05/29/2026
SOLUTIONS ( A+ GRADED 100% VERIFIED)
NUR 425 Exam 3 2024/2025 Questions & Verified Solutions (
A+ Graded 100% Verified)
what does smoking do to the heart?
Narrows blood vessels / damages arteries / creates clots / causes high blood pressure / causes heart
disease
What is the path of conduction in the heart?
SA (sinoatrial) node ➞ internal nodes of the atria ➞ AV (atrioventricular) node ➞ bundle of HIS ➞
right and left bundle branches ➞ purkinje fibers ➞ ventricles
What should we look out for after Cardiac Catheterization?
- look for bleeding and hematoma
- monitor for chest pain
- assess for s/s of stroke (confusion, weakness, slurred speech)
- monitor for perforated artery (peripheral pulses, color, temp)
- monitor for kidney impairment related to contrast dye
What patient education should we provide post cardiac catheterization?
- maintain flat bedrest for 2-6 hours!!!
- drink fluids to help body remove contrast dye
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what are some other nursing interventions to perform after cardiac catheterization?
- cardiac monitoring
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, NUR 425 EXAM 3 2024/2025 QUESTIONS & VERIFIED
05/29/2026
SOLUTIONS ( A+ GRADED 100% VERIFIED)
- frequent vitals
- maintain adequate hydration
- get blood work to assess renal function, h&h, and coagulation studies
what are some nursing interventions post pacemaker placement?
- continuous monitoring
- chest xray
- pain management
- avoid shoulder movement
- monitor incision
- watch for hiccups
- provide patient with a safety identification card
what is some patient education for pacmakers?
- always carry device ID card
- keep arm below head for 1-2 weeks
- check pulse daily and report if its different from pacemaker rate
- no contact sports or heavy lifting (avoid being hit at site)
- NO MAGNETS over pacemaker
what are the s/s of a pacemaker complication that the patient should report to the provider?
dizziness, fatigue, weakness, chest pain, hiccups, palpitations, dyspnea, or weight gain
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What is an AICD?
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, NUR 425 EXAM 3 2024/2025 QUESTIONS & VERIFIED
05/29/2026
SOLUTIONS ( A+ GRADED 100% VERIFIED)
automatic implantable cardioverter-defibrillator
what should patients expect from an AICD?
- feels like a large shock/being hit in the chest
- may loose consciousness before shock
- if someone is touching them during impulse, they may feel the shock but will be unaffected
what is a PTCA (percutaneous transluminal coronary angioplasty) used for?
moderate atherosclerosis in coronary vessels
blockage in 1 or 2 arteries
what should you educate the patient to report immediately if they have a PTCA? why?
chest pain! indicates that device has failed and the artery is being occluded
What is a TAVR?
Transcatheter Aortic Valve Replacement is a technique to replace the Aortic Valve without stopping
the heart. It carries risk of Vasuclar Complications and is reserved for those too sick for Open Heart
Surgery.
It uses a Compressible Valve sort of like a stent.
what patient education should you provide to someone receiving a TAVR?
anticoagulant therapy forever
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redo surgery every 7-10 years
change diet and lifestyle
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