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NR 545 (Exam 2) 111 QUESTIONS WITH VERIFIED ANSWERS LATEST UPDATE!!PASSED

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NR 545 (Exam 2) 111 QUESTIONS WITH VERIFIED ANSWERS LATEST UPDATE!!PASSED

Institution
NUR 545
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Institution
NUR 545
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Uploaded on
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Number of pages
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Written in
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NR 545 (Exam 2) 111 QUESTIONS |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




WITH VERIFIED ANSWERS LATEST |||\\\ |||\\\ |||\\\




UPDATE!!PASSED!
|||\\\




What is Angina? - correct answer✔✔Angina, or angina pectoris, is often described as chest
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pain usually precipitated by stress or exertion and relieved rapidly with rest or nitrates. Those
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with angina report varying symptoms including chest pain categorized as squeezing while
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others describe the pain like a heavy weight being placed on the chest. Angina is relatively
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common, and usually due to atherosclerotic heart disease. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




What is the Patho of Angina? - correct answer✔✔Angina is chest pain that is associated with
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decreased blood flow or ischemia to the myocardial tissue. The decreased blood flow may be |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




the result of atherosclerosis or coronary artery spasm. Neural pain receptors are stimulated by
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accelerated cellular metabolism, chemical changes, and imbalances |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




What are signs and symptoms of Angina? - correct answer✔✔- chest heaviness
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- chest pressure
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- squeezing or fullness Sometimes this pain radiates to the left shoulder and arm while others
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report pain in the jaw. |||\\\ |||\\\ |||\\\ |||\\\




Generally, the attack length can range anywhere between three minutes to twenty minutes. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Attacks reported at greater than thirty minutes are concerning and could indicate the
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development of acute coronary syndrome. |||\\\ |||\\\ |||\\\ |||\\\




What lab test are needed for angina? - correct answer✔✔- Troponin
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- CK-MB: to evaluate for acute coronary symptoms as well as for anemia which might be
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contributing to ischemic chest pain. |||\\\ |||\\\ |||\\\ |||\\\




- An ECG should also be obtained to rule out acute coronary syndrome.
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,|||\\\




What are pharmacological remedies for Angina? - correct answer✔✔Nitroglycerin (Drug of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




choice): |||\\\




Nitroglycerin relaxes and widens the blood vessel promoting easier blood flow to the heart |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




muscle. Dosing of nitroglycerin is 0.3-0.6 mg by translingual spray or sublingual tablet every
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five minutes, as indicated with a max of 3 doses in 15 minutes.
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Beta-Blockers and ACE inhibitors |||\\\ |||\\\ |||\\\




What is a myocardial infarction? - correct answer✔✔(Heart Attack)
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A myocardial infarction (MI) occurs when blood flow to the heart is minimized. The blockage is
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most often caused by a buildup of cholesterol, which forms a plaque in the arteries that
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circulate oxygenated blood flow to the myocardium. When the plaque breaks away it can form
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a clot, interrupting or completely blocking blood flow and destroying a part of the heart
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muscle. Unlike with an episode of angina, those experiencing a myocardial
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




infarction often report symptoms of pain at rest. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




What is the patho of a Myocardial Infarction? - correct answer✔✔During a myocardial
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




infarction there is an imbalance between myocardial oxygen supply and demand. Prolonged |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




ischemia (>30 minutes) from the lack of circulating blood flow to the myocardium results in
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




cellular death, further impacting the heart's ability to function. Depending on the extent of the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




cell death, the heart might have decreased contractility resulting in wall function abnormalities
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




further placing the patient at risk for decompensation. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




What are the symptoms of a Myocardial Infraction? - correct answer✔✔- Sharp radiating pain
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




(Even at rest) |||\\\ |||\\\




- Light-headed or have increased feelings of anxiety or impending doom.
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- Nausea (more common in right coronary artery occlusion)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\

, |||\\\




- Vomiting
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- Diaphoresis
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- Syncope|||\\\ |||\\\




- Dyspnea|||\\\




- Orthopnea
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- Wheezing
|||\\\




What lab test are needed for a Myocardial Infraction? - correct answer✔✔- Troponins
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




- CK-MB |||\\\




- An ECG will often demonstrate ST-segment elevation or new left bundle
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




branch block. |||\\\




How do you manage a Myocardial Infraction? - correct answer✔✔Patients presenting with
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




acute myocardial infarction will need reperfusion therapy or fibrinolytic therapy. To decrease
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mortality rates, reperfusion through PCI needs to be completed within 90 minutes of|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




presentation to the emergency room. |||\\\ |||\\\ |||\\\ |||\\\




What is Atherosclerosis? - correct answer✔✔a disease of the arteries characterized by the
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deposition of plaques of fatty material on their inner walls. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




What is the path of Atherosclerosis? - correct answer✔✔Atherosclerosis is an inflammatory
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process that begins with damage to the endothelium often the result of hypertension,
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smoking, high cholesterol or other risk factors. The endothelium develops a fatty streak which
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further develops into a fibrous plaque and then complicated lesion.
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Physical assessment of Atherosclerosis? - correct answer✔✔Family medical history and
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personal medical history should be reviewed for risk factors, including level of physical activity,
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tobacco, use, and dietary habits. A review of symptoms including recent and increasing fatigue,
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as well as fluid retention should be completed. A medication history should be obtained to
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determine risk factors including high cholesterol, hypertension, or diabetes. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
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