Galen Advanced Medsurg Nur265
Exam 1 Questions with Correct
Answers
Treatment for sinus bradycardia - Answer-Atropine sulfate
Treatment for A fib - Answer-w/ pulse= 180 joules cardio version
without pulse=CPR defibrillation
Atrial flutter (EKG appearance)
treatment - Answer-looks like sharp saw teeth
cardioversion (must have pulse)
ventricular fibrillation (EKG appearance)
treatment - Answer-looks like tombstones
defibrilate 360 joules
med epinephrine/ amiodarone
PVC (EKG appearance) - Answer-wide and bizarre "DIP"
if run of this .....can be vtach let Dr. Know asap
Pulmonary Edema - Answer-Medical emergency
dx xray = infiltration
LV fails to eject blood meaning pressure in lungs
"White lungs"
S/S of pulmonary edema - Answer-crackles @ base, SOB,
Dyspnea @rest
skin cold clammy
reduced urine output, lethargy
confusion, disoriented
Severe S/S productive frothy bood tinge sputum
Nursing interventions for Pulmonary edema - Answer-high Fowler
give 02 ( simple mask or non-rebreather)
remove fluid ( diuretics, thoracentesis,)
fluid restriction
Valvular heart disease education to patient - Answer-Notify HCP and dentist of heart
valve
antibiotic prophylaxis before and after procedures (oral /resp )
, clean all wound w/ antibiotic ointment
Tell HCP right away if these symptoms of valvular heart disease occur - Answer-fever
petichae
SOB
define Cardiac tamponade - Answer-pericardium around heart fills w/blood fluid/pus and
stop heart from filling
medical emergency!!!
S/S of a Cardiac tamponade - Answer-restless
o2 stat low
pulses thready, low bp
muffled heart sounds
JVD
clear lung sounds
pulse paradoxous
Dx of cardiac tamponade - Answer-chest x-ray,
echocardiogram (effusion)
treatment of cardiac tamponade - Answer-med dobutamine
pericardiocenesis
if chest tube drainage more than ........mL report to hcp - Answer-150mL
complication after treatment of cardiac tamponade - Answer-Stroke
Blood was pooling now moving= clots may travel
Define dilated cardiomyopathy - Answer-chronic disorder no cure
chambers of heart large/ weak pump
= decreased cardiac output
causes of dilated cardiomyopathy - Answer-alcohol
cocaine
infection
dilated cardiomyopathy is usually dx in what age group - Answer-40 year old
s/s of dilated cardiomyopathy - Answer-fatigue
dyspnea
s3, s4 gallop
jvd
crackles
weakness
Like Left side heart failure
Exam 1 Questions with Correct
Answers
Treatment for sinus bradycardia - Answer-Atropine sulfate
Treatment for A fib - Answer-w/ pulse= 180 joules cardio version
without pulse=CPR defibrillation
Atrial flutter (EKG appearance)
treatment - Answer-looks like sharp saw teeth
cardioversion (must have pulse)
ventricular fibrillation (EKG appearance)
treatment - Answer-looks like tombstones
defibrilate 360 joules
med epinephrine/ amiodarone
PVC (EKG appearance) - Answer-wide and bizarre "DIP"
if run of this .....can be vtach let Dr. Know asap
Pulmonary Edema - Answer-Medical emergency
dx xray = infiltration
LV fails to eject blood meaning pressure in lungs
"White lungs"
S/S of pulmonary edema - Answer-crackles @ base, SOB,
Dyspnea @rest
skin cold clammy
reduced urine output, lethargy
confusion, disoriented
Severe S/S productive frothy bood tinge sputum
Nursing interventions for Pulmonary edema - Answer-high Fowler
give 02 ( simple mask or non-rebreather)
remove fluid ( diuretics, thoracentesis,)
fluid restriction
Valvular heart disease education to patient - Answer-Notify HCP and dentist of heart
valve
antibiotic prophylaxis before and after procedures (oral /resp )
, clean all wound w/ antibiotic ointment
Tell HCP right away if these symptoms of valvular heart disease occur - Answer-fever
petichae
SOB
define Cardiac tamponade - Answer-pericardium around heart fills w/blood fluid/pus and
stop heart from filling
medical emergency!!!
S/S of a Cardiac tamponade - Answer-restless
o2 stat low
pulses thready, low bp
muffled heart sounds
JVD
clear lung sounds
pulse paradoxous
Dx of cardiac tamponade - Answer-chest x-ray,
echocardiogram (effusion)
treatment of cardiac tamponade - Answer-med dobutamine
pericardiocenesis
if chest tube drainage more than ........mL report to hcp - Answer-150mL
complication after treatment of cardiac tamponade - Answer-Stroke
Blood was pooling now moving= clots may travel
Define dilated cardiomyopathy - Answer-chronic disorder no cure
chambers of heart large/ weak pump
= decreased cardiac output
causes of dilated cardiomyopathy - Answer-alcohol
cocaine
infection
dilated cardiomyopathy is usually dx in what age group - Answer-40 year old
s/s of dilated cardiomyopathy - Answer-fatigue
dyspnea
s3, s4 gallop
jvd
crackles
weakness
Like Left side heart failure
