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NUR 325 Final Latest Update Exam With Questions And Correct Answers

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NUR 325 Final Latest Update Exam With Questions And Correct Answers...

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  • 30 de septiembre de 2024
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  • NUR 325
  • NUR 325
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NUR 325 Final Latest Update Exam With Questions
And Correct Answers


What is stenosis? -Answer Stiffening or narrowing of the valve, really hard for the blood
to make its way through the valve



What is regurgitation? -Answer The valve doesn't close completely and blood can go
back through the valve the opposite way; valve becomes a two way door



What does regurgitation cause? -Answer A murmur



What is Preload? - Answer The amount of stretch on the ventricles at the end of diastole



How can preload be measured? - Answer Central Venous Pressure, Stroke volume (The
amount of blood the ventricles contracts/shoots out), Passive Leg Raise



Passive leg raise to measure preload - Answer If stroke volume increases by more than
10% when legs are raised above the head, could benefit from more fluids



Ways to improve a low preload - Answer Fluids



Ways to improve a high preload - Answer Diuretics or dialysis in the case of kidney
failure



Physical Assessment of Low Preload - Answer Hypovolemic so dry skin, dry mucus
membranes, low skin turgor, orthostatic



Physical Assessment of High Preload - Answer Hypervolemic so edema, crackles on

,lungs, hypoxic, SOB, weaping



Afterload - Answer The amount of resistance the ventricles have to face at the end of
systole



Afterload - How to measure - Answer SVR (Systemic Vascular Resistance): how
dilated/constricted blood vessels are



How to improve a low Afterload - Answer Vasopressin, dopamine (high doses),
norepinephrine, epinephrine



How to improve a high Afterload - Answer Nitroglycerin, Nicardipine, Labetelol



What is contractility? - Answer How the heart is squeezing



Methods to Monitor Contractility-Answer Cardiac output, cardiac index (more
individualized)



Methods to enhance Contractility-Answer Epinephrine, dopamine and dobutamine,
digoxin



What are examples of invasive lines? Answer Peripheral lines, Arterial lines, Central
Venous Catheter, and Pulmonary Artery line



How to care for a Arterial Line? - Answer Give fluids so that the line doesn't clot off,
Make sure to watch distally to the insertion sight, Insertion sight always staying
covered, Transducer needs to be level to fourth intercostal space midaxillary line (heart)
and the level needs to be 0



What if a transducer is too low? - Answer Artificially too high of a BP

,What if a transducer is too high? - Artificially too low of a BP



How to care for a Peripheral Line? - Check for infiltration, redness and swelling at the
sight, Check for infection



How would you care for a Central Venous Catheter? -Answer Inserting sterile and
keeping a sterile dressing over it, Clean off ports before you give medication, Green
caps that are full of alcohol to keep the ports clean when they aren't being used, Flush
every 8 hours, CHG bath, bath every day in general



How would you care for a Pulmonary Arterial Line? -Answer Similar to Central Lines



Normal Sinus - Answer PR interval 0.20, QRS interval less than .11, Rate is 60-100



Sinus Bradycardia - Answer PR interval 0.20, QRS interval less than .11, Rate is less
than 60



Sinus Brady Symptoms - Answer o Decreased level of consciousness

o Decreased capillary refill

o Lightheaded, dizzy

o Cool, clammy skin

o Fatigue



How to treat sinus brady? - Answer Give Atropine, Epinephrine, Dopamine



Sinus Tachycardia - Answer PR interval 0.20, QRS interval less than .11, Rate is over
100



Symptoms of Sinus Tachy - Answer Similar to Bradycardia

, How to treat Sinus Tachycardia - Answer - Treat underlying cause like pain, anxiety,
stress

- Beta blockers



SVT (Supraventricular Tachycardia) - Answer QRS interval is less than .11, no ST
elevation, Very high rate, cannot measure PR interval



How to treat SVT - Answer Vasovagal Maneuvers (blow into a straw, cough, bear down),
Adenosine, Betablockers or calcium channel blockers, and cardioversion



What vasovagal maneuver can only a physician do? - Answer Carotid Massage



Symptoms of SVT - Answer -palpitations

-SOB

-dizziness

-syncope

-panic/anxiety

-chest pain



Atrial Paced Rhythm - Answer Spike before P wave



Ventricular Paced Rhythm - Answer Spike before QRS



Atrial and Ventricular Paced Rhythm - Answer Spike before both P wave and QRS
complex



Atrial Fibrillation - Answer No P waves for every QRS

No PR interval

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