QUESTIONS AND DETAILED ANSWER
BREAKDOWN FULL CONTENT REVIEW
◉ The classical ECG change with muscle injury in acute myocardial
infarction is: Answer: ST segment elevation
◉ Elevated cardiac iso-enzymes generally do not occur in which
response below? Answer: CHF
◉ The major therapeutic goal in the treatment of cariogenic shock is
to: Answer: Increased CO
◉ You receive orders to start nitroprusside and dobutamine in your
patient with end-stage cardiomyopathy. How will this tx regimen
affect CO? Answer: Reduces preload and after load and improves
contractility
◉ In dealing with a depressed pt during the first days post AMI the
most appropriate nursing action would be: Answer: Encourage the
patient to ventilate his/her concerns
, ◉ Mr Seamore is receiving thrombolytics (TPA) 3 hrs after an AMI.
Which of the following would most likely require discontinuing the
infusion? Answer: change in mental status
◉ The following monitor pattern would indicate that the pulmonary
artery (swan ganz) catheter is in which position? Answer:
Pulmonary artery occlusion (wedge)
◉ A systolic murmur that is auscultated at the 2nd intercostal space,
right sternal border is called: Answer: Aortic stenosis
◉ Which of the following wave patterns indicates proper functioning
of an arterial line? Answer: High to low
◉ After an arterial catheter is removed, direct pressure should be
applied to the artery for how long? Answer: 8-10 minutes
◉ A CVP reading directly reflects pressure in the: Answer: Right
atrium
◉ An elevated CVP reading may indicate: Answer: Rt heart failure
◉ The pulmonary artery occlusive (wedge) pressure (PAOP) reflects
pressure in the: Answer: Lt ventricle