NURS 5455 EXAM 2 STUDY GUIDE
WITH SOLUTION
SYSTOLIC HEART FAILURE - ANSWER HEART FAILURE WITH A REDUCE EJECTION
FRACTION <40%
NORMAL JVD VALUE - ANSWER <4 CM
LEFT VENTRICULAR HEART FAILURE S/S - ANSWER EXERTIONAL DYSPNEA
COUGH
PND
ORTHOPNEA
FATIGUE
CAD PATHO - ANSWER ACCUMULATION OF PLAQUES INSIDE THE ARTERIES
CAUSING INFLAMMATORY RESPONSES, LEADING TO BLOCKAGES AND RUPTURES
OF THE ARTERIES
BETA BLOCKER - ANSWER ANTI-ANGINAL AGENT DEMONSTRATED TO PROLONG
LIFE IN PATIENT WITH CAD POST MI
FRAMINGHAM TOOL - ANSWER TOOL USED TO ASSESS A PATIENTS 10 YEAR RISK
OF DEVELOPING CORONARY HEART DISEASE
CAD RISK FACTORS - ANSWER DM
HTN
TOBACCO
EKG CHANGES WITH ACUTE MI - ANSWER ST SEGMENT ELEVATION >/= TO 4 MM
,EKG CHANGE INDICATING MYOCARDIAL ISCHEMIA - ANSWER ST-SEGMENT
DEPRESSION OR T-WAVE INVERSION
DIAGNOSTIC TESTING FOR ACUTE MI - ANSWER CK-MB, MYOHLOBIN, TROPONIN
ECHO
RADIONUCLIDE IMAGING
HIGHEST RISK FACTOR FOR INFECTIVE ENDOCARDITIS - ANSWER IV DRUG ABUSE
PRINZMETAL'S ANGINA - ANSWER CHEST PAIN OFTEN AWAKENING IN THE
MORNING
DIAGNOSTIC TEST OF CHOICE FOR DETECTING HYPERTROPHIC CARDIOMYOPATHY
(HCM) OR IDOPATHIC LEFT VENTRICULAR HYPERTROPHY (LVH) IS - ANSWER ECHO
IN A PATIENT WITH HYPERTROPHIC CARDIOMYOPATHY WITH END-STAGE
SYSTOLIC HEART FAILURE, WHICH AGENTS ARE USED FOR DISEASE MANAGEMENT
- ANSWER DIGOXIN
ORAL ANTICOAGULANTS
ACEI/ARB
DIURETIC
BETA BLOCKER
A PATIENT PRESENTS WITH HYPERLIPIDEMIA AND UNSTABLE ANGINA. YOUR NEXT
ACTION WOULD BE: - ANSWER SEND TO ACUTE CARE FOR WORK-UP OF ISCHEMIA,
ARRYTHMIA, OR THROMBOSIS
, WHICH OF THE FOLLOWING AGENTS WOULD BE CONSIDERED AS FIRST-LINE
THERAPY FOR A CLIENT WITH STAGE 2 HTN AND HEART FAILURE - ANSWER
TELMISARTAN
HOW MANY AMERICANS WILL LIKELY HAVE A HEART ATTACK FOR THE FIRST TIME
THIS YEAR - ANSWER > 600,000
AORTIC STENOSIS - ANSWER 2ND ICD RIGHT STERNAL BORDER; RADIATING TO
THE RIGHT NECK; SYSTOLIC
PULMONIC STENOSIS - ANSWER 2ND ICS LEFT STERNAL BORDER, RADIATING TO
LEFT NECK; SYSTOLIC
AORTIC INSUFFICIENCY - ANSWER 2ND ICS RIGHT STERNAL BORDER, RADIATING
TO LEFT STERNAL BORDER/APEX; DIASTOLIC
TRICUSPID STENOSIS - ANSWER 4TH ICS, LECT STERNAL BORDER, RADIATING TO
APEX/XIPHOID; DIASTOLIC
T/F: LEVELS OF LDL, OR "BAD" CHOLESTEROL, RISE MORE QUICKLY FOR WOMEN
THAN FOR MEN - ANSWER TRUE
T/F: HEART DISEASE IS THE 2ND LEADING CAUSE OF DEATH IN THE UNITED STATES
- ANSWER FALSE
WITH SOLUTION
SYSTOLIC HEART FAILURE - ANSWER HEART FAILURE WITH A REDUCE EJECTION
FRACTION <40%
NORMAL JVD VALUE - ANSWER <4 CM
LEFT VENTRICULAR HEART FAILURE S/S - ANSWER EXERTIONAL DYSPNEA
COUGH
PND
ORTHOPNEA
FATIGUE
CAD PATHO - ANSWER ACCUMULATION OF PLAQUES INSIDE THE ARTERIES
CAUSING INFLAMMATORY RESPONSES, LEADING TO BLOCKAGES AND RUPTURES
OF THE ARTERIES
BETA BLOCKER - ANSWER ANTI-ANGINAL AGENT DEMONSTRATED TO PROLONG
LIFE IN PATIENT WITH CAD POST MI
FRAMINGHAM TOOL - ANSWER TOOL USED TO ASSESS A PATIENTS 10 YEAR RISK
OF DEVELOPING CORONARY HEART DISEASE
CAD RISK FACTORS - ANSWER DM
HTN
TOBACCO
EKG CHANGES WITH ACUTE MI - ANSWER ST SEGMENT ELEVATION >/= TO 4 MM
,EKG CHANGE INDICATING MYOCARDIAL ISCHEMIA - ANSWER ST-SEGMENT
DEPRESSION OR T-WAVE INVERSION
DIAGNOSTIC TESTING FOR ACUTE MI - ANSWER CK-MB, MYOHLOBIN, TROPONIN
ECHO
RADIONUCLIDE IMAGING
HIGHEST RISK FACTOR FOR INFECTIVE ENDOCARDITIS - ANSWER IV DRUG ABUSE
PRINZMETAL'S ANGINA - ANSWER CHEST PAIN OFTEN AWAKENING IN THE
MORNING
DIAGNOSTIC TEST OF CHOICE FOR DETECTING HYPERTROPHIC CARDIOMYOPATHY
(HCM) OR IDOPATHIC LEFT VENTRICULAR HYPERTROPHY (LVH) IS - ANSWER ECHO
IN A PATIENT WITH HYPERTROPHIC CARDIOMYOPATHY WITH END-STAGE
SYSTOLIC HEART FAILURE, WHICH AGENTS ARE USED FOR DISEASE MANAGEMENT
- ANSWER DIGOXIN
ORAL ANTICOAGULANTS
ACEI/ARB
DIURETIC
BETA BLOCKER
A PATIENT PRESENTS WITH HYPERLIPIDEMIA AND UNSTABLE ANGINA. YOUR NEXT
ACTION WOULD BE: - ANSWER SEND TO ACUTE CARE FOR WORK-UP OF ISCHEMIA,
ARRYTHMIA, OR THROMBOSIS
, WHICH OF THE FOLLOWING AGENTS WOULD BE CONSIDERED AS FIRST-LINE
THERAPY FOR A CLIENT WITH STAGE 2 HTN AND HEART FAILURE - ANSWER
TELMISARTAN
HOW MANY AMERICANS WILL LIKELY HAVE A HEART ATTACK FOR THE FIRST TIME
THIS YEAR - ANSWER > 600,000
AORTIC STENOSIS - ANSWER 2ND ICD RIGHT STERNAL BORDER; RADIATING TO
THE RIGHT NECK; SYSTOLIC
PULMONIC STENOSIS - ANSWER 2ND ICS LEFT STERNAL BORDER, RADIATING TO
LEFT NECK; SYSTOLIC
AORTIC INSUFFICIENCY - ANSWER 2ND ICS RIGHT STERNAL BORDER, RADIATING
TO LEFT STERNAL BORDER/APEX; DIASTOLIC
TRICUSPID STENOSIS - ANSWER 4TH ICS, LECT STERNAL BORDER, RADIATING TO
APEX/XIPHOID; DIASTOLIC
T/F: LEVELS OF LDL, OR "BAD" CHOLESTEROL, RISE MORE QUICKLY FOR WOMEN
THAN FOR MEN - ANSWER TRUE
T/F: HEART DISEASE IS THE 2ND LEADING CAUSE OF DEATH IN THE UNITED STATES
- ANSWER FALSE
