Med-Surg Exam 2 Jersey College
angina bcould bbe btriggered bby b? b- bcorrect banswers✔✔eating ba bheavy bmeal
Exp: bblood bshunted bto bthe bGI barea bwhich bdecreases bblood bavailability bto bthe
bmyocardium
locations bof bchest bpain? b- bcorrect banswers✔✔typically bfelt bbehind bthe bsternum
band bmay bradiate bto:neck, bjaw, bshoulders, band balong bthe binner baspect bof bthe bleft
barm.
what bis bthe bclassic bfinding bof bangina? b- bcorrect banswers✔✔it bis brelieved bwith brest
bor bnitroglycerine
Pt. beducation bfor bnitroglycerin? b- bcorrect banswers✔✔1. bkeep bin ba bdark bbottle
2.renew bevery b6 bmonths
3.place bunder btongue, bnever bswallowed
4. bcan btake bevery b5 bminutes bx b3 bdoses
5. bcall b911 bafter bthe bfirst bdose bif bpain bis bnot brelieved
decrease bin bcardiac boutput, bexpect bthe bpulse bto bbe? b- bcorrect banswers✔✔weak,
bthready bpulse
signs bof bhypokalemia? b- bcorrect banswers✔✔muscle bweakness
fatigue
muscle bcramps
constipation
inverted bT bwaves band ba bU bwave bon bekg
metabolic bsyndrome bincreases bthe brisk bof? b- bcorrect banswers✔✔heart bdisease
spironolactone bis ba bpotassium bsparing bdiuretic bthat bcould? b- bcorrect
banswers✔✔potentiate bfluid band belectrolyte bimbalances b( bif bgiven bwith bpotassium
bsupplements, bhyperkalemia bcan boccur)
how bdo bbet-blockers bwork? bend bin b-olol b- bcorrect banswers✔✔decreases bheart brate
band bblood bpressure. bmask bthe bsigns bof bhypoglycemia bor bworsen basthma
bbecause bof bbronchoconstriction
,why bshould byou bavoid bdiscontinuing banti-hypertensives bmedications babruptly? b-
bcorrect banswers✔✔increase brisk bfor brebound bhypertension
ACE binhibitors band bAngiotensin b2 breceptor bblockers b(ARBs) bincrease bthe brisk bof?
b- bcorrect banswers✔✔hyperkalemia
ACE binhibitors, bhow bdo bthey bwork? bends bin b-pril b- bcorrect banswers✔✔stop
bangiotensin b1 bfrom bconverting bto bangiotensin b2 b(powerful bvasoconstrictor) bthereby
blowering btotal bperipheral bvascular bresistance band bblood bpressure
How bto btake ba bproper bblood bpressure breading? b- bcorrect banswers✔✔instruct bpt.
bto bnot beat bor bdrink bfor b30 bmins
support barm bat bheart blevel
make bsure bboth bfeet bare bflat bon bthe bfloor
the btarget borgans baffected bby blong bstanding bhypertension? b- bcorrect
banswers✔✔retinopathy
neuropathy
nephropathy
decrease bin boutput bcould bcause bwhat? b- bcorrect banswers✔✔decrease bin btissue
bperfusion bwhich bresults bin borgan bfailure
Following ba bpulmonary bartery bpressure breading byou bshould bdeflate bthe bballoon.
bWhy? b- bcorrect banswers✔✔to brestore bthe bblood bflow bthrough bthe bpulmonary
bartery
Straining bwith bbowel bmovements bis bnot bgood bbecause? b- bcorrect banswers✔✔it
btriggers bthe bvalsalva bmaneuver bwhich bincreases bintrathoracic bpressure bdecreasing
bthe bvenous bblood bflow bto bthe bheart band bresults bin bdecrease bcardiac boutput.
change bpatients bposition bslowly bto bprebent? b- bcorrect banswers✔✔orthostatic
bhypotension
Low bcentral bvenous bpressure blevels bcould bsuggests? b- bcorrect banswers✔✔could
bsuggest bdehydration bor boverdiuresis
increase bcentral bvenous bpressure bcould bsuggest? b- bcorrect banswers✔✔heart
bfailure
increase bcentral bvenous bpressure bprovides ba bmeasurement bof bwhat? b- bcorrect
banswers✔✔measurement bof bthe bvolume bof bblood bthat breturned bto bthe bright bside
bof bthe bheart b(2-6 bmm bHg)
,Hemodynamic bmonitoring bis bperformed bwhere? b- bcorrect banswers✔✔in bICU band
ballows bfor bdirect bcardiac bmonitoring
homocysteine b- bcorrect banswers✔✔damage bthe bendothelial blining bof bthe barteries
increase brisk bfor bthrombus bformation band blead bto bstroke, bCAD, band bperipheral
bartery bdisease
the bradiology bprocedure bECHOCARDIOGRAM bshows bwhat babout bthe bheart? b-
bcorrect banswers✔✔direction bof bblood bflow
heart bshape band bsize
ventricular bfunction
ejection bfraction
the bpurpose bof ba bcardiac bstress btest? b- bcorrect banswers✔✔to bdetermine bthe
bhearts bability bto brespond bto bincrease boxygen bdemand
this bprotein btriggers bsodium bexcretion band ba bdecrease bin bvolume? b- bcorrect
banswers✔✔Brain bNatriuretic bPeptide b(BNP)
these bprotein blevels bincrease bas bventricular bpressure bincrease bin border bto brid bthe
bbody bof bexcess bfluid? b- bcorrect banswers✔✔Brain bNatriuretic bPeptide b(BNP)
BNP blevel bgreater bthan b_____ bsuggests bwhat? b- bcorrect banswers✔✔BNP blevels
bgreater bthan b100 bsuggest bheart bfailure
contrast bmedium bis bcontraindicated bin bwhat btype bof bpatients? b- bcorrect
banswers✔✔patients bwho bare ballergic bto biodine, bshellfish bor bseafood
patients bwho bare bpregnant bor bhas belevated bcreatinine blevels
contrast bmedium bis? b- bcorrect banswers✔✔nephrotoxic
Premature bVentricular bContractions bcould btrigger b? b- bcorrect banswers✔✔life
bthreatening bdysrthymias
therapeutic bINR blevels bfor bcoumadin bwhen bused bfor ba-fib bis? b- bcorrect
banswers✔✔INR b2-3
complication bthat bmay boccur bfollowing bcardiac bcatherization? b- bcorrect
banswers✔✔fatal bdysrhythmias
Adventitious bsound bheard bof bthe blower bairway bnarrowing? b- bcorrect
banswers✔✔wheezing
fluid baccumulation bin bthe blower bbasis bof bthe blungs, byou bwill bhear bwhat bsound? b-
bcorrect banswers✔✔crackles
, what bsuggest bincrease bpressure band bfilling bvolumes bin bthe bventricles? b- bcorrect
banswers✔✔JVD
Peripheral bedema
hepatomegaly
scrotal bedema
shortness bof bbreath
crackles
S3 bin bolder badults bare bsignificant band bmay bsuggest? b- bcorrect banswers✔✔heart
bfailure
Valve bdisorders bcontribute bto? b- bcorrect banswers✔✔turbulent bblood bflow band bheart
bmurmurs
what bis ban bMI? b- bcorrect banswers✔✔blockages bor bconstriction bof bthe bcoronary
barteries
unresolved bischemia bleads bto? b- bcorrect banswers✔✔necrosis bof bmyocardial bcells
band bthe brelease bof benzymes b(CK-MB bcreatine) band bproteins b(Troponin, bTroponin
b1, bkinase, band bmyoglobin) binto bthe bblood bstream
blood bflow bthrough bthe bright batrium bis bdone bthrough? b- bcorrect banswers✔✔the
binferior band bsuperior bvena bcava
this binitiates bthe bimpulse bthat bcauses batrial bcontraction? b- bcorrect
banswers✔✔Sinostrial b(SA) bnode
the bSA bnode bis bobserved bby bwhat bwave bon bthe bthe bEKG? b- bcorrect
banswers✔✔the bP bwave
Depolorization bresults bin? b- bcorrect banswers✔✔cardiac bcontraction
Repolarization bresults bin? b- bcorrect banswers✔✔return bof bthe bchambers bto ba
bresting bstate
Cardiac boutput? b- bcorrect banswers✔✔total bamount bof bblood bthat bleaves bthe
bventricles bin bone bminute. bNormal bis b4-6 bL
what bdisorders bwill baffect bthe bcardiac boutput? b- bcorrect banswers✔✔disorders bthat
bimpair bthe bheart brate bor bstroke bvolume
stimulation bof bthis bnervous bsystem bresults bin bwhat? b- bcorrect
banswers✔✔parasympathetic bnervous bsystem bcauses bthe bvagal bnerve binnervation
band bslowing bof bheart brate
Average bstroke bvolume bis? b- bcorrect banswers✔✔60-130 bml
angina bcould bbe btriggered bby b? b- bcorrect banswers✔✔eating ba bheavy bmeal
Exp: bblood bshunted bto bthe bGI barea bwhich bdecreases bblood bavailability bto bthe
bmyocardium
locations bof bchest bpain? b- bcorrect banswers✔✔typically bfelt bbehind bthe bsternum
band bmay bradiate bto:neck, bjaw, bshoulders, band balong bthe binner baspect bof bthe bleft
barm.
what bis bthe bclassic bfinding bof bangina? b- bcorrect banswers✔✔it bis brelieved bwith brest
bor bnitroglycerine
Pt. beducation bfor bnitroglycerin? b- bcorrect banswers✔✔1. bkeep bin ba bdark bbottle
2.renew bevery b6 bmonths
3.place bunder btongue, bnever bswallowed
4. bcan btake bevery b5 bminutes bx b3 bdoses
5. bcall b911 bafter bthe bfirst bdose bif bpain bis bnot brelieved
decrease bin bcardiac boutput, bexpect bthe bpulse bto bbe? b- bcorrect banswers✔✔weak,
bthready bpulse
signs bof bhypokalemia? b- bcorrect banswers✔✔muscle bweakness
fatigue
muscle bcramps
constipation
inverted bT bwaves band ba bU bwave bon bekg
metabolic bsyndrome bincreases bthe brisk bof? b- bcorrect banswers✔✔heart bdisease
spironolactone bis ba bpotassium bsparing bdiuretic bthat bcould? b- bcorrect
banswers✔✔potentiate bfluid band belectrolyte bimbalances b( bif bgiven bwith bpotassium
bsupplements, bhyperkalemia bcan boccur)
how bdo bbet-blockers bwork? bend bin b-olol b- bcorrect banswers✔✔decreases bheart brate
band bblood bpressure. bmask bthe bsigns bof bhypoglycemia bor bworsen basthma
bbecause bof bbronchoconstriction
,why bshould byou bavoid bdiscontinuing banti-hypertensives bmedications babruptly? b-
bcorrect banswers✔✔increase brisk bfor brebound bhypertension
ACE binhibitors band bAngiotensin b2 breceptor bblockers b(ARBs) bincrease bthe brisk bof?
b- bcorrect banswers✔✔hyperkalemia
ACE binhibitors, bhow bdo bthey bwork? bends bin b-pril b- bcorrect banswers✔✔stop
bangiotensin b1 bfrom bconverting bto bangiotensin b2 b(powerful bvasoconstrictor) bthereby
blowering btotal bperipheral bvascular bresistance band bblood bpressure
How bto btake ba bproper bblood bpressure breading? b- bcorrect banswers✔✔instruct bpt.
bto bnot beat bor bdrink bfor b30 bmins
support barm bat bheart blevel
make bsure bboth bfeet bare bflat bon bthe bfloor
the btarget borgans baffected bby blong bstanding bhypertension? b- bcorrect
banswers✔✔retinopathy
neuropathy
nephropathy
decrease bin boutput bcould bcause bwhat? b- bcorrect banswers✔✔decrease bin btissue
bperfusion bwhich bresults bin borgan bfailure
Following ba bpulmonary bartery bpressure breading byou bshould bdeflate bthe bballoon.
bWhy? b- bcorrect banswers✔✔to brestore bthe bblood bflow bthrough bthe bpulmonary
bartery
Straining bwith bbowel bmovements bis bnot bgood bbecause? b- bcorrect banswers✔✔it
btriggers bthe bvalsalva bmaneuver bwhich bincreases bintrathoracic bpressure bdecreasing
bthe bvenous bblood bflow bto bthe bheart band bresults bin bdecrease bcardiac boutput.
change bpatients bposition bslowly bto bprebent? b- bcorrect banswers✔✔orthostatic
bhypotension
Low bcentral bvenous bpressure blevels bcould bsuggests? b- bcorrect banswers✔✔could
bsuggest bdehydration bor boverdiuresis
increase bcentral bvenous bpressure bcould bsuggest? b- bcorrect banswers✔✔heart
bfailure
increase bcentral bvenous bpressure bprovides ba bmeasurement bof bwhat? b- bcorrect
banswers✔✔measurement bof bthe bvolume bof bblood bthat breturned bto bthe bright bside
bof bthe bheart b(2-6 bmm bHg)
,Hemodynamic bmonitoring bis bperformed bwhere? b- bcorrect banswers✔✔in bICU band
ballows bfor bdirect bcardiac bmonitoring
homocysteine b- bcorrect banswers✔✔damage bthe bendothelial blining bof bthe barteries
increase brisk bfor bthrombus bformation band blead bto bstroke, bCAD, band bperipheral
bartery bdisease
the bradiology bprocedure bECHOCARDIOGRAM bshows bwhat babout bthe bheart? b-
bcorrect banswers✔✔direction bof bblood bflow
heart bshape band bsize
ventricular bfunction
ejection bfraction
the bpurpose bof ba bcardiac bstress btest? b- bcorrect banswers✔✔to bdetermine bthe
bhearts bability bto brespond bto bincrease boxygen bdemand
this bprotein btriggers bsodium bexcretion band ba bdecrease bin bvolume? b- bcorrect
banswers✔✔Brain bNatriuretic bPeptide b(BNP)
these bprotein blevels bincrease bas bventricular bpressure bincrease bin border bto brid bthe
bbody bof bexcess bfluid? b- bcorrect banswers✔✔Brain bNatriuretic bPeptide b(BNP)
BNP blevel bgreater bthan b_____ bsuggests bwhat? b- bcorrect banswers✔✔BNP blevels
bgreater bthan b100 bsuggest bheart bfailure
contrast bmedium bis bcontraindicated bin bwhat btype bof bpatients? b- bcorrect
banswers✔✔patients bwho bare ballergic bto biodine, bshellfish bor bseafood
patients bwho bare bpregnant bor bhas belevated bcreatinine blevels
contrast bmedium bis? b- bcorrect banswers✔✔nephrotoxic
Premature bVentricular bContractions bcould btrigger b? b- bcorrect banswers✔✔life
bthreatening bdysrthymias
therapeutic bINR blevels bfor bcoumadin bwhen bused bfor ba-fib bis? b- bcorrect
banswers✔✔INR b2-3
complication bthat bmay boccur bfollowing bcardiac bcatherization? b- bcorrect
banswers✔✔fatal bdysrhythmias
Adventitious bsound bheard bof bthe blower bairway bnarrowing? b- bcorrect
banswers✔✔wheezing
fluid baccumulation bin bthe blower bbasis bof bthe blungs, byou bwill bhear bwhat bsound? b-
bcorrect banswers✔✔crackles
, what bsuggest bincrease bpressure band bfilling bvolumes bin bthe bventricles? b- bcorrect
banswers✔✔JVD
Peripheral bedema
hepatomegaly
scrotal bedema
shortness bof bbreath
crackles
S3 bin bolder badults bare bsignificant band bmay bsuggest? b- bcorrect banswers✔✔heart
bfailure
Valve bdisorders bcontribute bto? b- bcorrect banswers✔✔turbulent bblood bflow band bheart
bmurmurs
what bis ban bMI? b- bcorrect banswers✔✔blockages bor bconstriction bof bthe bcoronary
barteries
unresolved bischemia bleads bto? b- bcorrect banswers✔✔necrosis bof bmyocardial bcells
band bthe brelease bof benzymes b(CK-MB bcreatine) band bproteins b(Troponin, bTroponin
b1, bkinase, band bmyoglobin) binto bthe bblood bstream
blood bflow bthrough bthe bright batrium bis bdone bthrough? b- bcorrect banswers✔✔the
binferior band bsuperior bvena bcava
this binitiates bthe bimpulse bthat bcauses batrial bcontraction? b- bcorrect
banswers✔✔Sinostrial b(SA) bnode
the bSA bnode bis bobserved bby bwhat bwave bon bthe bthe bEKG? b- bcorrect
banswers✔✔the bP bwave
Depolorization bresults bin? b- bcorrect banswers✔✔cardiac bcontraction
Repolarization bresults bin? b- bcorrect banswers✔✔return bof bthe bchambers bto ba
bresting bstate
Cardiac boutput? b- bcorrect banswers✔✔total bamount bof bblood bthat bleaves bthe
bventricles bin bone bminute. bNormal bis b4-6 bL
what bdisorders bwill baffect bthe bcardiac boutput? b- bcorrect banswers✔✔disorders bthat
bimpair bthe bheart brate bor bstroke bvolume
stimulation bof bthis bnervous bsystem bresults bin bwhat? b- bcorrect
banswers✔✔parasympathetic bnervous bsystem bcauses bthe bvagal bnerve binnervation
band bslowing bof bheart brate
Average bstroke bvolume bis? b- bcorrect banswers✔✔60-130 bml
