NUR4032- BCU EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
Disadvantages of standardised care plan
Not personalized for the patient
Will not suit all patients and their individual health needs
May not be updated appropriately.
What are the three main coronary arteries?
Left Anterior Descending (LAD)
Left Circumflex Artery (LCX)
Right Coronary Artery (RCA)
Risk factors for myocardial infarction.
Smoking
High/Low LDL (cholesterol)
Hypertension
Genetics
Diabetes
Obesity
Signs and symptoms of myocardial infarction
Chest pain- tightness/heavy pressure/radiating pain
Shortness of breath
Diaphoresis- excessive sweating
Clammy
Changes in skin colour
Nausea
,Silent ischemia- diabetics
Light headedness/ dizziness
Heartburn/ indigestion feeling
Tool that can be used specifically for chest pain in cardiology
SOCRATES
Site
Onset
Character
Radiation
Associated Symptoms
Timing
Exacerbating/ Reliving factors
Severity
Nursing Assessment and Interventions for a myocardial
infarction
A-E assessment
Pain assessment- SOCRATES
12 lead ECG
Bloods ( checking for: Troponin, ABG,FBC, U&E)
Possibly give 02 if sats are below normal
Use pain scale and give pain relief as needed
ensure there is IV access
Continuous cardiac monitoring
Different occlusion levels in myocardial infarction.
, Unstable angina: minimal occlusion
NSTEMI: severe occlusion
STEMI: complete occlusion
What are causes of heart failure.
Myocardial infarction- myocardial necrosis resulting from acute
obstruction of a coronary artery.
Cardiomyopathy-Disease of the heart muscles where the walls
of the chambers become stretched, thickened or stiff.
Hypertension- High blood pressure, where there is increase in
vascular pressure
Arrythmias- abnormalities of the electrical conduction system
Amyloidosis- 'stiff heart syndrome'- accumulation of clumps of
abnormally folded proteins in the heart muscles
CHD- a defect of hearts natural development prior to birth
Heart Valve disease- heart valves become stiff or leaks, other
problems that affect blood flow.
Signs and symptoms of heart failure
Shortness of breath
Fatigue/ weakness
Oedema (swelling in lower limbs and around lungs typically
with heart failure)
Haemodynamic instability
Arrythmias
Decreased exercise tolerance
Angina
Classifications of heart failure
SOLUTIONS
Disadvantages of standardised care plan
Not personalized for the patient
Will not suit all patients and their individual health needs
May not be updated appropriately.
What are the three main coronary arteries?
Left Anterior Descending (LAD)
Left Circumflex Artery (LCX)
Right Coronary Artery (RCA)
Risk factors for myocardial infarction.
Smoking
High/Low LDL (cholesterol)
Hypertension
Genetics
Diabetes
Obesity
Signs and symptoms of myocardial infarction
Chest pain- tightness/heavy pressure/radiating pain
Shortness of breath
Diaphoresis- excessive sweating
Clammy
Changes in skin colour
Nausea
,Silent ischemia- diabetics
Light headedness/ dizziness
Heartburn/ indigestion feeling
Tool that can be used specifically for chest pain in cardiology
SOCRATES
Site
Onset
Character
Radiation
Associated Symptoms
Timing
Exacerbating/ Reliving factors
Severity
Nursing Assessment and Interventions for a myocardial
infarction
A-E assessment
Pain assessment- SOCRATES
12 lead ECG
Bloods ( checking for: Troponin, ABG,FBC, U&E)
Possibly give 02 if sats are below normal
Use pain scale and give pain relief as needed
ensure there is IV access
Continuous cardiac monitoring
Different occlusion levels in myocardial infarction.
, Unstable angina: minimal occlusion
NSTEMI: severe occlusion
STEMI: complete occlusion
What are causes of heart failure.
Myocardial infarction- myocardial necrosis resulting from acute
obstruction of a coronary artery.
Cardiomyopathy-Disease of the heart muscles where the walls
of the chambers become stretched, thickened or stiff.
Hypertension- High blood pressure, where there is increase in
vascular pressure
Arrythmias- abnormalities of the electrical conduction system
Amyloidosis- 'stiff heart syndrome'- accumulation of clumps of
abnormally folded proteins in the heart muscles
CHD- a defect of hearts natural development prior to birth
Heart Valve disease- heart valves become stiff or leaks, other
problems that affect blood flow.
Signs and symptoms of heart failure
Shortness of breath
Fatigue/ weakness
Oedema (swelling in lower limbs and around lungs typically
with heart failure)
Haemodynamic instability
Arrythmias
Decreased exercise tolerance
Angina
Classifications of heart failure
