NSG 3105 Week 4: Cardiovascular system Questions With
Complete Solutions
Ambulatory and home care for primary HTN Correct Answer
Physical activity
Home blood pressure monitoring
Patient adherence
Assessments for heart failure Correct Answer Classic
respiratory symptoms (Orthopnea , Dyspnea, Paroxysmal
nocturnal dyspnea (PND))
Additional: Fatigue, JVD, Edema, Crackles, S3
Assess skin for edema, cyanosis, pallor, tachypnea, crackles at
lung bases, frothy blood-tinged sputum (LHF), tachycardia or
S3/S4, abdominal distension, ascites, restlessness, confusion,
decreased LOC or memory
Atypical symptoms for angina may arise in what groups?
Correct Answer Women,
People with Diabetes,
Elderly
Atypical symptoms for diabetic clients with angina Correct
Answer Asymptomatic
Neuropathy
Dyspnea
Atypical symptoms for elderly clients with angina Correct
Answer Confusion/delirium
Dizziness
,Shortness of breath
Atypical symptoms for women with angina Correct Answer
Discomfort rather than pain
Shortness of breath
Extreme fatigue
Beta blockers for CAD Correct Answer ↓heart rate;
↓workload of heart; ↓ oxygen demand of myocardium
Biomarkers for angina Correct Answer Troponin
Myoglobin
Cardiac enzymes
Calcium impact on heart Correct Answer Calcium particles
enter the heart muscle cells during each heartbeat and contribute
to the electrical signal that coordinates the heart's function.
Calcium particles also bind to machinery within the cell that
helps the cell to squeeze together ("contract"), which makes the
heart pump blood.
Calcium normal range Correct Answer 2.10-2.50 mmol/l
Canadian Classification of Angina Correct Answer Grade 1;
Angina occurs with strenuous exertion
Grade 2; Angina occurs w/walking 2 blocks or 1 flight of stairs
Grade 3; Angina occurs w/walking < 2 blocks
Grade 4; Rest angina
Cardiac Reserve Correct Answer the difference between a
person's maximum cardiac output and cardiac output at rest
, Causes of left sided heart failure Correct Answer LV infarct,
cardiomyopathy, hypertension - pulmonary congestion
Causes of valve stenosis Correct Answer Rheumatic fever
(main)
Calcification
Congenital factors
CCBs for CAD Correct Answer ↓conduction through AV
node; slow heart rate; ↓ oxygen demand by myocardium
Chronic endothelial injury Correct Answer Damage to
endothelium of vessel
Risk factors:
Hypertension
Tobacco use
Hyperlipidemia
Hyperhomocysteinemia
Diabetes
Infections
Toxins
Chronic Stable Angina collaborative management Correct
Answer Drug Therapy
Management of CAD risk factors
Coronary revascularization
Complications of hypertension Correct Answer Hypertensive
heart disease (Coronary artery disease, Left ventricular
hypertrophy, Heart failure)
Complete Solutions
Ambulatory and home care for primary HTN Correct Answer
Physical activity
Home blood pressure monitoring
Patient adherence
Assessments for heart failure Correct Answer Classic
respiratory symptoms (Orthopnea , Dyspnea, Paroxysmal
nocturnal dyspnea (PND))
Additional: Fatigue, JVD, Edema, Crackles, S3
Assess skin for edema, cyanosis, pallor, tachypnea, crackles at
lung bases, frothy blood-tinged sputum (LHF), tachycardia or
S3/S4, abdominal distension, ascites, restlessness, confusion,
decreased LOC or memory
Atypical symptoms for angina may arise in what groups?
Correct Answer Women,
People with Diabetes,
Elderly
Atypical symptoms for diabetic clients with angina Correct
Answer Asymptomatic
Neuropathy
Dyspnea
Atypical symptoms for elderly clients with angina Correct
Answer Confusion/delirium
Dizziness
,Shortness of breath
Atypical symptoms for women with angina Correct Answer
Discomfort rather than pain
Shortness of breath
Extreme fatigue
Beta blockers for CAD Correct Answer ↓heart rate;
↓workload of heart; ↓ oxygen demand of myocardium
Biomarkers for angina Correct Answer Troponin
Myoglobin
Cardiac enzymes
Calcium impact on heart Correct Answer Calcium particles
enter the heart muscle cells during each heartbeat and contribute
to the electrical signal that coordinates the heart's function.
Calcium particles also bind to machinery within the cell that
helps the cell to squeeze together ("contract"), which makes the
heart pump blood.
Calcium normal range Correct Answer 2.10-2.50 mmol/l
Canadian Classification of Angina Correct Answer Grade 1;
Angina occurs with strenuous exertion
Grade 2; Angina occurs w/walking 2 blocks or 1 flight of stairs
Grade 3; Angina occurs w/walking < 2 blocks
Grade 4; Rest angina
Cardiac Reserve Correct Answer the difference between a
person's maximum cardiac output and cardiac output at rest
, Causes of left sided heart failure Correct Answer LV infarct,
cardiomyopathy, hypertension - pulmonary congestion
Causes of valve stenosis Correct Answer Rheumatic fever
(main)
Calcification
Congenital factors
CCBs for CAD Correct Answer ↓conduction through AV
node; slow heart rate; ↓ oxygen demand by myocardium
Chronic endothelial injury Correct Answer Damage to
endothelium of vessel
Risk factors:
Hypertension
Tobacco use
Hyperlipidemia
Hyperhomocysteinemia
Diabetes
Infections
Toxins
Chronic Stable Angina collaborative management Correct
Answer Drug Therapy
Management of CAD risk factors
Coronary revascularization
Complications of hypertension Correct Answer Hypertensive
heart disease (Coronary artery disease, Left ventricular
hypertrophy, Heart failure)
