2 NR 545 Questions With Correct Answers
// // // // // //
Chest /
/Pain /
/AKA /
/Angina /
/Patho //- /
/CORRECT /
/ANSWERS(S)✔✔Patho: /
/Chest //pain //associated //with //decreased //blood //flow //or //ischemia //to //the //myocardial //tissue.
Chest //pain //PA //- //CORRECT //ANSWERS(S)✔✔Physical //Assessment: //chest //heaviness
Pressure
Squeezing
Fullness
Pain //radiates //to //left //shoulder, //arm, //or //jaw.
Elevation //of //blood //pressure //during //attack
Chest /
/pain /
/Pharm //- /
/CORRECT //ANSWERS(S)✔✔Pharm: //Nitroglycerin- //relaxes //and //widens //blood //vessels
Dosing: //0.3-0.6mg //every //5 //minutes //for //max //of //3 //doses
Long-term //treatment //to //consider: //ACE //Inhibitors //& //Beta-Blockers
,Chest /
/pain /
/risks //- //CORRECT //ANSWERS(S)✔✔Risks //and //complications: //Acute //Coronary //Syndrome
Myocardial //Infarction //- //CORRECT //ANSWERS(S)✔✔blood //flow //to //the //heart //is //minimized.
Buildup //of //cholesterol
MI /
/Patho //- /
/CORRECT //ANSWERS(S)✔✔imbalance //between //myocardial //oxygen //supply //and //demand
Prolonged //for //greater //than //30 //minutes //can //lead //to //cardiac //tissue //death.
MI //PA //- //CORRECT //ANSWERS(S)✔✔Pain //at //rest
Not //relieved //with //nitro
Lightheaded
Impending //doom
Nausea
Diaphoresis
Wheezing
MI /
/Dx //- /
/CORRECT /
/ANSWERS(S)✔✔Troponins //elevated, //often //stay //elevated //for //one //week //after //infarction.
EKG- //ST //elevation //or //new //left //bundle //branch //block
Atherosclerosis //- /
/CORRECT //ANSWERS(S)✔✔when //blood //vessels //that //carry //oxygen //to //organs //and //tissues //is
//restricted.
,Hardening //of //vessels //from //buildup //of //fats, //cholesterol //in //the //artery //walls
Happens //gradually.
Formed //plaque //can //break //off //and //burst, //triggering //a //blood //clot.
Atherosclerosis /
/patho //- /
/CORRECT /
/ANSWERS(S)✔✔inflammatory /
/process /
/that /
/begins //with //damage //to //the //endothelium //often //result //of //HTN, //smoking, //high //cholesterol,
//or //other //risk //factors.
Fatty //streak //to //fibrous //plaque //and //then //complicated //lesion
Atherosclerosis //PA //- //CORRECT //ANSWERS(S)✔✔modifiable //risk //factors
Fluid //retention
Fatigue
Neck //vein //distension
Edema
Calf //pain
Atherosclerosis //Dx //- //CORRECT //ANSWERS(S)✔✔Dx: //Stress //tests
Chest //Xray
EKG
Ankle-Brachial //Index //to //assess //blood //pressure //in //the //extremities.
Atherosclerosis //Pharm //- //CORRECT //ANSWERS(S)✔✔Pharm: //Antiplatelets //(Aspirin)
Statins- //reduce //inflammation.
, ACE //Inhibitor- //relax //blood //pressure //and //reduce //work //and //pressure //on //heart.
Can //be //treated //with //lifestyle //management.
Heart /
/Failure //- /
/CORRECT /
/ANSWERS(S)✔✔complex /
/clinical /
/syndrome /
/that /
/results /
/from /
/structural /
/or /
/functional /
/impairment /
/of /
/ventricular /
/or /
/ejection /
/of /
/blood, /
/which /
/in /
/turn //leads //to //the //cardinal //clinical //symptoms //of //dyspnea //and //fatigue, //edema, //and //rales.
Heart //Failure //PA //- //CORRECT //ANSWERS(S)✔✔Pre-
existing //conditions //such //as //diabetes, //liver //failure, //renal //disease, //anemia.
Dyspnea /
/on /
/exertion, //orthopnea, //paroxysmal //nocturnal //dyspnea //(PND), //nocturnal //angina, //Cheyne-
Stokes //respirations //(ask //families //or //caretaker)
Fatigue, /
/lethargy, /
/decreased /