Initial measures for the treatment of angina pectoris do not include which response below? -
(ANSWER)Beta Blockers
The classical ECG change with muscle injury in acute myocardial infarction is: - (ANSWER)ST segment
elevation
Elevated cardiac iso-enzymes generally do not occur in which response below? - (ANSWER)CHF
The major therapeutic goal in the treatment of cariogenic shock is to: - (ANSWER)Increased CO
You receive orders to start nitroprusside and dobutamine in your patient with end-stage
cardiomyopathy. How will this tx regimen affect CO? - (ANSWER)Reduces preload and after load and
improves contractility
In dealing with a depressed pt during the first days post AMI the most appropriate nursing action would
be: - (ANSWER)Encourage the patient to ventilate his/her concerns
Mr Seamore is receiving thrombolytics (TPA) 3 hrs after an AMI. Which of the following would most
likely require discontinuing the infusion? - (ANSWER)change in mental status
The following monitor pattern would indicate that the pulmonary artery (swan ganz) catheter is in which
position? - (ANSWER)Pulmonary artery occlusion (wedge)
A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is called: -
(ANSWER)Aortic stenosis
Which of the following wave patterns indicates proper functioning of an arterial line? - (ANSWER)High to
low
After an arterial catheter is removed, direct pressure should be applied to the artery for how long? -
(ANSWER)8-10 minutes
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A CVP reading directly reflects pressure in the: - (ANSWER)Right atrium
An elevated CVP reading may indicate: - (ANSWER)Rt heart failure
The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the: - (ANSWER)Lt ventricle
The normal pulmonary artery pressure is: - (ANSWER)11-20
How many mmHg is the normal PAOP? - (ANSWER)6-12
An elevated PAOP may indicate: - (ANSWER)Lt ventricular failure
Mr Adams, a 68 yo pt, c/o feeling "a little funny in his chest". His ECG shows Afib/flutter. Which of the
following meds could be used to tx his cardiac rhythm? - (ANSWER)Diltiazem
A QRS complex wider that .12 sec most likely indicates: - (ANSWER)BBB
Special care should be exercised when administering IV Dopamine because - (ANSWER)Infiltration leads
to tissue necrosis
A strong ventricular stimulus is potentially dangerous when it lands on the: - (ANSWER)T wave
indication for use of external cardiac pacemaker includes - (ANSWER)symptomatic complete heart block
Initial drug tx for sustained V tach when a pulse is present - (ANSWER)Amiodorone 150mg IV over 10
min