NUR 418
Exam1: NUR 418- Nursing Care of the Childbearing
Family 2025 Actual Questions & Answers. Concordia St.
Paul
subjective data of cardiovascular system assessment - ANS health
information; history of present illness, past health history, past and current
medications, surgery or other treatments
objective data of cardiovascular system assessment - ANS physical
examination; vital signs, peripheral vascular system (inspection, palpation,
auscultation)
S3 heart sound - ANS extra sound heard in early diastole (caused by passive
filling)
S4 heart sound - ANS extra sound heard in late diastole, right before systole
(caused by stiff ventricular walls)
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troponin (cardiac biomarker) - ANS normal= < 0.5; overnight stay for
observation= 0.5-0.9; suspected MI= 1.0 (cath lab); rises within 4-6 hours,
peaks at 10-24 hours, and is detected for up to 10-14 days
electrocardiogram - ANS record of the electrical activity of the heart
echocardiogram - ANS ultrasound of the heart (with or without contrast);
provides information regarding structures and motion of heart; measures
ejection fraction (percentage of blood that leaves left ventricle; 60%)
coronary artery disease - ANS progressive narrowing of coronary arteries by
atherosclerosis; injury to epithelial cells in intima (platelet aggregation,
migration of monocytes, lipoproteins enter intima); fatty streak (monocytes
develop into macrophages, lipid-rich "foam cells" develop)
nonmodifiable risk factors for CAD - ANS age (men > 45 years, women > 55
years), family history
modifiable risk factors for CAD - ANS smoking, inactivity, overweight,
cholesterol (high LDL, low HDL), diabetes, hypertension
post-catheterization care - ANS Bed rest; head of bed no higher than 30
degrees
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Monitor bleeding; newer collagen agents for hemostasis may be used
Monitor pulses
Antiplatelet drugs after the procedure (usually after interventions such as
PCI)
May be discharged in 6 to 8 hours; depends on diagnosis and procedures
done in catheterization laboratory
lab tests for CAD - ANS CBC (hemoglobin and hematocrit), sodium,
potassium, calcium, magnesium, troponin if chest pain is present
medications affecting platelets - ANS ASA, dipyridamole, ticlopidine,
clopidogrel
myocardial ischemia - ANS the heart's demand for oxygen is higher than the
supply
angina symptoms - ANS sub/midsternal chest pain, may radiate to arms, jaw,
or back (often in women); epigastric pain and nausea/vomiting in elderly
people; ECG changes to ST segment/T wave
stable angina - ANS chronic, exertional= effort, classic; T wave inversion on
ECG; treatment is rest and nitroglycerin
NUR 418