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NUR 508 Exam 1 (2025) ACTUAL EXAM
comprehensive questions and verified accurate
solution (Detailed & Elaborated) |get it 100%
accurate!! 2025 TEST!!
Interventions performed when a patient presents to the ER with angina -
(answers)oxygen (sats >93%), 12-lead EKG (within 10 min), chewable aspirin (162-
325 mg), sublingual nitro, morphine (as needed if unresponsive to NTG, nitro drip
after sublingual NTG has been used (titrate drip to pain and BP, keep systolic BP
>90, dosed mcg/min)
What does chest pain result from? - (answers)an imbalance between the supply
and demand of the myocardium (reduced perfusion to the heart) - due to
accumulation of lactic acid
ECG changes diagnostic of a STEMI - (answers)ST elevation in >2 associated or
contingent, later development of pathologic Q wave - sometimes might see
inverted T wave or T wave changes
Cardiac biomarker that is specific and sensitive to myocardial cell death -
(answers)Troponin most specific and sensitive (specifically troponin-I, troponin-T),
CK-MB also sensitive, but more useful when patient has reinfarction
Complication that can occur if death of myocardial cells is significant after MI -
(answers)ventricular dysfunction from tissue infarction with subsequent necrosis
(scar tissue does not contract well), systolic dysfunction is usually what we see
, 2
physical findings of left ventricular dysfunction after MI - (answers)(manifestations
of systolic heart failure) pulmonary edema, pink frothy cough, crackles to
auscultation, S3, pallor, cool extremities, low urine output - if we suspect
cardiogenic shock we see hypotension, mental status changes, depressed level of
consciousness
common complication of MI - (answers)dysrhythmias (ventricular, atrial and sinus
node dysfunction)
indications for TPA administration with MI - (answers)unable to get to cardiac cath
lab within 90 min, outlying rural hospital, STEMI
nursing interventions associated with TPA administration - (answers)monitor for
significant signs and symptoms of bleeding, ensure adequate IV access and avoid
invasive procedures during infusion
Complications of TPA administration - (answers)bleeding, hemorrhage, more
serious complications such as retroperitoneal or intracranial
What would be seen with serious complications of TPA administration? -
(answers)altered LOC (lethargy, hypotension, significant bruising throughout
abdomen)
Nursing interventions for the post-operative patient after CABG with chest tube
drainage - (answers)monitor for excessive chest tube output or bleeding and
possible chest tube occlusion - concerns are related to accumulation of blood in
the chest cavity and surrounding pericardium which can lead to cardiac
tamponade - no specific numbers or values for chest tube output - if pt has
NUR 508 Exam 1 (2025) ACTUAL EXAM
comprehensive questions and verified accurate
solution (Detailed & Elaborated) |get it 100%
accurate!! 2025 TEST!!
Interventions performed when a patient presents to the ER with angina -
(answers)oxygen (sats >93%), 12-lead EKG (within 10 min), chewable aspirin (162-
325 mg), sublingual nitro, morphine (as needed if unresponsive to NTG, nitro drip
after sublingual NTG has been used (titrate drip to pain and BP, keep systolic BP
>90, dosed mcg/min)
What does chest pain result from? - (answers)an imbalance between the supply
and demand of the myocardium (reduced perfusion to the heart) - due to
accumulation of lactic acid
ECG changes diagnostic of a STEMI - (answers)ST elevation in >2 associated or
contingent, later development of pathologic Q wave - sometimes might see
inverted T wave or T wave changes
Cardiac biomarker that is specific and sensitive to myocardial cell death -
(answers)Troponin most specific and sensitive (specifically troponin-I, troponin-T),
CK-MB also sensitive, but more useful when patient has reinfarction
Complication that can occur if death of myocardial cells is significant after MI -
(answers)ventricular dysfunction from tissue infarction with subsequent necrosis
(scar tissue does not contract well), systolic dysfunction is usually what we see
, 2
physical findings of left ventricular dysfunction after MI - (answers)(manifestations
of systolic heart failure) pulmonary edema, pink frothy cough, crackles to
auscultation, S3, pallor, cool extremities, low urine output - if we suspect
cardiogenic shock we see hypotension, mental status changes, depressed level of
consciousness
common complication of MI - (answers)dysrhythmias (ventricular, atrial and sinus
node dysfunction)
indications for TPA administration with MI - (answers)unable to get to cardiac cath
lab within 90 min, outlying rural hospital, STEMI
nursing interventions associated with TPA administration - (answers)monitor for
significant signs and symptoms of bleeding, ensure adequate IV access and avoid
invasive procedures during infusion
Complications of TPA administration - (answers)bleeding, hemorrhage, more
serious complications such as retroperitoneal or intracranial
What would be seen with serious complications of TPA administration? -
(answers)altered LOC (lethargy, hypotension, significant bruising throughout
abdomen)
Nursing interventions for the post-operative patient after CABG with chest tube
drainage - (answers)monitor for excessive chest tube output or bleeding and
possible chest tube occlusion - concerns are related to accumulation of blood in
the chest cavity and surrounding pericardium which can lead to cardiac
tamponade - no specific numbers or values for chest tube output - if pt has
