1|P AGE
NUR 257 EXAM 3 QUESTIONS AND 100%
CORRECT ANSWERS | GRADED A+
Patient starting an ACE-inhibitors or diuretics. What VS is a primary assessment?
Blood pressure (both medications can affect bp, monitor for effectiveness and
safety)
Cardiac stress test looks for what diseases
CAD, arrhythmias, HF, Ischemic heart disease, valvular heart disease,
cardiomyopathy, pulmonary HTN, peripheral artery disease.
What do you do if during the stress test pt develops cp?
Stop the test and assess the pt
Pt has a hx of PE with sudden onset of CP and SOB, what should you do?
Raise the head of the bed and assess
,2|P age
A patient with a spinal curve may have issues lying flat. This is new info what
should you do with a pending surgery.
Notify the surgical/anesthesia team. Assess the curve. Work with the surgical team
on positioning.
What valvular disorder is associated with pulmonary HTN and hemoptysis?
Mitral valve stenosis indicative of pulmonary hypertension presenting with fatigue
hemoptysis and SOB.
Bacterial Endocarditis Treatment
Antibiotic therapy until complete eradication achieved
Frequency of cardiac labs for a MI?
Serial labs are typically every 3 -4 hours when trending cardiac enzymes like
troponin and CK-MB. This normally runs for 12 hrs.
,3|P age
What does pericarditis sound like?
friction rub (like sandpaper rubbed on wood)
What are the goals of intervention?
Improve cardiac output and peripheral blood flow, increase activity tolerance and
improve gas exchange, reduce anxiety. (cluster activities; legs down/monitoring
edema)(slide 58)
Heart failure what might you hear?
Third and fourth heart sounds s3, s4. murmurs. crackles (rales)
Dilated cardiomyopathy (DCM) is what (phys. Descipt. Of the heart)
Muscle fibers have stretched heart chambers enlarged. (walls of the heart become
thin and the heart gets larger)
Can your HF intervention intervene with a persons job?
Yes. Physical limitations, medication side effects, medical appointments,
emotional and cognitive effects all affect a persons job.
, 4|P age
Cardiomyopathy related to young/athletes?
Hypertrophic cardiomyopathy (HCM)(condition where heart muscles become
abnormally thick, makes it hard for the heart to pump blood) is what we are seeing
in young athletes who are falling out on the field.
What do we expect to happen/treat cardiac tamponade?
Cardiac tamponade is the restriction of heart function because of this fluid,
resulting in decreased venous return and decreased CO. Cardinal signs of cardiac
tamponade: falling systolic BP, narrowing pulse pressure, rising venous pressure,
distant heart sounds. Pulsus paradoxus, SOB, chest pain, engorged neck veins.
Treatment: pericardiocentesis (removing the fluid from around the heart)
Definitive test to treat endocarditis (ID ABX)?
blood cultures are needed to verify abx type in treating endocarditis.
Valvuloplasty can be done where?
OR, or cathlab
NUR 257 EXAM 3 QUESTIONS AND 100%
CORRECT ANSWERS | GRADED A+
Patient starting an ACE-inhibitors or diuretics. What VS is a primary assessment?
Blood pressure (both medications can affect bp, monitor for effectiveness and
safety)
Cardiac stress test looks for what diseases
CAD, arrhythmias, HF, Ischemic heart disease, valvular heart disease,
cardiomyopathy, pulmonary HTN, peripheral artery disease.
What do you do if during the stress test pt develops cp?
Stop the test and assess the pt
Pt has a hx of PE with sudden onset of CP and SOB, what should you do?
Raise the head of the bed and assess
,2|P age
A patient with a spinal curve may have issues lying flat. This is new info what
should you do with a pending surgery.
Notify the surgical/anesthesia team. Assess the curve. Work with the surgical team
on positioning.
What valvular disorder is associated with pulmonary HTN and hemoptysis?
Mitral valve stenosis indicative of pulmonary hypertension presenting with fatigue
hemoptysis and SOB.
Bacterial Endocarditis Treatment
Antibiotic therapy until complete eradication achieved
Frequency of cardiac labs for a MI?
Serial labs are typically every 3 -4 hours when trending cardiac enzymes like
troponin and CK-MB. This normally runs for 12 hrs.
,3|P age
What does pericarditis sound like?
friction rub (like sandpaper rubbed on wood)
What are the goals of intervention?
Improve cardiac output and peripheral blood flow, increase activity tolerance and
improve gas exchange, reduce anxiety. (cluster activities; legs down/monitoring
edema)(slide 58)
Heart failure what might you hear?
Third and fourth heart sounds s3, s4. murmurs. crackles (rales)
Dilated cardiomyopathy (DCM) is what (phys. Descipt. Of the heart)
Muscle fibers have stretched heart chambers enlarged. (walls of the heart become
thin and the heart gets larger)
Can your HF intervention intervene with a persons job?
Yes. Physical limitations, medication side effects, medical appointments,
emotional and cognitive effects all affect a persons job.
, 4|P age
Cardiomyopathy related to young/athletes?
Hypertrophic cardiomyopathy (HCM)(condition where heart muscles become
abnormally thick, makes it hard for the heart to pump blood) is what we are seeing
in young athletes who are falling out on the field.
What do we expect to happen/treat cardiac tamponade?
Cardiac tamponade is the restriction of heart function because of this fluid,
resulting in decreased venous return and decreased CO. Cardinal signs of cardiac
tamponade: falling systolic BP, narrowing pulse pressure, rising venous pressure,
distant heart sounds. Pulsus paradoxus, SOB, chest pain, engorged neck veins.
Treatment: pericardiocentesis (removing the fluid from around the heart)
Definitive test to treat endocarditis (ID ABX)?
blood cultures are needed to verify abx type in treating endocarditis.
Valvuloplasty can be done where?
OR, or cathlab
