Exam 2 - NUR 257 ECPI
At least an hour - answer After ingesting cardiac medication how long would the patient
need to wait before taking an Antacid medication?
Right 2nd Intercostal Space - answer Heart Sounds - Aortic
Left 2nd Intercostal Space - answer Heart Sounds - Pulmonic
Left 3rd Intercostal Space - answer Heart Sounds - Erb's Point (S1,S2)
Lower Left Sternal Border 4th Intercostal Space - answer Heart Sounds - Tricuspid
Left 5th Intercostal Space, Medial to Midclavicular Line. (PMI) Apex of Heart -
answerHeart Sounds - Mitral
An external temporary pacer - answerIn the event of a coronary blockage, the nurse
may anticipate what?
??? - answerTreatment to restore the depol and repol effect action potential.
Depolarization - answerElectrical activation of cell caused by influx of sodium into cell
while potassium exits cell.
Repolarization - answerReturn of cell to resting state caused by reentry of potassium
into cell while sodium exits.
Diastole - answerThe phase of the heartbeat when the heart muscle relaxes and allows
the chambers to fill with blood.
Atrial Systole - answerThe last phase of a diastole during which the ventricular filling is
completed.
Ventricular Systole - answerThe blood vessels are distended by the heart forcing blood
from the ventricles into the systemic (or pulmonic) system.
Preload - answerDegree of stretch of cardiac muscle fibers at end of diastole
Afterload - answerResistance to ejection of blood from ventricle
Contractility - answerAbility of cardiac muscle to shorten in response to electrical
impulse
, Prolonged QT Phase 2-3 - answerAmiodarone Toxicity causes what?
Kidney Injuries - answerA patient is taking Lasix/Bumex for CHF fluid overload, what
would we monitor for?
Magnesium (Helps it stick better) - answerBefore giving Potassium, what would we give
the patient first?
Nutrition - answerRecommend balanced diet with comorbidities.
Elimination - answerBowel strain = brady events, urine output with renal function/BP
Activity/Exercise - answerGradual increase to reach goal.
Sleep/Rest - answerHow many pillows do you use to sleep (same as COPD/OSA)
Roles/Relationships - answerHide symptoms and not truthful in front of family.
Sexuality & Reproduction - answerViagra/ED meds affect BP and heart function.
Elevating head of bed or at home utilizing pillows. - answerIssues with sleeping may be
addressed by doing what?
Blood Pressure; Orthostatic Changes - answerObserve for orthostatic hypotension.
Heart (It is in the center of chest) - answerPain will be generalized and not "touchable"
Extremity Pain (e.g. Left Arm Pain) - answerReferred and Specific pain
Altered Mentation - answerSerious finding of Physical assessment of the cardiovascular
system.
Brain (B-type) natriuretic peptide (BNP) - answerA Neurohormone that helps regulate
BP and fluid volume. It is primarily secreted from the ventricles in response to increased
preload with resulting elevated ventricular pressure.
100 pg/mL - answerA BNP level greater than _______ is suggestive of HF.
Homocysteine - answeran amino acid normally present in the blood that, when found at
high levels, may be related to higher risk of cardiovascular disease (damages lining of
arteries)
Fasting - answerLipid panels and lab work require what for accuracy?
Heart Failure - answerBNP can give preliminary diagnosis of what?
At least an hour - answer After ingesting cardiac medication how long would the patient
need to wait before taking an Antacid medication?
Right 2nd Intercostal Space - answer Heart Sounds - Aortic
Left 2nd Intercostal Space - answer Heart Sounds - Pulmonic
Left 3rd Intercostal Space - answer Heart Sounds - Erb's Point (S1,S2)
Lower Left Sternal Border 4th Intercostal Space - answer Heart Sounds - Tricuspid
Left 5th Intercostal Space, Medial to Midclavicular Line. (PMI) Apex of Heart -
answerHeart Sounds - Mitral
An external temporary pacer - answerIn the event of a coronary blockage, the nurse
may anticipate what?
??? - answerTreatment to restore the depol and repol effect action potential.
Depolarization - answerElectrical activation of cell caused by influx of sodium into cell
while potassium exits cell.
Repolarization - answerReturn of cell to resting state caused by reentry of potassium
into cell while sodium exits.
Diastole - answerThe phase of the heartbeat when the heart muscle relaxes and allows
the chambers to fill with blood.
Atrial Systole - answerThe last phase of a diastole during which the ventricular filling is
completed.
Ventricular Systole - answerThe blood vessels are distended by the heart forcing blood
from the ventricles into the systemic (or pulmonic) system.
Preload - answerDegree of stretch of cardiac muscle fibers at end of diastole
Afterload - answerResistance to ejection of blood from ventricle
Contractility - answerAbility of cardiac muscle to shorten in response to electrical
impulse
, Prolonged QT Phase 2-3 - answerAmiodarone Toxicity causes what?
Kidney Injuries - answerA patient is taking Lasix/Bumex for CHF fluid overload, what
would we monitor for?
Magnesium (Helps it stick better) - answerBefore giving Potassium, what would we give
the patient first?
Nutrition - answerRecommend balanced diet with comorbidities.
Elimination - answerBowel strain = brady events, urine output with renal function/BP
Activity/Exercise - answerGradual increase to reach goal.
Sleep/Rest - answerHow many pillows do you use to sleep (same as COPD/OSA)
Roles/Relationships - answerHide symptoms and not truthful in front of family.
Sexuality & Reproduction - answerViagra/ED meds affect BP and heart function.
Elevating head of bed or at home utilizing pillows. - answerIssues with sleeping may be
addressed by doing what?
Blood Pressure; Orthostatic Changes - answerObserve for orthostatic hypotension.
Heart (It is in the center of chest) - answerPain will be generalized and not "touchable"
Extremity Pain (e.g. Left Arm Pain) - answerReferred and Specific pain
Altered Mentation - answerSerious finding of Physical assessment of the cardiovascular
system.
Brain (B-type) natriuretic peptide (BNP) - answerA Neurohormone that helps regulate
BP and fluid volume. It is primarily secreted from the ventricles in response to increased
preload with resulting elevated ventricular pressure.
100 pg/mL - answerA BNP level greater than _______ is suggestive of HF.
Homocysteine - answeran amino acid normally present in the blood that, when found at
high levels, may be related to higher risk of cardiovascular disease (damages lining of
arteries)
Fasting - answerLipid panels and lab work require what for accuracy?
Heart Failure - answerBNP can give preliminary diagnosis of what?
