NUR 425 Exam 3
What does smoking do to the heart? - answer Narrows blood vessels / damages
arteries / creates clots / causes high blood pressure / causes heart disease
What is the path of conduction in the heart? – answer SA (sinoatrial) node ➞ internal
nodes of the atria ➞ AV (atrioventricular) node ➞ bundle of HIS ➞ right and left bundle
branches ➞ purkinje fibers ➞ ventricles
What should we look out for after Cardiac Catheterization? - answer- look for bleeding
and hematoma
- monitor for chest pain
- assess for s/s of stroke (confusion, weakness, slurred speech)
- monitor for perforated artery (peripheral pulses, color, temp)
- monitor for kidney impairment related to contrast dye
What patient education should we provide post cardiac catheterization? - answer-
maintain flat bedrest for 2-6 hours!!!
- drink fluids to help body remove contrast dye
what are some other nursing interventions to perform after cardiac catheterization? -
answer- cardiac monitoring
- frequent vitals
- maintain adequate hydration
- get blood work to assess renal function, h&h, and coagulation studies
what are some nursing interventions post pacemaker placement? - answer- continuous
monitoring
- chest xray
- pain management
- avoid shoulder movement
- monitor incision
- watch for hiccups
- provide patient with a safety identification card
what is some patient education for pacmakers? - answer- always carry device ID card
- keep arm below head for 1-2 weeks
- check pulse daily and report if its different from pacemaker rate
- no contact sports or heavy lifting (avoid being hit at site)
- NO MAGNETS over pacemaker
, what are the s/s of a pacemaker complication that the patient should report to the
provider? - answerdizziness, fatigue, weakness, chest pain, hiccups, palpitations,
dyspnea, or weight gain
What is an AICD? - answerautomatic implantable cardioverter-defibrillator
what should patients expect from an AICD? - answer- feels like a large shock/being hit
in the chest
- may loose consciousness before shock
- if someone is touching them during impulse, they may feel the shock but will be
unaffected
what is a PTCA (percutaneous transluminal coronary angioplasty) used for? -
answermoderate atherosclerosis in coronary vessels
blockage in 1 or 2 arteries
what should you educate the patient to report immediately if they have a PTCA? why? -
answerchest pain! indicates that device has failed and the artery is being occluded
What is a TAVR? - answerTranscatheter Aortic Valve Replacement is a technique to
replace the Aortic Valve without stopping the heart. It carries risk of Vasuclar
Complications and is reserved for those too sick for Open Heart Surgery.
It uses a Compressible Valve sort of like a stent.
what patient education should you provide to someone receiving a TAVR? -
answeranticoagulant therapy forever
redo surgery every 7-10 years
change diet and lifestyle
require prophylactic antibiotics before dental procedures
conserve energy
watch for s/s of valve disease and HF
What is CABG? (Coronary Artery Bypass Graft) - answerImproves blood flow to heart.
Healthy vessel from the body is connected to the blocked coronary artery, creating a
new path for oxygenated blood to flow to the heart.
what should the nurse monitor after a CABG? - answercirculation
LOC
incision
BP
pain
chest tube drain
i's&o's
electrolytes
what patient education should we provide after a CABG? - answersmoking cessation
What does smoking do to the heart? - answer Narrows blood vessels / damages
arteries / creates clots / causes high blood pressure / causes heart disease
What is the path of conduction in the heart? – answer SA (sinoatrial) node ➞ internal
nodes of the atria ➞ AV (atrioventricular) node ➞ bundle of HIS ➞ right and left bundle
branches ➞ purkinje fibers ➞ ventricles
What should we look out for after Cardiac Catheterization? - answer- look for bleeding
and hematoma
- monitor for chest pain
- assess for s/s of stroke (confusion, weakness, slurred speech)
- monitor for perforated artery (peripheral pulses, color, temp)
- monitor for kidney impairment related to contrast dye
What patient education should we provide post cardiac catheterization? - answer-
maintain flat bedrest for 2-6 hours!!!
- drink fluids to help body remove contrast dye
what are some other nursing interventions to perform after cardiac catheterization? -
answer- cardiac monitoring
- frequent vitals
- maintain adequate hydration
- get blood work to assess renal function, h&h, and coagulation studies
what are some nursing interventions post pacemaker placement? - answer- continuous
monitoring
- chest xray
- pain management
- avoid shoulder movement
- monitor incision
- watch for hiccups
- provide patient with a safety identification card
what is some patient education for pacmakers? - answer- always carry device ID card
- keep arm below head for 1-2 weeks
- check pulse daily and report if its different from pacemaker rate
- no contact sports or heavy lifting (avoid being hit at site)
- NO MAGNETS over pacemaker
, what are the s/s of a pacemaker complication that the patient should report to the
provider? - answerdizziness, fatigue, weakness, chest pain, hiccups, palpitations,
dyspnea, or weight gain
What is an AICD? - answerautomatic implantable cardioverter-defibrillator
what should patients expect from an AICD? - answer- feels like a large shock/being hit
in the chest
- may loose consciousness before shock
- if someone is touching them during impulse, they may feel the shock but will be
unaffected
what is a PTCA (percutaneous transluminal coronary angioplasty) used for? -
answermoderate atherosclerosis in coronary vessels
blockage in 1 or 2 arteries
what should you educate the patient to report immediately if they have a PTCA? why? -
answerchest pain! indicates that device has failed and the artery is being occluded
What is a TAVR? - answerTranscatheter Aortic Valve Replacement is a technique to
replace the Aortic Valve without stopping the heart. It carries risk of Vasuclar
Complications and is reserved for those too sick for Open Heart Surgery.
It uses a Compressible Valve sort of like a stent.
what patient education should you provide to someone receiving a TAVR? -
answeranticoagulant therapy forever
redo surgery every 7-10 years
change diet and lifestyle
require prophylactic antibiotics before dental procedures
conserve energy
watch for s/s of valve disease and HF
What is CABG? (Coronary Artery Bypass Graft) - answerImproves blood flow to heart.
Healthy vessel from the body is connected to the blocked coronary artery, creating a
new path for oxygenated blood to flow to the heart.
what should the nurse monitor after a CABG? - answercirculation
LOC
incision
BP
pain
chest tube drain
i's&o's
electrolytes
what patient education should we provide after a CABG? - answersmoking cessation
