NUR 425 Exam 3 Practice Questions With Complete Correct Solutions.
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NUR 425
what does smoking do to the heart? - Answer Narrows blood vessels / damages arteries / creates clots / causes high blood pressure / causes heart disease
What is the path of conduction in the heart? - Answer SA (sinoatrial) node internal nodes of the atria AV (atrioventricular) node bund...
NUR 425 Exam 3 Practice Questions
With Complete Correct Solutions.
what does smoking do to the heart? - Answer Narrows blood vessels / damages arteries / creates
clots / causes high blood pressure / causes heart disease
What is the path of conduction in the heart? - Answer SA (sinoatrial) node ➞ internal nodes of the atria
➞ AV (atrioventricular) node ➞ bundle of HIS ➞ right and left bundle branches ➞ purkinje fibers ➞
ventricles
What should we look out for after Cardiac Catheterization? - Answer - look for bleeding and hematoma
- monitor for chest pain
- assess for s/s of stroke (confusion, weakness, slurred speech)
- monitor for perforated artery (peripheral pulses, color, temp)
- monitor for kidney impairment related to contrast dye
What patient education should we provide post cardiac catheterization? - Answer - maintain flat
bedrest for 2-6 hours!!!
- drink fluids to help body remove contrast dye
what are some other nursing interventions to perform after cardiac catheterization? - Answer - cardiac
monitoring
- frequent vitals
- maintain adequate hydration
- get blood work to assess renal function, h&h, and coagulation studies
what are some nursing interventions post pacemaker placement? - Answer - continuous monitoring
- chest xray
- pain management
- avoid shoulder movement
,- monitor incision
- watch for hiccups
- provide patient with a safety identification card
what is some patient education for pacmakers? - Answer - always carry device ID card
- keep arm below head for 1-2 weeks
- check pulse daily and report if its different from pacemaker rate
- no contact sports or heavy lifting (avoid being hit at site)
- NO MAGNETS over pacemaker
what are the s/s of a pacemaker complication that the patient should report to the provider? - Answer
dizziness, fatigue, weakness, chest pain, hiccups, palpitations, dyspnea, or weight gain
What is an AICD? - Answer automatic implantable cardioverter-defibrillator
what should patients expect from an AICD? - Answer - feels like a large shock/being hit in the chest
- may loose consciousness before shock
- if someone is touching them during impulse, they may feel the shock but will be unaffected
what is a PTCA (percutaneous transluminal coronary angioplasty) used for? - Answer moderate
atherosclerosis in coronary vessels
blockage in 1 or 2 arteries
what should you educate the patient to report immediately if they have a PTCA? why? - Answer chest
pain! indicates that device has failed and the artery is being occluded
What is a TAVR? - Answer Transcatheter Aortic Valve Replacement is a technique to replace the Aortic
Valve without stopping the heart. It carries risk of Vasuclar Complications and is reserved for those too
sick for Open Heart Surgery.
It uses a Compressible Valve sort of like a stent.
, what patient education should you provide to someone receiving a TAVR? - Answer anticoagulant
therapy forever
redo surgery every 7-10 years
change diet and lifestyle
require prophylactic antibiotics before dental procedures
conserve energy
watch for s/s of valve disease and HF
What is CABG? (Coronary Artery Bypass Graft) - Answer Improves blood flow to heart. Healthy vessel
from the body is connected to the blocked coronary artery, creating a new path for oxygenated blood to
flow to the heart.
what should the nurse monitor after a CABG? - Answer circulation
LOC
incision
BP
pain
chest tube drain
i's&o's
electrolytes
what patient education should we provide after a CABG? - Answer smoking cessation
report signs of infection
avoid stress/ stress management techniques
cardiac rehab
sternal precautions (no hits to chest)
treat angina
lifestyle change
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