
inner aspect of the left arm.
what is the classic finding of angina? - Answer✔️✔️-it is relieved with
rest or nitroglycerine
Pt. education for nitroglycerin? - Answer✔️✔️-1. keep in a dark bottle
2.renew every 6 months
3.place under tongue, never swallowed
4. can take every 5 minutes x 3 doses
5. call 911 after the first dose if pain is not relieved
decrease in cardiac output, expect the pulse to be? - Answer✔️✔️-
weak, thready pulse
1
, ©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM
JERSEY COLLEGE
signs of hypokalemia? - Answer✔️✔️-muscle weakness
fatigue
muscle cramps
constipation
inverted T waves and a U wave on ekg
metabolic syndrome increases the risk of? - Answer✔️✔️-heart
disease
spironolactone is a potassium sparing diuretic that could? -
Answer✔️✔️-potentiate fluid and electrolyte imbalances ( if given with
potassium supplements, hyperkalemia can occur)
how do bet-blockers work? end in -olol - Answer✔️✔️-decreases heart
rate and blood pressure. mask the signs of hypoglycemia or worsen
asthma because of bronchoconstriction
why should you avoid discontinuing anti-hypertensives medications
abruptly? - Answer✔️✔️-increase risk for rebound hypertension
ACE inhibitors and Angiotensin 2 receptor blockers (ARBs) increase
the risk of? - Answer✔️✔️-hyperkalemia
ACE inhibitors, how do they work? ends in -pril - Answer✔️✔️-stop
angiotensin 1 from converting to angiotensin 2 (powerful
2
, ©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM
JERSEY COLLEGE
vasoconstrictor) thereby lowering total peripheral vascular
resistance and blood pressure
How to take a proper blood pressure reading? - Answer✔️✔️-instruct
pt. to not eat or drink for 30 mins
support arm at heart level
make sure both feet are flat on the floor
the target organs affected by long standing hypertension? -
Answer✔️✔️-retinopathy
neuropathy
nephropathy
decrease in output could cause what? - Answer✔️✔️-decrease in
tissue perfusion which results in organ failure
Following a pulmonary artery pressure reading you should deflate
the balloon. Why? - Answer✔️✔️-to restore the blood flow through the
pulmonary artery
Straining with bowel movements is not good because? - Answer✔️✔️-
it triggers the valsalva maneuver which increases intrathoracic
pressure decreasing the venous blood flow to the heart and results
in decrease cardiac output.
3
, ©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM
JERSEY COLLEGE
change patients position slowly to prebent? - Answer✔️✔️-orthostatic
hypotension
Low central venous pressure levels could suggests? - Answer✔️✔️-
could suggest dehydration or overdiuresis
increase central venous pressure could suggest? - Answer✔️✔️-heart
failure
increase central venous pressure provides a measurement of what?
- Answer✔️✔️-measurement of the volume of blood that returned to
the right side of the heart (2-6 mm Hg)
Hemodynamic monitoring is performed where? - Answer✔️✔️-in ICU
and allows for direct cardiac monitoring
homocysteine - Answer✔️✔️-damage the endothelial lining of the
arteries
increase risk for thrombus formation and lead to stroke, CAD, and
peripheral artery disease
the radiology procedure ECHOCARDIOGRAM shows what about the
heart? - Answer✔️✔️-direction of blood flow
heart shape and size
ventricular function
4
