Exam 2: NSG 430/ NSG430 (New
Update) Adult Health
Nursing II Guide | Q & A | 100%
Correct | A Grade (Verified
Answers)- GCU
Quiz_________________?
First step to produce the greatest reduction in risk for CAD. -
Answer☑
1. First, assess for the readiness to change and health literacy.
2. Then, help the patient select the lifestyle changes
Quiz_________________?
acute coronary syndrome (ACS) -
Answer☑
chest pain from ischemia is prolonged and not immediately reversible (STEMI and NSTEMI)
Quiz_________________?
Unstable angina (UA) -
Answer☑
chest pain that is new in onset, occurs at rest. The pain usually lasts 10 minutes or more
Quiz_________________?
myocardial infarction (MI) -
Answer☑
1
,occurs because of an abrupt stoppage of blood flow through a coronary artery with a thrombus caused
by platelet aggregation.
Quiz_________________?
STEMI -
Answer☑
occlusive thrombus, results in ST-elevation. The artery must be opened within 90 minutes of
presentation to restore blood and O2 to the heart muscle (by PCI or thrombolytic therapy)
Quiz_________________?
PCI -
Answer☑
Done in Cath lab. first-line treatment for MI. It confirms which artery has the occlusive thrombus so it
can be opened with a balloon and stent
- performed with local anesthesia
- patient is ambulatory shortly after the procedure
- hospital stay is about 3 to 4 days after MI
Quiz_________________?
Thrombolytic therapy -
Answer☑
done in hospitals that do not have a catheterization laboratory for PCI for a pt with STEMI.
- limit the infarction size by dissolving the thrombus in the coronary artery
- give the thrombolytic within 30 minutes of the patient's arrival to the ED
- All thrombolytics (e.g., tenecteplase, alteplase) are given IV
Quiz_________________?
Not candidates for PCI (CABG surgery used instead) -
Answer☑
diabetes, left ventricle dysfunction, chronic kidney disease, failed PCI with ongoing chest pain, blockages
are long or difficult to access
2
, Quiz_________________?
CABG (coronary artery bypass graft) -
Answer☑
placement of arterial or venous grafts to provide blood from the aorta to the heart muscle distal to
blocked coronary arteries.
Requires:
- sternotomy (opening of the chest cavity)
- cardiopulmonary bypass (blood is diverted from the patient's heart to a machine where it is
oxygenated and returned)
The Internal hammer artery (IMA) is the most common artery used for bypass graft.
Quiz_________________?
CABG medications -
Answer☑
Perioperative calcium channel blockers and long-acting nitrates can control the spasms
Quiz_________________?
Minimally invasive direct coronary artery bypass (MIDCAB) -
Answer☑
does not involve a sternotomy and CPB.
Quiz_________________?
off-pump coronary artery bypass (OPCAB) -
Answer☑
requires sternotomy but no CPB
performed on a beating heart
Quiz_________________?
3
, Totally endoscopic coronary artery bypass (TECAB) -
Answer☑
uses a robotic technology to perform CABG surgery. No CPB.
Quiz_________________?
PCI and thromolytic therapy pallitative or cure? -
Answer☑
palliative. Not a cure
Quiz_________________?
procedure of thombolytic therapy -
Answer☑
1. draw blood to obtain baseline laboratory values
2. start 2 or 3 lines for IV therapy.
perform all invasive procedures before giving thrombolytic therapy
- therapy is given in 1 IV bolus or over time (30 to 90 minutes)
Quiz_________________?
Signs that repercussion occurred -
Answer☑
1. return of the ST segment to baseline on the ECG
2. resolution of chest pain
3. rapid rise of the serum cardiac biomarkers within 3 hours of therapy (necrotic heart cells release
proteins into the circulation after perfusion is restored to the area)
Quiz_________________?
NSTEMI -
Answer☑
nonocclusive thrombus, does not cause ST segment elevation. patients usually undergo catheterization
within 12 to 72 hours. Thrombolytic therapy is not indicated
4
Update) Adult Health
Nursing II Guide | Q & A | 100%
Correct | A Grade (Verified
Answers)- GCU
Quiz_________________?
First step to produce the greatest reduction in risk for CAD. -
Answer☑
1. First, assess for the readiness to change and health literacy.
2. Then, help the patient select the lifestyle changes
Quiz_________________?
acute coronary syndrome (ACS) -
Answer☑
chest pain from ischemia is prolonged and not immediately reversible (STEMI and NSTEMI)
Quiz_________________?
Unstable angina (UA) -
Answer☑
chest pain that is new in onset, occurs at rest. The pain usually lasts 10 minutes or more
Quiz_________________?
myocardial infarction (MI) -
Answer☑
1
,occurs because of an abrupt stoppage of blood flow through a coronary artery with a thrombus caused
by platelet aggregation.
Quiz_________________?
STEMI -
Answer☑
occlusive thrombus, results in ST-elevation. The artery must be opened within 90 minutes of
presentation to restore blood and O2 to the heart muscle (by PCI or thrombolytic therapy)
Quiz_________________?
PCI -
Answer☑
Done in Cath lab. first-line treatment for MI. It confirms which artery has the occlusive thrombus so it
can be opened with a balloon and stent
- performed with local anesthesia
- patient is ambulatory shortly after the procedure
- hospital stay is about 3 to 4 days after MI
Quiz_________________?
Thrombolytic therapy -
Answer☑
done in hospitals that do not have a catheterization laboratory for PCI for a pt with STEMI.
- limit the infarction size by dissolving the thrombus in the coronary artery
- give the thrombolytic within 30 minutes of the patient's arrival to the ED
- All thrombolytics (e.g., tenecteplase, alteplase) are given IV
Quiz_________________?
Not candidates for PCI (CABG surgery used instead) -
Answer☑
diabetes, left ventricle dysfunction, chronic kidney disease, failed PCI with ongoing chest pain, blockages
are long or difficult to access
2
, Quiz_________________?
CABG (coronary artery bypass graft) -
Answer☑
placement of arterial or venous grafts to provide blood from the aorta to the heart muscle distal to
blocked coronary arteries.
Requires:
- sternotomy (opening of the chest cavity)
- cardiopulmonary bypass (blood is diverted from the patient's heart to a machine where it is
oxygenated and returned)
The Internal hammer artery (IMA) is the most common artery used for bypass graft.
Quiz_________________?
CABG medications -
Answer☑
Perioperative calcium channel blockers and long-acting nitrates can control the spasms
Quiz_________________?
Minimally invasive direct coronary artery bypass (MIDCAB) -
Answer☑
does not involve a sternotomy and CPB.
Quiz_________________?
off-pump coronary artery bypass (OPCAB) -
Answer☑
requires sternotomy but no CPB
performed on a beating heart
Quiz_________________?
3
, Totally endoscopic coronary artery bypass (TECAB) -
Answer☑
uses a robotic technology to perform CABG surgery. No CPB.
Quiz_________________?
PCI and thromolytic therapy pallitative or cure? -
Answer☑
palliative. Not a cure
Quiz_________________?
procedure of thombolytic therapy -
Answer☑
1. draw blood to obtain baseline laboratory values
2. start 2 or 3 lines for IV therapy.
perform all invasive procedures before giving thrombolytic therapy
- therapy is given in 1 IV bolus or over time (30 to 90 minutes)
Quiz_________________?
Signs that repercussion occurred -
Answer☑
1. return of the ST segment to baseline on the ECG
2. resolution of chest pain
3. rapid rise of the serum cardiac biomarkers within 3 hours of therapy (necrotic heart cells release
proteins into the circulation after perfusion is restored to the area)
Quiz_________________?
NSTEMI -
Answer☑
nonocclusive thrombus, does not cause ST segment elevation. patients usually undergo catheterization
within 12 to 72 hours. Thrombolytic therapy is not indicated
4
