Sunday, December 11, 2005

N4 N7 Critical Care Cardiac quiz

Sole: Introduction to Critical Care Nursing, 4th Edition
Open-Book Quizzes Chapter 11
1.
Nursing care after cardiac catheterization includes which of the following?
A.Hold NPO for 12 hours post procedure and assess respiratory status hourly.
B.Initiate passive and active range of motion to limbs every hour.
C.Maintain the head of the head elevation 45 degrees.
D.Monitor peripheral pulses and color of the affected bilateral extremities.
2.
A 72-year-old male, with a history of hypertension, presents to the emergency department complaining of a sudden, sharp pain which is shifting from his flank to mid-abdominal area. Upon further assessment you are only able to determine his pedal and posterior tibial pulses with a Doppler, noting the mottled appearance of his lower extremities. Your initial assessment is that he is potentially experiencing a(n):
A.Acute abdomen
B.Aortic dissection
C.Dissected femoral artery
D.Gastrointestinal ileus
3.
Which of the following complications is the patient who has received thrombolytic therapy at highest risk for?
A.Hemorrhage
B.Respiratory arrest
C.Supraventricular tachycardia
D.Ventricular rupture
4.
Which of the following physical findings is consistent with right-sided heart failure?
A.Dependent edema and jugular venous distention
B.Orthopnea and crackles in the base of the lungs
C.Short episodes of ventricular tachycardia
D.Tachycardia and a prolonged QT segment
5.
___________________, also known as BNP, is a good marker for differentiating between pulmonary and cardiac causes of dyspnea.
6.
____________ frequently presents with precordial pain, which is intensified during deep inspiration, and a pericardial friction rub.
7.
___________________ is an acute coronary syndrome involving partial blockage of a coronary artery by a thrombus.
8.
The goal of __________________ is to dissolve the lesion that is occluding the coronary artery and to increase blood flow to the myocardium.
9.
Match each description to the correct term related to cardiovascular alterations.
1.
Ace inhibitors
2.
Amiodarone
3.
Beta blockers
4.
Calcium channel blockers
5.
Intra-aortic balloon pump
6.
Percutaneous transluminal coronary angioplasty
7.
ReoPro, Integralin, or Aggrastat
8.
Reteplase, t-PA
A.
Antiplatelet agents and glycoprotein IIb/IIIa inhibitors
B.
Compresses intracoronary plaque to increase blood flow to the myocardium
C.
Decreases afterload and increases coronary artery perfusion
D.
Dissolves the lesion that is occluding the coronary artery during a myocardial infarction
E.
Drug, with a long half-life, used to treat atrial and ventricular dysrhythmias
F.
Inhibits the remodeling process after a myocardial infarction/injury
G.
Used to treat angina, acute myocardial infarction, and heart failure
H.
Used to treat hypertension, tachydysrhythmias, vasospasm, and angina

1 comment:

Bonnie Boss said...

1d, 2b, 3a, 4a, 5 B-type natrietic peptide, 6 pericarditis, 7 unstable angina, 8 thrombolytic therapy, 9 a-7, b-6, c-5, d-8, e-2, f-1, g-3, h-4