Exam 4 | Baamboozle - Baamboozle | The Most Fun Classroom Games!

How much of a difference between apical-radial pulse may indicate a deficit?

>5

>4

>3

>2

What is the normal range for BNP (B-type Natriuretic Peptide) levels?

<100 pg/mL

IV drug use may put patient at risk for:

IE

MI

PDA

VSD

What is normal specific gravity for a baby?

1.005-1.015

The patient has a core body temperature of 38.7 C. The RN recognizes that this may decrease the patients

Afterload

Preload

Contractility

Which of the following instructions should be included in the discharge teaching for a patient discharged with a transdermal nitroglycerin patch?

Apply the patch to a non-fatty area of the upper torso/arms

Apply the patch to the same site each day for absoprtion

If you get a headache, remove the patch for 4HRS & reapply

If you get chest pain apply a second patch next to first one

The physician’s order says to administered Lasix 40 mg IV twice a day. The patient has the following morning labs: Na+ 148, BNP 900, K+ 2.0, and BUN 10. Which of the following is a nursing priority?

Hold the dose and notify the physician about the potassium

Administer the Lasix as ordered

Notify the physician of the BNP level

Assess the patient for edema

You're providing diet discharge teaching to a patient with a history of heart failure. Which of the following statements made by the patient represents they understood the diet teaching?

I will limit my consumption of frozen meals

I will limit my sodium intake to 5-6 grams a day.

I will be sure to incorporate canned vegetables and fish

Glad I can still eat sandwiches because I love bologna

A nurse notes 2+ bilateral edema in the lower extremities of a client with myocardial infarction who was admitted two (2) days ago. The nurse would plan to do which of the following next?

Review the intake and output records for the last two days

Change the diuretic administration from morning to evening

Order daily weights starting the following morning

Request a sodium restriction of 1g/day from the physician

Which one of these medications can cause visual disturbances with (yellow/green halos)?

digoxin

furosemide

lisinopril

isosorbide mononitrate

Which one of these medications is considered an angiotensin-converting enzyme?

lisinopril

amlodipine

losartan

atorvastatin

The patient was diagnosed with left sided heart failure, but now is exhibiting dyspnea and cough with frothy blood tinged sputum. This may be indicative of:

Pulmonary Edema

Angina

Acute Coronary Syndrome

MI

What are the two symptoms Audrey advised are in both right and left sided heart failure?

Tachycardia and Fatigue

What are normal BUN/Creatinine levels?

Bun: 6-20 Creatinine: 0.6-1.3

Which medication will increase contractility?

digoxin

lisnopril

losartan

atorvastatin

In order to prevent the development of tolerance, the nurse instructs the patient to:

Apply the nitroglycerin patch for no more than 14HR/day

Apply the nitroglycerin patch every other day

Switch to SL nitro when BP elevates to >140 mm HG

Use the patch only during acute angina episodes only

Patient has crushing chest pain that radiates to his shoulder and left arm. The admitting diagnosis is acute MI. Orders are oxygen by NC at 4L/minute, blood work, chest X-ray, an ECG, and two (2) mg of morphine IV. The nurse should FIRST:

Administer the morphine

Obtain a 12-lead ECG

Obtain the lab work

Order the chest x-ray

To evaluate a client’s condition following cardiac catheterization, the nurse will palpate the pulse:

Distal to the catheter insertion

In all extremities

At the insertion site

Above the catheter site

If patient is on digoxin, and his serum K levels are currently showing at 5.6mEq/L it could

Inhibit digoxin effects

Enhance digoxin effects

Cause digoxin toxicity

Does not effect the medication

An 8 year old boy is taking Digoxin. The nurse knows she should hold this medication if his pulse is

<75

<65

<60

<90

One hour after administering IV furosemide (Lasix) to a client with heart failure, a short burst of ventricular tachycardia appears on the cardiac monitor. Which of the following electrolyte imbalances should the nurse suspect?

Hypokalemia

Hypermagnnesemia

Hypernatremia

Hyperkalemia

Which of the following terms describes the resistance against which the ventricle must expel blood?

Afterload

Cardiac Output

Overload

Preload

Which of the following types of pain is most characteristic of angina?

Tightness

Sharp

Shooting

Knifelike

The physician refers the client with unstable angina for a cardiac catheterization. The nurse explains to the client that this procedure is being used in this specific case to:

Assess the extent of atrial blockage

Open and dilate blocked coronary arteries

Bypass obstructed vessels

Assess the functional adequacy of valves and heart muscle

Which of the following parameters is the major determinant of diastolic blood pressure?

Vascular resistance

Renal function

Cardiac output

Baroreceptors

Which of the following symptoms should the nurse teach the client with unstable angina to report immediately to her physician?

A change in the pattern of her pain

A pain during sex

Pain during mowing the lawn

Pain while resting

Hypertension is known as the silent killer. This phrase is associated with the fact that hypertension often goes undetected until symptoms of other system failures occur. This may occur in the form of:

Cerebrovascular accident

Liver disease

Myocardial infarction

Pulmonary Disease

This diagnostic test is considered the "Gold Standard" for diagnosing AMI?

Cardiac troponin

12 Lead EKG

Chest x-ray

Echocardiogram

When auscultating heart sounds, the student nurse remembers Audrey teaching her about APETA, what does that stand for?

Aortic, Pulmonary, Erks, Tricuspid, Apex

Which position should patient be lying during Echocardiogram?

Left-side lying

Right-side lying

High Fowlers, feet dangling

Trendelenburg/legs elevated

OPQRST abbreviation stands for what?

Onset, Precipitating events, Quality, Radiating, Severity, Time

Patient exhibits proper understanding of medication administration when he stated he will stop taking Viagra with which medication?

nitroglycerin

morphine

isosorbide mononitrate

atorvastatin

Nurse on the cardiac unit knows, sudden withdrawal of which medication could be dangerous?

metoprolol

mononitrate

atorvastatin

lisinopril

Patient on the cardiac unit is complaining of an "annoying dry cough" since he started his new medication. Which medication may be causing this issue?

lisinopril

losartan

amlodipine

atorvastatin

During an echocardiogram an LVEF is measured to assess the amount of cardiac output. Which percentage is considered within normal range?

57%

68%

49%

75%

A nurse is assessing the blood pressure of a client diagnosed with primary hypertension. The nurse ensures accurate measurement by avoiding which of the following?

Take blood pressure within 15 min after caffeine ingestion

Using cuff that encircles at-least 80% of the limb

Measure BP after pt has been sitting quietly for 5 min

Seat client with arm bared, supported, and at heart level

A client with myocardial infarction has been transferred from a coronary care unit to a general medical unit with cardiac monitoring via telemetry. A nurse plans to allow for which of the following client activities?

Bathroom privileges and self-care activities

Strict bed rest for at least 24 HRS to prevent falls

Ad lib activities because client is being monitored

Allowing him to move from bed to chair freely