NRS3015 Final Exam With Complete Solution

NRS3015 Final E xam With Comp lete Solut ion What is the nursing priority for a patient following a cardiac cath? - ANSWER assess perfusion of the affected leg Assessment of Chronic venous insufficiency demonstrates what finding in lower extremities? - ANSWER pigmented and cracked appearance Coronary artery disease - ANSWER accumulation of fatty substances within blood vessels Which of the following is an absolute contraindication to a patient with a PPM? - ANSWER MRI of the chest What is prescribed to treat heart failure? - ANSWER Digoxin (Lanoxin) Common ER management of asystole - ANSWER administer epinephrine What is dobutamine? - ANSWER vasopressor Signs and symptoms of chronic venous insufficiency - ANSWER bilateral lower extremity edema, brownish skin discoloration and pruritis, ulcers with uneven edges and bleeding 6 P's of peripheral arterial occlusion? - ANSWER Pulsus paradoxus is a manifestation of what ? - ANSWER cardiac tamponade Heart Changes in the elderly - ANSWER -Changes only evident when the person is active or under stress nValve rigidity may have murmurs regurgitation/stenosis -Pacemaker cells decrease in # (prone to atrial dysrhythmias) -Size of left Ventricle increases = decrease in compliance leads to CHF ( S3 & S4) -Aorta thickens & gets stiff -PVR increases -> increase afterload (hypertension) -Baroreceptors less sensitive causing orthostatic changes and syncope What is an elevated Troponin indicative of? - ANSWER heart cell death (from hypoxia) Creatine kinase - ANSWER (Isoenzyme CK-MB more specific for an MI) Important thing to limit in people with kidney disease and the need for an angiography? - ANSWER limit exposure to contrast dye What electrolyte imbalance can cause a PVC? - ANSWER low potassium or magnesium ECG characteristic in atrial fibrilation? - ANSWER No p waves, no atrial contraction and irregular ventricular response →blood stagnates in the atrium