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NUR 425 Exam 3 Practice Questions With Complete Correct Solutions.
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  • Course
  • NUR 425
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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...

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Document information

  • October 2, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • cardiac catheterization

Written for

  • NUR 425
  • NUR 425

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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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