Nursing 2040-Exam 1 CCRI Questions with Complete Solutions
Types of valvular heart disease Correct Answer-Stenosis- tissue thickens
and narrows
Insufficiency(regurgitation)- valve is incompetent
Mitral vale prolapse(mvp)-valve leaflets protrude into atrium
Cardiomyopathy Correct Answer-Congestive- ventricular overload
Hypertropic- ventricular hypertropy
Restrictive- hard to fill/stiff heart
Left sided heart failure Correct Answer-Pulmonary congestion- dyspnea,
orthopnea, cyanosis/pallor
Pink frothy sputum
Crackles in lungs
Right sided heart failure Correct Answer-Fluid over load-
Dependent edema, liver/spleen enlargement, JVD, weakness/fati
CHF treatment Correct Answer-Digoxin- enhance cardiac muscle
Diuretic- relieves fluid retention
+
ACE inhibitors- improves exercise intolerance Pulmonary edema Correct Answer-Occurs when CHF is not reversed. S/S- severe dyspnea, tachy, wheezing, bloody sputum
Treat-diuretics vasodilators morphine
Natrecor
Cardiac transplant drugs Correct Answer-Cyclosporine(sandimmune)
Azathioprine
Sick sinus syndrome Correct Answer-Alternating periods of tachycardia and bradycardia. If chronic treat with digoxin.
Cardioversion Correct Answer-Electrical countershock for undesirable rhythm stabilization. -synchronized
-50-200 jolts
Defibrillation Correct Answer-Definitive treatment for V fib. -higher voltage
-not synchronized
Types of valvular heart disease Correct Answer-Stenosis- tissue thickens
and narrows
Insufficiency(regurgitation)- valve is incompetent
Mitral vale prolapse(mvp)-valve leaflets protrude into atrium
Cardiomyopathy Correct Answer-Congestive- ventricular overload
Hypertropic- ventricular hypertropy
Restrictive- hard to fill/stiff heart
Left sided heart failure Correct Answer-Pulmonary congestion- dyspnea,
orthopnea, cyanosis/pallor
Pink frothy sputum
Crackles in lungs
Right sided heart failure Correct Answer-Fluid over load-
Dependent edema, liver/spleen enlargement, JVD, weakness/fati
CHF treatment Correct Answer-Digoxin- enhance cardiac muscle
Diuretic- relieves fluid retention
+
ACE inhibitors- improves exercise intolerance Pulmonary edema Correct Answer-Occurs when CHF is not reversed. S/S- severe dyspnea, tachy, wheezing, bloody sputum
Treat-diuretics vasodilators morphine
Natrecor
Cardiac transplant drugs Correct Answer-Cyclosporine(sandimmune)
Azathioprine
Sick sinus syndrome Correct Answer-Alternating periods of tachycardia and bradycardia. If chronic treat with digoxin.
Cardioversion Correct Answer-Electrical countershock for undesirable rhythm stabilization. -synchronized
-50-200 jolts
Defibrillation Correct Answer-Definitive treatment for V fib. -higher voltage
-not synchronized
