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Cardiac Exam Study Guide questions with complete solutions
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Cardiac Exam Study Guide questions with complete solutions
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Cardiac Exam Study GuideCKMB (Creatine kinase MB isoenzyme) - correct answer ✔✔30-170 units/L
elevated 3-6 hrs
elevated duration up to 2-3 days
Troponin T - correct answer ✔✔Less than 0.1 ng/mL
elevated 2-3 hrs following injury
duration 10-14 days
Troponin I - correct answer ✔✔Less than 0.03 ng/mL
elevated 2-3 hr following injury
duration 7-10 days
Myoglobin - correct answer ✔✔Less than 90mcg/L
elevated 2-3 hrs following injury
duration 24 hrs
Total Cholesterol - correct answer ✔✔Less than 200 mg/dL
screening for heart disease
LDL - correct answer ✔✔bad cholesterol
Less than 130 mg/dL
Transports cholesterol to the body's cells from the liver
Triglycerides - correct answer ✔✔Males: 40-160 mg/dL
Females: 35-135 mg/dL
,Evaluates the client's risk for heart disease
HDL - correct answer ✔✔Good cholesterol
Females: greater than 55 mg/dL
Males: greater than 45 mg/dL
Protects coronary arteries from heart disease by transporting cholesterol from the body's cells to the
liver
Lipid Profile - correct answer ✔✔Fast 12-14 hours prior to sample
Coronary Angiography (cardiac catheterization) - correct answer ✔✔invasive diagnostic procedure used
to evaluate the presence and degree of coronary artery blockage
Indication: unstable angina, ECG changes (T waves inversion, ST segment elevation, depression)
confirm and determine location and extent of heart disease
Coronary Angiography Post-procedure - correct answer ✔✔Assess vital signs:
every 15 mins x 4
every 30 mins x2
every hour x4
then every 4 hrs
Assess the affected extremity in the same intervals for bleeding and hematoma formation, thrombosis,
document pedal pulse, extremity color, and temperature
Maintain bed rest supine positive with extremity straight 4-6 hrs, or prescribed time
Continuous cardiac monitoring for dysrhythmias
Administer antiplatelet or thrombolytic agents as prescribed to prevent blood clots and restenosis
Monitor urine output and administer IV fluids for hydration
Perform/assist with sheath removal from vessel - observe for vagal response, have Atropine readily
available in case of vagal response, hold pressure for 20 minutes or longer if indicated
, Cardiac Tamponade - correct answer ✔✔result from fluid accumulation in the pericardial sac
hypotension, muffled heart sounds, jugular venous distention, and paradoxical pulse
A nurse is orienting a newly licensed nurse on the care of a client who is to have a line placed for
hemodynamic monitoring. Which of the following statements by the newly licensed nurse indicates
understanding?
A. "Air should be instilled into the monitoring system prior to the procedure."
B. "The client should be positioned on the left side during the procedure."
C. "The transducer should be level with the second intercostal space after the line is placed."
D. "A chest x-ray is needed to verify placement after the procedure." - correct answer ✔✔D. Ensure that
a chest x-ray is obtained to confirm proper placement of the lines following placement.
Your patient had a history of aortic regurgitation. On auscultation you would hear?
A. high pitch systolic murmur
B. blowing diastolic murmur
C. low pitch diastolic murmur
D. harsh systolic murmur - correct answer ✔✔B.
Patient presents to the ER with chest pain that gets worse when taking a deep breath. What do you
suspect?
A. mitral valve prolapse
B. myocardial infarction
C. right sided heart failure
D. pericarditis - correct answer ✔✔D
Your patient is noted to be in sinus bradycardia. Which of the following is not a cause for this rhythm?
A. acute blood loss
B. hypothyroidism
C. patient is sleeping
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