NURS 117 Final Exam | Actual study set |
Questions and verified study solutions
Left side Heart Failure - ANSW-less effective pump so more blood remains in ventricle
heart is overstretched & even more blood remains
blood backs up into lungs as pulmonary edema
suffocation & lack of oxygen to the tissues
Left Side Heart Failure Signs/Symptoms - ANSW-Dyspnea
Orthopnea
Cough
Hemoptysis
Adventitious breath sounds (crackles)
Pulmonary congestion (edema)
Right Side Heart Failure - ANSW-Increased workload of the right ventricle
R ventricle continually has to pump against the increased fluid & pressure
Blood backs up from R ventricle into R artery and increases venous problems
Right Side Heart Failure Signs/Symptoms - ANSW-Fatigue
Increased peripheral Venous Pressure
Ascites
Enlarged Liver & Spleen
Secondary to Chronic Pulmonary problems
Distended Jugular Veins
Anorexia
GI Distress
Weight Gain
Dependent Edema
Assessment for HF - ANSW-Health Hx
Dyspnea (Exertional/Orthopnea)
Auscultation of Lungs (crackles)
Auscultation of Heart sounds
Respiratory pattern (Cheyne-Stokes Respiration)
Edema
Altered Mental Status
Malnutrition
Heart Failure Prevention/Meds - ANSW-Reduce risk factors: reduce b/p, glucose control, weight loss, and
smoking cessation
Decrease fluid overload: Loop Diuretics
, Vasodilators
Beta-adrenergic Blockers
Intropic Agents
Increase O2
Cardiac Rehab
Low Sodium Diet
Myocardial Infarction (MI) - ANSW-heart attack; death of myocardial tissue (infarction) caused by
ischemia (loss of blood flow) as a result of an occlusion (plugging) of a coronary artery
Myocardial Infarction Classic Signs/Symptoms - ANSW-Crushing chest pain
Radiates to arm, shoulder, neck, jaw, or back
SOB
Nausea
Dizziness
Diaphoresis
HTN
Myocardial Infarction Atypical Signs/Symptoms - ANSW-Absence of chest pain
Fatigue
Cramping in chest
Anxiety
Falling
Myocardial Infarction Women Signs/Symptoms - ANSW-Epigastric/Abdominal pain
Discomfort between shoulder blades
Indigestion/Gas pain
Nausea/Vomiting
Myocardial Infarction Prevention/Meds - ANSW-ASA = Aspirin (4 chewable)
Oxygen
Pain meds for severe pain
NTG = Nitroglycerin
Venous Thromboembolism (VTE) - ANSW-A term that refers to both deep vein thrombosis and
pulmonary embolism; obstruction by a thrombus (made up of RBCs, WBCs, & fibrogen)
VTE Signs/Symptoms - ANSW-Swelling
Pain
Warmth
Venous Distention
Edema
Tenderness in calf
VTE Prevention/Treatment - ANSW-Avoid extended periods of sitting/standing
Questions and verified study solutions
Left side Heart Failure - ANSW-less effective pump so more blood remains in ventricle
heart is overstretched & even more blood remains
blood backs up into lungs as pulmonary edema
suffocation & lack of oxygen to the tissues
Left Side Heart Failure Signs/Symptoms - ANSW-Dyspnea
Orthopnea
Cough
Hemoptysis
Adventitious breath sounds (crackles)
Pulmonary congestion (edema)
Right Side Heart Failure - ANSW-Increased workload of the right ventricle
R ventricle continually has to pump against the increased fluid & pressure
Blood backs up from R ventricle into R artery and increases venous problems
Right Side Heart Failure Signs/Symptoms - ANSW-Fatigue
Increased peripheral Venous Pressure
Ascites
Enlarged Liver & Spleen
Secondary to Chronic Pulmonary problems
Distended Jugular Veins
Anorexia
GI Distress
Weight Gain
Dependent Edema
Assessment for HF - ANSW-Health Hx
Dyspnea (Exertional/Orthopnea)
Auscultation of Lungs (crackles)
Auscultation of Heart sounds
Respiratory pattern (Cheyne-Stokes Respiration)
Edema
Altered Mental Status
Malnutrition
Heart Failure Prevention/Meds - ANSW-Reduce risk factors: reduce b/p, glucose control, weight loss, and
smoking cessation
Decrease fluid overload: Loop Diuretics
, Vasodilators
Beta-adrenergic Blockers
Intropic Agents
Increase O2
Cardiac Rehab
Low Sodium Diet
Myocardial Infarction (MI) - ANSW-heart attack; death of myocardial tissue (infarction) caused by
ischemia (loss of blood flow) as a result of an occlusion (plugging) of a coronary artery
Myocardial Infarction Classic Signs/Symptoms - ANSW-Crushing chest pain
Radiates to arm, shoulder, neck, jaw, or back
SOB
Nausea
Dizziness
Diaphoresis
HTN
Myocardial Infarction Atypical Signs/Symptoms - ANSW-Absence of chest pain
Fatigue
Cramping in chest
Anxiety
Falling
Myocardial Infarction Women Signs/Symptoms - ANSW-Epigastric/Abdominal pain
Discomfort between shoulder blades
Indigestion/Gas pain
Nausea/Vomiting
Myocardial Infarction Prevention/Meds - ANSW-ASA = Aspirin (4 chewable)
Oxygen
Pain meds for severe pain
NTG = Nitroglycerin
Venous Thromboembolism (VTE) - ANSW-A term that refers to both deep vein thrombosis and
pulmonary embolism; obstruction by a thrombus (made up of RBCs, WBCs, & fibrogen)
VTE Signs/Symptoms - ANSW-Swelling
Pain
Warmth
Venous Distention
Edema
Tenderness in calf
VTE Prevention/Treatment - ANSW-Avoid extended periods of sitting/standing
