NUR2243 Heart Transplant Exam 2 review Questions and Answers 2023/2024

NUR2243 Heart Transplant Exam 2 review Questions and Answers 2023/2024 Inferior wall MI patient may experience - Answer bradycardia, heart blocks, decreased perfusion Inferior wall MI patient assessments - Answer vital signs, BP, O2, LOC. Vtach (unconscious & no heart rate) intervention - Answer CPR immediately and defibrillate when equipment arrives Vtach (conscious, alert & oriented) intervention - Answer synchronized cardioversion Vfib intervention - Answer CPR and defibrillate ASAP SVT interventions - Answer Bear down (vagal maneuver) and give adenosine Afib rhythm strip characteristics - Answer no P waves and QRS complexes are not regular in rhythm 3rd degree heart block characteristics - Answer P waves are varying distances from the QRS complexes and there is no rhyme or reason to the way the heart is beating, this is an emergency Dopamine side effects - Answer heart attack, chest heaviness, always pay attention when patient complains of chest heaviness Heart transplant patient teaching - Answer change positions slowly, heart has not connected to the nervous system yet, at risk for orthostatic hypotension Important for surgical patients - Answer ensure the patient has running water at home to keep the healing wound/incision clean Interventions for an abrupt stop in chest tube drainage - Answer check for kinks in the tubing, ensure the drainage container is below chest level, call the doc. DO NOT reposition the tubing. Abrupt stop in chest tube drainage could indicate what - Answer a blood clot Dilated cardiomyopathy symptoms - Answer like left sided heart failure symptoms, crackles, pulmonary congestion Restrictive cardiomyopathy - Answer the rarest cardiomyopathy, stiff ventricles that resist filling during diastole, symptoms are similar to R or L heart failure or both. prognosis is poor. Before defibrillation - Answer yell clear, ensure everyone is clear of the bed and turn off the O2 Interventions if a patient is on a cardiac monitor showing abnormal rhythm - Answer assess the patient! do not go by the monitor alone PVC priority intervention - Answer assess O2 and BP, because cardiac output can be decreased Adenosine action - Answer slows the heart rate Adenosine side effects - Answer brief periods of asystole, bradycardia, hypotension, SOB, chest pain. How to administer Adenosine - Answer fast push followed by a fluid bolus, ensure the crash cart is at the bedside