ExamI3:INSGI300/INSG300I(NewI2024/I
2025IUpdate)IFoundationsIofINursingI
|IGuideIwithIQsIandIAsI|I100%ICorrect|I
GradeIAI(VerifiedIAnswers)-IGCU
QUESTION
leftIsidedIHF
Answer:
IanIabnormalIconnditionIcharacterizedIbyIdecreasedIfunctionIof
LIventricle
-
ifIfailureIisIsignificantItheIamountIofIbloodIejectedIfromILIventricleIdecreasesIgreatlyIr
esultingIinIdecreasedICO
-S/S
*fatigue
*breathlessness
I
*dizziness
*confusionIasIaIresultIofItissueIhypoxia
-
ifILIventricleIcontinuesItoIfail,IbloodIbeginsItoIpoolIinIpulmonaryIcirculation,IcausingI
pulmonaryIcongestion
-IclinicalIfindings
*cracklesIinIbaseIofIlungs
*hypoxia
*ISOBIonIexertion
*cough
QUESTION
RIsidedIHF
Answer:
IresultsIfromIimpairedIfunctioningIofIRIventricle
,-commonlyIfromIpulmonaryIdiseaseIorIlongItermILIsidedIHF
-primaryIpathologicalIfactorI=IelevatedIpulmonaryIvascularIresistance
*asIPVRIrisesItheIRIventricleIworksIharderI&IO2IdemandIofIheartIincreases
-
IasIfailureIcontinuesItheIamtIofIbloodIejectedIfromIRIventricleIdeclinesI&IbloodIbegins
ItoIbackIupIsystemicIcirculation
-S/S
*IweightIgain
*distendedIneckIveins
*Ihepatomegaly
*splenomegaly
*dependantIperipheralIedema
QUESTION
impairedIvalvularIfunction
Answer:
IvalvularIheartIdiseaseIisIanIacquiredIorIcongenitalIdisorderIofIcardiacIvalveIcausingIei
therIhardeningI(stenosis)IorIimpairedIclosureI(regurgitation)IofIvalves
QUESTION
stenosis
Answer:
IhardeningIwhereIflowIofIbloodIthroughIvalvesIisIobstructed
-
ex.)IinIsemilunarIvalvesI(aorticI&Ipulmonic)ItheIadjacentIventriclesIhaveItoIworkIhard
erItoImoveIventricularIbloodIvolumeIbeyondItheIstenoticIvalve
-overItimeIventriclesIwillIhypertrophyI&IifIuntreeatedILIorIRIHFIcanIoccur
QUESTION
regurgitation
Answer:
,IimpairedIclosureIofIvalvesIthatIoccursIwhenIthereIisIaIbackIflowIofIbloodIintoIanIadja
centIchamber
-ex.)IinImitralIregurgitationItheImitralIleafletsIdoInotIcloseIcompletely
QUESTION
myocardialIischemia
Answer:
IresultsIwhenIsupplyIofIbloodItoImyocardiumIfromIcoro-
InaryIarteriesIisIinsufficientItoImeetImyocardialIoxygenIdemands
-2IcommonIoutcomes=IanginaIpectorisI&IMI
QUESTION
anginaIpectoris
Answer:
IaItransientIimbalanceIb/tImyocardialIO2IsupplyI&Idemand
-resultsIinIchestIpainIthatIisIaching,Isharp,Itingling,IorIburning,IthatIfeelsIlikeIpressure
-typicallyIL-sided/sub-sternal;IoftenIradiatesItoILIorIbothIarms,Ineck,Ijaw,I&Iback:
lastsI3-5Imin
-IclientsIoftenIreportIitIisIprecipitatedIbyIactivitiesIthatIincreaseImyocardialIO2I-->
I
eatingIheavyImeals,Iexercise,IorIstress
-IrelievedIwithIrestI&IcoronaryIvasodilatorsI(MCI=InitroglycerinIpatch)
*womenIhaveIdifferentIsymptomsIorInoneIatIall:IorIatypicalIsymptomsIlikeIpalpita-
Itions,Ianxiety,Iweakness,I&Ifatigue
QUESTION
MII(acuteIcoronaryIsyndrome)
Answer:
IresultsIfromIsuddenIdecreaseIinIcoronaryIbloodIflowIorIanIincreaseIinImyocardialIO2I
demandIw/oIadequateIcoronaryIper-Ifusion
, -
chestIpainIinImenIusuallyIdescribedIasIcrushing,Isqueezing,IorIstabbing;IoftenIinILIche
stIorIsternalIarea;ImayIbeIfeltIinIbackI&IradiatesIdownILIarmItoIneckI,Ijaws,Iteeth,Iepi
gastricIarea,I&Iback;IoccursIatIrestIorIexertionI&IlastsI>I20Imin;Irest,IpositionIchange,
IorIsublingualInitroglycerinIadminIdoesINOTIreleiveIpain
-
IwomenIsymptomsIareIcommonlyIanginaIwithIfatigue,Iindigestion,ISOB,I&IbackIorIja
wIpain
QUESTION
cardioprotectiveInutrition
Answer:
IdietIincludesIrichIfiberIfoodsI:IwholeIgrains,IfreshIfruitsI&Ivegetables,Inuts,Iantioxida
nts,IleanImeats,Ifish,I&Ichicken,I&IomegaI3.fattyIacids
*helpsIpreventIandIdecreaseIeffectsIofIHTN
QUESTION
hydration
Answer:
IessentialIforIcellularIhealth
-
fluidIvolumeIdeficitImayIresultIinIdizziness,Ifainting,Ihypotension,IorIaIthickeningIofIr
espiratoryIsecretions
QUESTION
inhaledInicotine
Answer:
IcausesIvasoconstrictionIofIperipheralI&IcoronaryIbloodIves-
Isels,IincreasedIBPI&IdecreasedIbloodIflowItoIperipheralIvessels
