Questions And Correct Answers With Detailed Rationales
Why is intramuscular injection preferred over an IV for single does medications? - CORRECT
ANSWERS-Intramuscular injections are more effective than oral and there is nor reason to start an
IV
Intravenous administration - CORRECT ANSWERS-Via the vein; most rapid onset due to being
directly injected in the blood stream
Medications are observed by - CORRECT ANSWERS-Gut, muscle and blood stream
Anesthetic agents are normally distributed to the - CORRECT ANSWERS-Brain, muscle and fat
stores
Anesthetic agents are normally metabolized in - CORRECT ANSWERS-Liver and excreted by
the kidneys
Why are patient placed on dialysis? - CORRECT ANSWERS-Their kidneys are no longer able to
perform their filtering functions
What is the function of valves in the heart? - CORRECT ANSWERS-To prevent the backflow of
blood
When you listen to a normal heart beat through a stethoscope what sound does it make, and what
causes this sound? - CORRECT ANSWERS-Lub-dub; caused by the aortic and pulmonic valves
closing
What is angina pectoris? - CORRECT ANSWERS-Another name for chest pain of cardiac origin
,What is angina pectoris caused by? - CORRECT ANSWERS-Ischemia or lack of oxygen to the
heart muscle
How does nitroglycerin affect the body? - CORRECT ANSWERS-It dilates the coronary arteries
and increases the blood flow to the heart
When does angina pectoris turn into a myocardial infarction? - CORRECT ANSWERS-When the
heart is deprived of oxygen too long and a portion of the heart dies
Death of the heart muscle - CORRECT ANSWERS-necrosis
Risk factors of cardiovascular disease (12) - CORRECT ANSWERS-Family history of heart
disease
Smokers
Hypercholesterolemia
Diabetes
Obesity
Sedentary lifestyle
Hypertension
Advancing age
History of MI
Congestive heart failure
Heart valve dysfunction
dysrhythmias
Signs and symptoms of Myocardial infarction (MI)
(5) - CORRECT ANSWERS--Chest pain not relieved by nitroglycerin
-Pain radiate down the left arm or up the left jaw
-Blood pressure drop
-weak with thready pulse
, -nausea or vomiting
What should you do if you suspect a patient is having a MI? - CORRECT ANSWERS-Morphine
Oxygen
Nitrates
Aspirin
Place patient on monitors and start IV asap
What is congestive heart failure? - CORRECT ANSWERS-The heart cannot pump blood in a
forward motion
What happens when there is CHF on the right side? - CORRECT ANSWERS-Excess blood an
fluid backing up systemically; meaning in the rest of the body
What are the symptoms of right sided CHF? - CORRECT ANSWERS-Swelling in the ankles and
ascetics (belly)
Distended neck veins
What happens when there is CHF on the left side? - CORRECT ANSWERS-Fluid backing up into
the lungs causing pt to cough pink frothy sputum.
What are the symptoms of left sided CHF? - CORRECT ANSWERS-Shortness of breath and
wakes up in the middle of the night gasping for air
What is the normal treatment for CHF? - CORRECT ANSWERS-Diuretics; so the patient pees
out the excess fluid
How is the cardiovascular system monitored? - CORRECT ANSWERS-By using tone pulse,
blood pressure and the EKG