NUR 445 EXAM 2 ACTUAL EXAM QUESTIONS WITH DETAILED ANSWERS
What are the side/adverse effects of antidysrhythmic drugs like amiodarone and
dronedarone?
- Slows heart rate
- Affects thyroid and liver, and pulmonary function
What changes do you expect with ST elevation?
Signs of a STEMI (ST-elevation myocardial infarction)
What is isosorbide dinitrate and what does it do?
This is another form of nitrate that reduces preload and afterload
What is the treatment for symptomatic bradycardia?
Atropine
Where do you get the blood from when doing ABGs?
Artery, ART line
What lifestyle changes should be educated to patients to reduce the risk for
cardiovascular disease?
- Diet (decreased fat, increased fiber)
- Exercise
- Stop smoking/drinking completely
What are the signs and symptoms of uncontrolled hypertension?
- Headaches
- Dizziness
- Nocturia
- Long-term complication can be heart failure
What is the purpose of a cardiac stress test?
To assess cardiovascular function
Which cardiovascular risks are modifiable?
High fat diet, smoking.
What are the signs and symptoms of dysrhythmias?
- Irregular heart rhythm
- Palpitations
- Dizziness
- Shortness of breath.
Can an ECG be done multiple times?
Yes
, What is the most significant complication in a patient with myocardial infarction?
Cardiogenic shock
What are the risks associated with herbal/alternative medicine?
Bleeding risk with Omega 3 and garlic
What are the treatment options for end-stage heart failure?
LVAD and IABP
Which patients are at high risk for digitalis toxicity?
People with poor renal function, CKD, and the elderly
What do we look for when we give digoxin?
Improved contractility (ejection fraction)
What are the signs and symptoms of digoxin toxicity?
Visual disturbances, N/V, anorexia
What does a lipid profile measure?
- TG
- LDL
- HDL
- Total cholesterol
What are the risks for heart disease?
Various factors such as...
- Smoking
- High blood pressure
- High cholesterol
- Obesity
- Diabetes
- Family history (genetics)
What medications are indicated for patients with angina?
ONAM (Oxygen, Nitroglycerin, Aspirin, Morphine)
Which medications are contraindicated in angina?
-fil drugs (e.g., sildenafil, vardenafil) and Viagra
What are the atypical manifestations of myocardial infarction?
- Women: Neck, jaw, shoulder, abdominal pain
- Elderly: Confused, dyspnea, syncope, weakness
- Diabetics: SOB, fatigue
What are the side/adverse effects of antidysrhythmic drugs like amiodarone and
dronedarone?
- Slows heart rate
- Affects thyroid and liver, and pulmonary function
What changes do you expect with ST elevation?
Signs of a STEMI (ST-elevation myocardial infarction)
What is isosorbide dinitrate and what does it do?
This is another form of nitrate that reduces preload and afterload
What is the treatment for symptomatic bradycardia?
Atropine
Where do you get the blood from when doing ABGs?
Artery, ART line
What lifestyle changes should be educated to patients to reduce the risk for
cardiovascular disease?
- Diet (decreased fat, increased fiber)
- Exercise
- Stop smoking/drinking completely
What are the signs and symptoms of uncontrolled hypertension?
- Headaches
- Dizziness
- Nocturia
- Long-term complication can be heart failure
What is the purpose of a cardiac stress test?
To assess cardiovascular function
Which cardiovascular risks are modifiable?
High fat diet, smoking.
What are the signs and symptoms of dysrhythmias?
- Irregular heart rhythm
- Palpitations
- Dizziness
- Shortness of breath.
Can an ECG be done multiple times?
Yes
, What is the most significant complication in a patient with myocardial infarction?
Cardiogenic shock
What are the risks associated with herbal/alternative medicine?
Bleeding risk with Omega 3 and garlic
What are the treatment options for end-stage heart failure?
LVAD and IABP
Which patients are at high risk for digitalis toxicity?
People with poor renal function, CKD, and the elderly
What do we look for when we give digoxin?
Improved contractility (ejection fraction)
What are the signs and symptoms of digoxin toxicity?
Visual disturbances, N/V, anorexia
What does a lipid profile measure?
- TG
- LDL
- HDL
- Total cholesterol
What are the risks for heart disease?
Various factors such as...
- Smoking
- High blood pressure
- High cholesterol
- Obesity
- Diabetes
- Family history (genetics)
What medications are indicated for patients with angina?
ONAM (Oxygen, Nitroglycerin, Aspirin, Morphine)
Which medications are contraindicated in angina?
-fil drugs (e.g., sildenafil, vardenafil) and Viagra
What are the atypical manifestations of myocardial infarction?
- Women: Neck, jaw, shoulder, abdominal pain
- Elderly: Confused, dyspnea, syncope, weakness
- Diabetics: SOB, fatigue
