NUR 425 EXAM 3 WITH QUESTIONS AND CORRECT
NUR 425 Exam 3
ANSWERS||LATEST UPDATE 2024/2025
Study online at https://quizlet.com/_d0um8i
1. what does smoking do to the Narrows blood vessels / damages arteries / creates clots
heart? / causes high blood pressure / causes heart disease
2. What is the path of conduction in SA (sinoatrial) node žinternal nodes of the atria žAV (atri-
the heart? oventricular) node žbundle of HIS žright and left bundle
branches žpurkinje fibers žventricles
3. What should we look out for after - look for bleeding and hematoma
Cardiac Catheterization? - monitor for chest pain
- assess for s/s of stroke (confusion, weakness, slurred
speech)
- monitor for perforated artery (peripheral pulses, color,
temp)
- monitor for kidney impairment related to contrast dye
4. What patient education should we - maintain flat bedrest for 2-6 hours!!!
provide post cardiac catheteriza- - drink fluids to help body remove contrast dye
tion?
5. what are some other nursing inter- - cardiac monitoring
ventions to perform after cardiac - frequent vitals
catheterization? - maintain adequate hydration
- get blood work to assess renal function, h&h, and co-
agulation studies
6. what are some nursing interven- - continuous monitoring
tions post pacemaker placement? - chest xray
- pain management
- avoid shoulder movement
- monitor incision
- watch for hiccups
- provide patient with a safety identification card
, NUR 425 Exam 3
Study online at https://quizlet.com/_d0um8i
7. what is some patient education for - always carry device ID card
pacmakers? - keep arm below head for 1-2 weeks
- check pulse daily and report if its different from pace-
maker rate
- no contact sports or heavy lifting (avoid being hit at
site)
- NO MAGNETS over pacemaker
8. what are the s/s of a pacemak- dizziness, fatigue, weakness, chest pain, hiccups, palpi-
er complication that the patient tations, dyspnea, or weight gain
should report to the provider?
9. What is an AICD? automatic implantable cardioverter-defibrillator
10. what should patients expect from - feels like a large shock/being hit in the chest
an AICD? - may loose consciousness before shock
- if someone is touching them during impulse, they may
feel the shock but will be unaffected
11. what is a PTCA (percutaneous moderate atherosclerosis in coronary vessels
transluminal coronary angioplas- blockage in 1 or 2 arteries
ty) used for?
12. what should you educate the pa- chest pain! indicates that device has failed and the artery
tient to report immediately if they is being occluded
have a PTCA? why?
13. What is a TAVR? Transcatheter Aortic Valve Replacement is a technique to
replace the Aortic Valve without stopping the heart. It
carries risk of Vasuclar Complications and is reserved for
those too sick for Open Heart Surgery.
It uses a Compressible Valve sort of like a stent.
, NUR 425 Exam 3
Study online at https://quizlet.com/_d0um8i
14. what patient education should you anticoagulant therapy forever
provide to someone receiving a redo surgery every 7-10 years
TAVR? change diet and lifestyle
require prophylactic antibiotics before dental proce-
dures
conserve energy
watch for s/s of valve disease and HF
15. What is CABG? (Coronary Artery Improves blood flow to heart. Healthy vessel from the
Bypass Graft) body is connected to the blocked coronary artery, creat-
ing a new path for oxygenated blood to flow to the heart.
16. what should the nurse monitor af- circulation
ter a CABG? LOC
incision
BP
pain
chest tube drain
i's&o's
electrolytes
17. what patient education should we smoking cessation
provide after a CABG? report signs of infection
avoid stress/ stress management techniques
cardiac rehab
sternal precautions (no hits to chest)
treat angina
lifestyle change
18. what is an important safety con- ensure everyone is clear from the patient before pressing
sideration for operating a defibril- the SHOCK button to avoid electrocuting someone else
lator?
NUR 425 Exam 3
ANSWERS||LATEST UPDATE 2024/2025
Study online at https://quizlet.com/_d0um8i
1. what does smoking do to the Narrows blood vessels / damages arteries / creates clots
heart? / causes high blood pressure / causes heart disease
2. What is the path of conduction in SA (sinoatrial) node žinternal nodes of the atria žAV (atri-
the heart? oventricular) node žbundle of HIS žright and left bundle
branches žpurkinje fibers žventricles
3. What should we look out for after - look for bleeding and hematoma
Cardiac Catheterization? - monitor for chest pain
- assess for s/s of stroke (confusion, weakness, slurred
speech)
- monitor for perforated artery (peripheral pulses, color,
temp)
- monitor for kidney impairment related to contrast dye
4. What patient education should we - maintain flat bedrest for 2-6 hours!!!
provide post cardiac catheteriza- - drink fluids to help body remove contrast dye
tion?
5. what are some other nursing inter- - cardiac monitoring
ventions to perform after cardiac - frequent vitals
catheterization? - maintain adequate hydration
- get blood work to assess renal function, h&h, and co-
agulation studies
6. what are some nursing interven- - continuous monitoring
tions post pacemaker placement? - chest xray
- pain management
- avoid shoulder movement
- monitor incision
- watch for hiccups
- provide patient with a safety identification card
, NUR 425 Exam 3
Study online at https://quizlet.com/_d0um8i
7. what is some patient education for - always carry device ID card
pacmakers? - keep arm below head for 1-2 weeks
- check pulse daily and report if its different from pace-
maker rate
- no contact sports or heavy lifting (avoid being hit at
site)
- NO MAGNETS over pacemaker
8. what are the s/s of a pacemak- dizziness, fatigue, weakness, chest pain, hiccups, palpi-
er complication that the patient tations, dyspnea, or weight gain
should report to the provider?
9. What is an AICD? automatic implantable cardioverter-defibrillator
10. what should patients expect from - feels like a large shock/being hit in the chest
an AICD? - may loose consciousness before shock
- if someone is touching them during impulse, they may
feel the shock but will be unaffected
11. what is a PTCA (percutaneous moderate atherosclerosis in coronary vessels
transluminal coronary angioplas- blockage in 1 or 2 arteries
ty) used for?
12. what should you educate the pa- chest pain! indicates that device has failed and the artery
tient to report immediately if they is being occluded
have a PTCA? why?
13. What is a TAVR? Transcatheter Aortic Valve Replacement is a technique to
replace the Aortic Valve without stopping the heart. It
carries risk of Vasuclar Complications and is reserved for
those too sick for Open Heart Surgery.
It uses a Compressible Valve sort of like a stent.
, NUR 425 Exam 3
Study online at https://quizlet.com/_d0um8i
14. what patient education should you anticoagulant therapy forever
provide to someone receiving a redo surgery every 7-10 years
TAVR? change diet and lifestyle
require prophylactic antibiotics before dental proce-
dures
conserve energy
watch for s/s of valve disease and HF
15. What is CABG? (Coronary Artery Improves blood flow to heart. Healthy vessel from the
Bypass Graft) body is connected to the blocked coronary artery, creat-
ing a new path for oxygenated blood to flow to the heart.
16. what should the nurse monitor af- circulation
ter a CABG? LOC
incision
BP
pain
chest tube drain
i's&o's
electrolytes
17. what patient education should we smoking cessation
provide after a CABG? report signs of infection
avoid stress/ stress management techniques
cardiac rehab
sternal precautions (no hits to chest)
treat angina
lifestyle change
18. what is an important safety con- ensure everyone is clear from the patient before pressing
sideration for operating a defibril- the SHOCK button to avoid electrocuting someone else
lator?
