MDC3 Final Exam Questions with 100% Correct Solutions| Graded to Pass

S/S of left sided heart failure - COUGHING pulmonary edema crackles Daily - How often does a patient weight themselves with heart failure? Echocardiogram - Diagnostic test for heart failure Helps diagnose valve disease and see how they fxn BNP - Blood test used for heart failure Respiratory status assessment - HF pt. what do we want to make sure we do? Causes or Risk factors of HF - lifestyle/diet smoking hypertension diabetes Rheumatic fever - What predisposes you to mitral stenosis? Pulmonary congestion Right-sided HF Orthopnea NOT hypertension - Which of the following will you see with mitral valve stenosis? Mitral valve replacement Percutaneous balloon valvuloplasty - Treatments for mitral valve stenosis Transplant - Treatment of patient with end stage heart failure Pink Frothy Sputum - Main sign of pulmonary edema Blood thinners for life - Medication that pt will be on once they have a valve replacement with a prosthetic valve Decreased SOB Decreased swelling/edema - Signs that a pt is starting to do better Mitral regurgitation - JVD Tachycardia Murmur - high pitched holo systolic Left sided heart failure - What can mitral regurgitation lead to if not treated? Diuretics Beta blockers - Medications used in heart failure patients especially for patients with mitral regurgitation Marfan Syndrome - Disorder that puts you at greatest risk for mitral valve prolapse Systolic click - Mitral valve prolapse sign Listening for crackles - Ask patient to cough If sound clears then it is rhonchi Aortic Stenosis - Chest pain SOB Systolic crescendo-decrescendo murmur Aortic Regurgitation - Will hear decrescendo murmur Medication for life Watch for bleeding - anticoagulants - Valve replacement patient education Pt had dental work - Most at risk pt for endocarditis Janeway lesions on hands and feet NOT weight gain Fever Murmur - S/S of infective endocarditis Antibiotics or antimicrobials - Treatment of infective endocarditis Pericardial friction rub - What will you hear with pericarditis No difficulty breathing - Best outcome for pt with heart failure Left Ventricular dilation - dilated cardiomyopathy Heart transplant - What happens if you cant fix dilated cardiomyopathy Watch for s/s of rejection - What is important to monitor in pt with heart transplant adequate tools at home - Education for multiple means of taking blood pressure Atherosclerosis - Teach pt to increase HDL Decrease LDL Eat healthy (no meat, fresh fruit/veg)