NUR 508 Exam 1 (2025) ACTUAL EXAM comprehensive questions and
NUR 508 Exam 1
verifiedStudy
accurate solution (Detailed & Elaborated) |get it 100%
online at https://quizlet.com/_8fxaos
accurate!!
1. oxygen (sats >93%), 12-lead EKG (within 10 min), chew- Interventions performed
able aspirin (162-325 mg), sublingual nitro, morphine when a patient presents to
(as needed if unresponsive to NTG, nitro drip after the ER with angina
sublingual NTG has been used (titrate drip to pain and
BP, keep systolic BP >90, dosed mcg/min)
2. an imbalance between the supply and demand of the What does chest pain re-
myocardium (reduced perfusion to the heart) - due to sult from?
accumulation of lactic acid
3. ST elevation in >2 associated or contingent, later devel- ECG changes diagnostic of
opment of pathologic Q wave - sometimes might see a STEMI
inverted T wave or T wave changes
4. Troponin most specific and sensitive (specifically tro- Cardiac biomarker that is
ponin-I, troponin-T), CK-MB also sensitive, but more specific and sensitive to
useful when patient has reinfarction myocardial cell death
5. ventricular dysfunction from tissue infarction with sub- Complication that can oc-
sequent necrosis (scar tissue does not contract well), cur if death of myocardial
systolic dysfunction is usually what we see cells is significant after MI
6. (manifestations of systolic heart failure) pulmonary physical findings of left
edema, pink frothy cough, crackles to auscultation, S3, ventricular dysfunction af-
pallor, cool extremities, low urine output - if we suspect ter MI
cardiogenic shock we see hypotension, mental status
changes, depressed level of consciousness
7. dysrhythmias (ventricular, atrial and sinus node dys- common complication of
function) MI
8. unable to get to cardiac cath lab within 90 min, outly- indications for TPA admin-
ing rural hospital, STEMI istration with MI
1/7
, NUR 508 Exam 1
Study online at https://quizlet.com/_8fxaos
9. monitor for significant signs and symptoms of bleed- nursing interventions as-
ing, ensure adequate IV access and avoid invasive pro- sociated with TPA adminis-
cedures during infusion tration
10. bleeding, hemorrhage, more serious complications Complications of TPA ad-
such as retroperitoneal or intracranial ministration
11. altered LOC (lethargy, hypotension, significant bruis- What would be seen with
ing throughout abdomen) serious complications of
TPA administration?
12. monitor for excessive chest tube output or bleeding Nursing interventions for
and possible chest tube occlusion - concerns are re- the post-operative patient
lated to accumulation of blood in the chest cavity and after CABG with chest tube
surrounding pericardium which can lead to cardiac drainage
tamponade - no specific numbers or values for chest
tube output - if pt has adequate output one hour then
none the next hour, you have a problem - monitor color
and consistency of drainage
13. pH < 7.35, CO2 > 45, lab values of respiratory
acidosis
14. COPD, drug overdose, advancing neuromuscular con- patient scenarios where
dition (ALS, myasthenia gravis with exacerbations) we see respiratory acidosis
15. narcan, BIPAP, intubation, deep breathing exercises How do we treat some-
with coughing, turning off PCA one with respiratory aci-
dosis - aka someone with
drug overdose?
16. kidneys What compensatory sys-
tem regulates respirato-
2/7
NUR 508 Exam 1
verifiedStudy
accurate solution (Detailed & Elaborated) |get it 100%
online at https://quizlet.com/_8fxaos
accurate!!
1. oxygen (sats >93%), 12-lead EKG (within 10 min), chew- Interventions performed
able aspirin (162-325 mg), sublingual nitro, morphine when a patient presents to
(as needed if unresponsive to NTG, nitro drip after the ER with angina
sublingual NTG has been used (titrate drip to pain and
BP, keep systolic BP >90, dosed mcg/min)
2. an imbalance between the supply and demand of the What does chest pain re-
myocardium (reduced perfusion to the heart) - due to sult from?
accumulation of lactic acid
3. ST elevation in >2 associated or contingent, later devel- ECG changes diagnostic of
opment of pathologic Q wave - sometimes might see a STEMI
inverted T wave or T wave changes
4. Troponin most specific and sensitive (specifically tro- Cardiac biomarker that is
ponin-I, troponin-T), CK-MB also sensitive, but more specific and sensitive to
useful when patient has reinfarction myocardial cell death
5. ventricular dysfunction from tissue infarction with sub- Complication that can oc-
sequent necrosis (scar tissue does not contract well), cur if death of myocardial
systolic dysfunction is usually what we see cells is significant after MI
6. (manifestations of systolic heart failure) pulmonary physical findings of left
edema, pink frothy cough, crackles to auscultation, S3, ventricular dysfunction af-
pallor, cool extremities, low urine output - if we suspect ter MI
cardiogenic shock we see hypotension, mental status
changes, depressed level of consciousness
7. dysrhythmias (ventricular, atrial and sinus node dys- common complication of
function) MI
8. unable to get to cardiac cath lab within 90 min, outly- indications for TPA admin-
ing rural hospital, STEMI istration with MI
1/7
, NUR 508 Exam 1
Study online at https://quizlet.com/_8fxaos
9. monitor for significant signs and symptoms of bleed- nursing interventions as-
ing, ensure adequate IV access and avoid invasive pro- sociated with TPA adminis-
cedures during infusion tration
10. bleeding, hemorrhage, more serious complications Complications of TPA ad-
such as retroperitoneal or intracranial ministration
11. altered LOC (lethargy, hypotension, significant bruis- What would be seen with
ing throughout abdomen) serious complications of
TPA administration?
12. monitor for excessive chest tube output or bleeding Nursing interventions for
and possible chest tube occlusion - concerns are re- the post-operative patient
lated to accumulation of blood in the chest cavity and after CABG with chest tube
surrounding pericardium which can lead to cardiac drainage
tamponade - no specific numbers or values for chest
tube output - if pt has adequate output one hour then
none the next hour, you have a problem - monitor color
and consistency of drainage
13. pH < 7.35, CO2 > 45, lab values of respiratory
acidosis
14. COPD, drug overdose, advancing neuromuscular con- patient scenarios where
dition (ALS, myasthenia gravis with exacerbations) we see respiratory acidosis
15. narcan, BIPAP, intubation, deep breathing exercises How do we treat some-
with coughing, turning off PCA one with respiratory aci-
dosis - aka someone with
drug overdose?
16. kidneys What compensatory sys-
tem regulates respirato-
2/7
