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Med-Surg Exam 2 jersey college; Questions & Answers

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Med-Surg Exam 2 jersey college; Questions & Answers angina could be triggered by ? Answer-eating a heavy meal Exp: blood shunted to the GI area which decreases blood availability to the myocardium locations of chest pain? Answer-typically felt behind the sternum and may radiate to:neck, jaw...

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  • August 24, 2024
  • 83
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • Jersey College
  • Jersey College

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Med-Surg Exam 2 jersey college; Questions &
Answers
angina could be triggered by ? Answer-eating a heavy meal

Exp: blood shunted to the GI area which decreases blood availability to the
myocardium



locations of chest pain? Answer-typically felt behind the sternum and
may radiate to:neck, jaw, shoulders, and along the inner aspect of the left arm.



what is the classic finding of angina? Answer-it is relieved with rest or
nitroglycerine



Pt. education for nitroglycerin? Answer-1. keep in a dark bottle

2.renew every 6 months

3.place under tongue, never swallowed

4. can take every 5 minutes x 3 doses

5. call 911 after the first dose if pain is not relieved



decrease in cardiac output, expect the pulse to be? Answer-weak, thready
pulse

, Med-Surg Exam 2 jersey college; Questions &
Answers
signs of hypokalemia? Answer-muscle weakness

fatigue

muscle cramps

constipation

inverted T waves and a U wave on ekg



metabolic syndrome increases the risk of? Answer-heart disease



spironolactone is a potassium sparing diuretic that could? Answer-
potentiate fluid and electrolyte imbalances ( if given with potassium
supplements, hyperkalemia can occur)



how do bet-blockers work? end in -olol Answer-decreases heart rate and
blood pressure. mask the signs of hypoglycemia or worsen asthma because of
bronchoconstriction



why should you avoid discontinuing anti-hypertensives medications abruptly?
Answer-increase risk for rebound hypertension

, Med-Surg Exam 2 jersey college; Questions &
Answers
ACE inhibitors and Angiotensin 2 receptor blockers (ARBs) increase the risk of?
Answer-hyperkalemia



ACE inhibitors, how do they work? ends in -pril Answer-stop angiotensin 1
from converting to angiotensin 2 (powerful vasoconstrictor) thereby lowering
total peripheral vascular resistance and blood pressure



How to take a proper blood pressure reading? Answer-instruct pt. to not
eat or drink for 30 mins

support arm at heart level

make sure both feet are flat on the floor



the target organs affected by long standing hypertension? Answer-
retinopathy

neuropathy

nephropathy



decrease in output could cause what? Answer-decrease in tissue
perfusion which results in organ failure

, Med-Surg Exam 2 jersey college; Questions &
Answers


Following a pulmonary artery pressure reading you should deflate the balloon.
Why? Answer-to restore the blood flow through the pulmonary artery



Straining with bowel movements is not good because? Answer-it triggers
the valsalva maneuver which increases intrathoracic pressure decreasing the
venous blood flow to the heart and results in decrease cardiac output.



change patients position slowly to prebent? Answer-orthostatic
hypotension



Low central venous pressure levels could suggests? Answer-could suggest
dehydration or overdiuresis



increase central venous pressure could suggest? Answer-heart failure



increase central venous pressure provides a measurement of what?
Answer-measurement of the volume of blood that returned to the right
side of the heart (2-6 mm Hg)

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