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Cardiovascular Nursing Recent Questions with
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Quiz: Women's hearts are:
Ans: Smaller and have smaller cardiac arteries
Cardiac arteries occlude more easily
↑ resting rate
↑ stroke volume
↑ ejection fraction
Quiz: Women tend to have atypical signs/symptoms of MI:
Ans: -Shoulder/upper back pain
-SOB
-Fatigue.
Quiz: Diagnostic profile for acute MI
Ans: Plasma analysis of key cardiac iso-enzymes and other bio-markers:
-CK and CK-MB
-Myoglobin
-Troponin T and I
Quiz: Cholesterol
Ans: -LDL: Normal less than 160mg/dl
-HDL: women: 35-85, men: 35-70
-Triglycerides: Normal100-200 mg/dl.
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,Quiz: Brain (B-Type) Natriuretic Profile (BNP)
Ans: -Secreted by the ventricular walls in response to an increase in preload
or fluid in the ventricles
-Used for diagnosis, monitoring and as a prognostic tool for Heart Failure
-Results are quickly done.
Quiz: Blood Chemistry Tests related to Cardiovascular System
Ans: -Na+
control of fluid volume
-K+
major role in cardiac electrophysiologic function
*Hypokalemia
*Hyperkalemia
-Ca++
*neuromuscular activity and automaticity
*Hypocalemia
*Hypercalemia
-FBS or Hemoglobin A1C
Quiz: Electrocardiogram (ECG)
Ans: -A graphic study of the electrical activity of the myocardium to
determine transmission of cardiac impulses through the muscles/conduction
tissue.
Quiz: Exercise Cardiac Stress Test
Ans: -Walking on a treadmill - usually 9 to 12 minutes with increases in speed
and incline of treadmill every 2 to 3 minutes based upon protocol used
-Exercise bicycle - with increase in resistance at set intervals.
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, Quiz: Exercise Cardiac Stress Test Interventions
Ans: -Pt. needs to fast for 4 hours before test and avoid stimulants (tobacco,
caffeine)
-Some cardiac medications (beta adrenergic blockers) may be held
-Equipment to be used and need to have an IV
-Symptoms to report during testing.
Quiz: Pharmacologic Cardiac Stress Imaging
Ans: -Patients who cannot walk on treadmill or use exercise bike may
undergo pharmacologic stress test with imaging
-Vasodilation of coronary arteries with medications mimics the effect of
exercise
Quiz: Cardiac Catheterization
Ans: -Insertion of catheter into heart under fluoroscopy, to obtain information
about oxygen saturations, structures, performance of valves, assess coronary
artery perfusion, and pressure readings within heart chambers
-Inserted into vein for right side of heart and artery for left side
Quiz: Nursing Responsibility for cardiac catheterization
Ans: -Prior to procedure:
*Confirm consent has been signed
*NPO 8-12 hours
*ECG monitoring
*Patent IV line
*Resuscitation equipment on hand
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