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vSIM - Cardiac (Shapiro and Cooper) Exam Questions and Answers
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vSIM - Cardiac (Shapiro and Cooper) Exam Questions and Answers
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vSIM - Cardiac (Shapiro and Cooper)Exam Questions and Answers
When iia iipatient iiis iiexperiencing iiangina, iithe iinurse iiadministers iiNTG iisublingually iiat
iiwhat iifrequency?
a) iiOnce iionly, iithen iiadminister iimorphine.
b) iiEvery ii3 iiminutes, iino iirestriction iion iinumber iiof iidoses. ii
c) iiEvery ii15 iiminutes, ii3 iidoses iimaximum. ii
d) iiEvery ii5 iiminutes, iimaximum ii3 iidoses. ii- iiAnswers ii-d) iiEvery ii5 iiminutes, iimaximum
ii3 iidoses ii
When iia iipatient iiis iiexperiencing iiacute iiangina, iiit iiis iirecommended iithat iithe iipatient
iiallow iione iiSL iitablet iito iidissolve iiunder iithe iitongue ii(or iispray iiNTG iiunder iithe
iitongue) iiand iirepeat iievery ii5 iiminutes iifor iia iimaximum iiof iithree iidoses.
When iiadministering iimedication iito iithe iipatient iiwith iisuspected iiMI, iithe iinurse
iiunderstands iithat iimorphine iihas iiwhich iiof iithe iifollowing iibeneficial iieffects? ii(Select
iiall iithat iiapply.)
a) iiDecreases iipain
b) iiDecreases iianxiety ii
c) iiDecreases iirespiratory iirate
d) iiDecreases iiafterload
e) iiDecreases iipreload ii- iiAnswers ii-a) iiDecreases iipain
b) iiDecreases iianxiety
d) iiDecreases iiafterload ii
e) iiDecreases iipreload ii
Morphine iiis iithe iidrug iiof iichoice iito iireduce iipain, iithereby iireducing iianxiety. iiIt iialso
iireduces iipreload iiand iiafterload, iidecreasing iithe iiwork iiof iithe iiheart. iiThe iipatient iimust
iibe iimonitored iiclosely iifor iithe iiside iieffects iiof iihypotension iiand iirespiratory
iidepression.
Which iiof iithe iifollowing iiare iicardiac iimarkers iiassessed iiin iithe iipatient iiexperiencing
iiangina iito iidetermine iipotential iimyocardial iiinjury? ii(Select iiall iithat iiapply.)
a) iiCK-MB
b) iiTroponin ii
c) iiCreatinine ii
d) iiHemoglobin ii
, e) iiCK-MM ii- iiAnswers ii-a) iiCK-MB
b) iiTroponin ii
Cardiac iienzymes iiand iibiomarkers, iiwhich iiinclude iitroponin, iicreatine iikinase ii(CK),
iiand iimyoglobin, iiare iiused iito iidiagnose iiacute iiMI. iiOf iithe iithree iiCK iiisoenzymes, iiCK
iimyocardial iibound ii(MB) iiis iispecific iito iithe iiheart iimuscle. iiCK-MM iiis iispecific iito
iiskeletal iimuscle iiand iiis iinot iian iiindicator iiof iiMI. iiHemoglobin iiis iiused iito iidetermine
iithe iiamount iiof iioxygen iiin iithe iiblood. iiCreatinine iiis iielevated iiin iirenal iifailure, iinot iiin
iimyocardial iiinjury.
The iinurse iirecognizes iithat iiST iielevation iion iithe ii12-lead iiECG iitypically iiindicates
iiwhich iiof iithe iifollowing?
a) iiMyocardial iiischemia
b) iiMyocardial iiinjury ii
c) iiHyperkalemia
d) iiThis iiis iia iinormal iifinding ii- iiAnswers ii-b) iiMyocardial iiinjury ii
Myocardial iiinjury iicauses iiST-segment iiand iiT-wave iichanges iion iian iiECG.
The iinurse iiknows iithat iiwhich iifactors iimay iiincrease iithe iipatient's iirisk iiof iideveloping
iiCAD?
a) iiFamily iihistory ii
b) iiCigarette iismoking ii
c) iiFemale iiless iithan iiage ii55
d) iiMetabolic iisyndrome ii
e) iiActivity iilimited iito iiwalking ii- iiAnswers ii-a) iiFamily iihistory ii
b) iiCigarette iismoking ii
d) iiMetabolic iisyndrome
Non-modifiable iirisk iifactors iifor iiCAD iiinclude iifamily iihx iiand iiincreasing iiage ii(more
iithan ii55 iiyears iiin iiwomen). iiCigarette iismoking iiand iimetabolic iisyndrome iiare
iimodifiable iirisk iifactors iifor iiCAD. iiA iidx iiof iimetabolic iisyndrome iiincludes iithree iiof iithe
iifollowing iiconditions: iiinsulin iiresistance, iicentral iiobesity, iidyslipidemia, iiBP
iipersistently iigreater iithan ii130/85 iimmHg, iihigh iilevels iiof iiC-reactive iiprotein, iiand iihigh
iifibrinogen iilevel. iiAny iiactivity iibased iion iipatient's iicapability iiis iiencouraged.
Which iiof iithe iifollowing iidoes iithe iinurse iirecognize iias iitypical iiS&S iiexhibited iiby iia
iipatient iiexperiencing iiangina? ii(Select iiall iithat iiapply.)
a) iiPain iion iiinspiration ii
b) iiTenderness iiover iiapical iiarea
c) iiShortness iiof iibreath
d) iiSubsternal iichest iipain
e) iiDiaphoresis ii- iiAnswers ii-c) iiSOB
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