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NUR 254 Exam 1 Latest Updates 2024/2025
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NUR 254 Exam 1 Latest Updates 2024/2025
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NUR 254 Exam 1 Latest Updates2024/2025
Initial dose of amiodarone bolus IV ANS✔✔ 300mg
The med is administrated rapid iv push resulting In a brief flatline, used for
SVT, code cart must be at bedside ANS✔✔ adenosine
what are the doses for adenosine? ANS✔✔ 6mg, 12 mg, 12mg rapid IV push
medication used PRN for angina ANS✔✔ Nitro- warn of HA, low BP
Each large box on the ecg paper represents how many seconds ANS✔✔ 20
seconds
wo serum lab tests that would be elevated with MI ANS✔✔ CK (CREATININE
KINASE) and Troponin
What complication of CABG presents with manifestations of decreased
urinary output, crackles, jvd, s3 gallop ANS✔✔ pump failure (heart failure)
Most carbohydrates in the diet should be complex such as whole grains.
Name 2 foods that would be considered complex carbs ANS✔✔ whole grain
breads/pasta, legumes, potatoes
,What would a high CVP reading indicate (normal readings are 3-12mmhg)
(dehydrated means 2-3mmhg)(20-22mmhg hypervolemia) ANS✔✔
hypervolemia
what would you see on an EKG with a pt with Hyperkalemia? ANS✔✔ peaked
T waves
A PATIENT WITH HIGH LDL SHOULD BE ADVISED TO REPLACE FOODS HIGH IN
SATURATED FAT WITH FOODS HIGHER IN UNSATURATED FAT. NAME THREE
(3) FOODS THE PATIENT SHOULD AVOID THAT ARE HIGH IN SATURATED FAT.
ANS✔✔ BUTTER, CHEESE, MILK, CREAM, ICE CREAM, COCONUT OIL AND
FATTY MEATS
ASIDE FROM PACER SPIKES WITH SUBSEQUENT P WAVES OR QRS
COMPLEXES, HOW WOULD A NURSE ASSESS THE INTENDED OUTCOMES OF A
PACEMAKER? (THERE ARE SEVERAL, NAME AT LEAST ONE CORRECTLY)
ANS✔✔ HEART RATE >60, NORMOTENSIVE, SKIN COLOR APPROPRIATE
WHICH CLASS OF ANTIHYPERTENSIVE MEDICATIONS HAS A COMMON SIDE
EFFECTS OF COUGH, HYPERKALEMIA (TOO HIGH) AND HYPOTENSION?
ANS✔✔ ANGIOTENSION CONVERTING ENZYME (ACE) INHIBITORS
THIS ANTICHOLINERGIC MEDICATION IS ADMINISTERED 0.5 MG TO 1 MG IV
PUSH FOR SYMPTOMATIC BRADYCARDIA ANS✔✔ ATROPINE
CHEST PAIN RELIEVED BY REST IS REFERRED TO AS ANS✔✔ STABLE ANGINA
NAME THREE (3) MODIFIABLE RISK FACTORS FOR CAD ANS✔✔
HYPERLIPIDEMIA
CIGARETTE SMOKING/TOBACCO USE
,HTN
DM
OBESITY
ATHEROGENIC DIET
ORAL CONTRACEPTIVES (HRT)
PHYSICAL INACTIVITY
METABOLIC SYNDROME
ULTIMATELY THE RECOMMENDED GOAL FOR PHYSICAL ACTIVITY FOR
CORONARY ARTERY DISEASE IS: ANS✔✔ 30 minutes per day most days (5-6
days a week)
MOST CARBOHYDRATES IN THE DIET SHOULD BE COMPLEX SUCH AS WHOLE
GRAINS. NAME TWO (2) FOODS THAT WOULD BE CONSIDERED COMPLEX
CARBOHYDRATES. ANS✔✔ WHOLE GRAIN BREADS/PASTA, LEGUMES,
POTATOES, RICE, STARCHY VEGETABLES.
USED TO INCREASE CARDIAC OUTPUT WHILE AWAITING A HEART
TRANSPLANT ANS✔✔ ventricular assistive device
THIS IS THE UMBRELLA TERM FOR UNSTABLE ANGINA, THAT IS WORSE THAN
TYPICAL ANGINA, LASTS GREATER THAN 15 MINUTES, INDICATES
MYOCARDIAL INJURY, AND IS OFTEN A PRECURSOR TO MYOCARDIAL
INFARCTION? ANS✔✔ ACS- acute coronary syndrome
CHEST PAIN WITH MI IS TYPICALLY DESCRIBED AS (NAME AT LEAST 3):
ANS✔✔ UNRELIEVED BY REST/NITROGLYCERIN, OCCURS AT REST,
RADIATING, CRUSHING/SQUEEZING, ASSOCIATED FACTORS (DYSPNEA,
DIAPHORESIS)
, WHICH COMPLICATION OF CABG HAS MANIFESTATIONS OF MUFFLED HEART
TONES, CT DRAINAGE ABRUPTLY SUBSIDING, HYPOTENSION AND
TACHYCARDIA? ANS✔✔ cardiac tamponade
WHAT IS THE NORMAL MEASUREMENT IN SECONDS FOR THE PR INTERVAL?
ANS✔✔ 0.12- 0.20 seconds
WHAT IS THE NORMAL MEASURMENT IN SECONDS FOR THE QRS COMPLEX?
ANS✔✔ 0.6-0.10 seconds
THESE TWO (2) ABNORMALITIES ARE SEEN WITH MYOCARDIAL INFARCTION.
ANS✔✔ ST ELEVATION AND PATHOLOGIC Q WAVES***
A PATIENT SECOND DEGREE TYPE 2 HEART BLOCK THAT HAS PROGRESSED
TO THIRD DEGREE (COMPLETE) HEART BLOCK. WHAT IS THE PRIORITY
INTERVENTION? ANS✔✔ pacemaker
WHAT ARE THE COMMON CAUSES OF SINUS TACHYCARDIA? ANS✔✔ FEVER,
HYPOXIA, ANEMIA, HYPOVOLEMIA, PAIN/ANXIETY
WHAT IS THE PRIORITY INTERVENTION FOR VENTRICULAR FIBRILLATION,
THAT HAS THE GREATEST IMPACT ON SURVIVAL RATE? ANS✔✔ defib
A PATIENT DEVELOPS PSVT AND IS SYMPTOMATIC. PRIOR TO ADENOSINE OR
CARDIOVERSION, WHAT IS A NONPHARMACOLOGIC INTERVENTION FOR
PSVT? ANS✔✔ ELICIT VAGAL RESPONSE/VALSALVA MANEUVER
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