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NURS 2245: Exam 1 Questions With Correct Answers

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©BRIGHTSTARS EXAM SOLUTIONS 11/16/2024 10:16 AM 1 | P a g e NURS 2245: Exam 1 Questions With Correct Answers Perfusion - answerpassage of nutrients and oxygenated blood through the body to the cells removal of cellular waste products what does perfusion depend on? - answernormal functioning...

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  • November 19, 2024
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  • NURS 2245
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©BRIGHTSTARS EXAM SOLUTIONS

11/16/2024 10:16 AM


NURS 2245: Exam 1 Questions With Correct
Answers


Perfusion - answer✔passage of nutrients and oxygenated blood through the body to the cells
removal of cellular waste products

what does perfusion depend on? - answer✔normal functioning of the respiratory and cardiac
systems

influences of perfusion - answer✔pump: poor pump, poor perfusion
volume: decrease, then decrease blood to carry O2
INCREASE: volume = organs compensate for the high supply
vessels: HTN, stiff, increase cholesterol
veins: problem e.g. edema, blood can not go back to heart

impaired tissue perfusion - answer✔central: heart, shock
peripheral: arteries, veins

modifiable risk factors: impaired perfusion - answer✔smoking
elevated cholesterol
sedentary lifestyle
obesity
diabetes
HTN
personality?

Unmodifiable risk factors: impaired perfusion - answer✔age

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, ©BRIGHTSTARS EXAM SOLUTIONS

11/16/2024 10:16 AM

gender: women: menopause decrease protective estrogen; increase heart problems
genetics

perfusion: central and local arteries - answer✔pulses
color of extremities

one of the most controllable risk factors for CVD is? - answer✔obesity
(#1 smoking
#2 obesity)

which of the following risk factors is NOT reduced by moderate exercise? - answer✔smoking

coronary arteries - answer✔receive blood during ventricular relaxation: diastole

coronary artery, pacemaker where? - answer✔SA node
R atrium
R ventricle

LAD (left anterior descending artery) - answer✔L ventricle
L coronary artery
widow maker
* most commonly occluded of coronary arteries
supplies the front and bottom of the left ventricle and the front of the septum.

block of LAD? - answer✔block of impulse conduction between atria and ventricles known as
"right/left bundle branch block"
circumflex artery supplies?

a.k.a. circumflex branch of left coronary artery - answer✔supplies most of the left atrium: the
posterior and lateral free walls of the left ventricle, and part of the anterior papillary muscle


may give off a variable number of left marginal branches to supply the left ventricle.

right coronary artery supplies blood to? - answer✔right ventricle
the right atrium

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SA (sinoatrial) and AV (atrioventricular) nodes: regulate the heart rhythm.

right coronary artery divides into? - answer✔smaller branches:
right posterior descending artery
acute marginal artery

function of the heart? - answer✔maintain blood flow throughout the CV system
maintain perfusion to all cells in the body under various conditions

electro-physiologic properties - answer✔automaticity: automatic and independent; generate a
pulse and heartbeat
autonomic nervous system

autonomic nervous system - answer✔sympathetic: increase: heart rate, rate of conduction,
contraction strength
parasympathetic: decrease: heart rate, conductivity, contractility; strong vagal nerve response
(vagus nerve): N &V

SA node in r/t autonomic nervous system? - answer✔SA node:
increase: sympathetic
decrease: parasympathetic

Cardiac Output (CO) - answer✔amount of blood pumped from L ventricle/min

adult CO range? - answer✔4-7L/min

CO depends on? - answer✔relationship between heart rate (HR) and stroke volume (SV)
CO = HR x SV
size of person, male or female

stroke volume in r/t HR - answer✔low SV, high HR
high SV, decrease HR (high amount of blood)
defined as blood pumped in one beat

heart rate (HR): 4 concepts - answer✔1 number of times ventricles contract/min
2 adult normal resting HR: 60-100 bpm

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, ©BRIGHTSTARS EXAM SOLUTIONS

11/16/2024 10:16 AM

3 controlled by autonomic nervous system
4 adjusts rapidly to regulate cardiac output

stroke volume (SV) - answer✔1 amount of blood ejected by the left ventricle during systole
2 influenced by: HR, preload, after-load, contractility

Ejection Fraction (EF) - answer✔amount of blood ejected by the left ventricle expressed in a %
normal: 50-70%
measured by echocardiogram

preload: 4 concepts - answer✔1 degree of myocardial fiber stretch at the end of diastole
2 determined by L ventricular end-diastolic volume (LVEDV)
3 starling's law: the more the heart is filled during diastole, the more forcefully it contracts (up
to a point)
4 excessive filling= excessive LVEDV= overstretched= decrease CO

Normal heart: preload - answer✔increase preload
increase CO

damaged heart: preload - answer✔decrease preload:
diuretics
lasix

afterload - answer✔pressure ventricles must overcome to eject blood into the peripheral blood
vessels

afterload influenced by? - answer✔condition of aortic valve
pressure and distensibility of the vascular system

contractility - answer✔force of cardiac contraction independent of preload

control afterload with? - answer✔BP meds to decrease BP
HTN: increase afterload

Review: preload, afterload, contractility - answer✔increase preload: increase: SV, CO (normal
heart)

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