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Terms in this set (50)
A postmenopausal woman...troponin
Metoprolol
A patient has reduced cardiac output, an EF of 33%....Which of these...
X Congenital, Myocardial infection
YES - Peripartum, Congenital, myocardial infection
A nurse observes HR 112, RR 28, and weak pulse....admitted for stress-induced cardiomyopathy.....the nurse to anticipate?
X BETA, Aspirin
X BETA, ACE - I or ARB
YES - BETA, ACE, Aspirin
Which best describes the pathophysiology of restrictive cardiomyopathy?
Impaired filling
For a patient with mitral stenosis, what interventions should the nurse anticipate to manage the patient's atrial fibrillation?
Warfarin, Cathether, cardioversion
Assessment reveals a patient's decreased CO/CI, increased SVR/SVRI....What evaluations will distinguish...?
X LV dilation
X Low EF
YES - Normal EF
A patient with systolic heart failure is being treated. Which reflects the patient is responding to therapy?
Normalizations of BP
A patient with mitral stenosis, increased HR, and shorter diastole ultimately result in what?
X pulm, pulm, decreased
X pulm edema, decreased CO
X decreased CO, pulm HTN
Which statement best describes the pathophysiology of aortic regurgitation?
There is a backflow of blood to the LV
A patient with systolic heart failure receiving carvedilol (Coreg requires additional afterload reduction. What treatment options should the nurse anticipate?
NOT atenolol
NOT clonidine
A patient with diastolic heart failure receiving an ACE-I, metoprolol...which of these should the nurse contact the provider?
SpO2 88%, elevated HR, new onset
Which set of parameters should the nurse expect in a patient with aortic stenosis who is starting to decompensate?
B - (3.0, 45, decreased, 108)
Evidence of which hemodynamic processes should the nurse anticipate in a patient with systolic heart failure?
decreased CO, elevated pulm artery, elevated system
A patient with chronic LV failure is admitted with JVD and a new S3. What best describes...?
A decrease in LV filling and CO
A nurse assessing a patient finds JVD, pedal edema, and hepatic tenderness. Which finding on auscultation should the nurse anticipate?
X S3 at left sternal border
X S4 at apex with...
X S4 at apex and bilateral crackles at the bases
What assessment findings, in addition to dyspnea and fatigue, should the nurse anticipate in a patient with systolic heart failure?
edema and ascites
A patient with a history of rheumatic fever develops dever dyspnea....which should the nurse anticipate?
X furosemide
X metoprolol
YES - Nitro
A patient with symptomatic mitral stenosis is admitted. Which signs/symptoms should the nurse anticipate?
JVD and pulm edema
Which set of parameters should the nurse anticipate in a patient with dilated cardiomyopathy?
C (3.0, 112, 1,600)
A patient with exertional chest pain, dyspnea, and syncope is admitted. ECHO shows enlarged basal portion of the septum. Which should the nurse avoid?
Nitro
In a symptomatic patient with hypertrophic cardiomyopathy, which treatments should the nurse anticipate to increase ventricular filling and optimize stroke volume?
BETA, calcium channel blockers
Which sign/symptom shows the patient with mitral stenosis is responding to therapy?
Decreased exertional dyspnea
A patient is admitted with diastolic dysfunction, dyspnea on exertion, and cough...the nurse anticipate?
Metoprolol
A patient with systolic HR is receiving spironolactone (Aldactone)...what evaluation should the nurse perform...complication of these medications?
electrolytes, BUN
A patient with aortic stenosis on ECHO reports no symptoms. What developments should the nurse anticipate over time?
X patient will develop, patient may respond, patient is likely
X patient may respond, patient is likely to develop pulm HTN
X patient is likely, patient may respond, symptomatic patient will require
What will happen when the compensatory process powered by LVH fails in a patient with aortic stenosis?
X Blood backs up, LV contractility
YES - Blood backs up, LV contractility, Volume overload
A patient undergoes balloon valvuloplasty for mitral stenosis. Which indicates an anticipated response to therapy?
X decrease in BP
X decrease in stroke volume
YES - decrease in HR
Which best describes the pathophysiology of hypertrophic cardiomyopathy?
Enlargement of.....
A patient reports chest pain and fainting while on a class hiking trip...would suggest hypertrophic cardiomyopathy?
All but cough when prone
A patient with a history of CAD, HTN, and EF 35% is admitted...which should the nurse anticipate?
X norepinephrine
YES - metoprolol
A patient with severe mitral regurgitation develops symptoms. For which therapy should the nurse prepare the patient?
Valve repair
A patient with peripheral edema, JVD, and S3 is admitted. Which other s/s should the nurse expect?
Decreased BP and atrial fibrillation
Pulmonary vasoconstriction is causing a patient's heart failure. What treatment options should the nurse anticipate to reduce RV afterload?
IV pro, inhaled nitric oxide, phosphodiesterase
In preparing a patient with heart failure for discharge, what statements indicate the patient and patient's family understand care after discharge?
I'll call the doctor if I gain five pounds in a week.
For a patient with valve stenosis who is unlikely to tolerate surgery, what requirements must be met for the patient to undergo balloon valvuloplasty?
X low to mod calcification, low to mod regurgitation
X low to med calcification, absence of regurg
YES - absence, absence
A nurse assessing a patient with exertional dyspnea finds warm, flushed skin...and water-hammer pulse. What additional...chronic aortic regurgitation?
LVH on ECG
A patient with chronic hypertension and left ventricular hypertrophy is admitted...which parameters should the nurse expect?
A
A patient with a history of CAD and EF 35% is admitted with decompensated heart failure. Which parameters should the nurse expect?
D (80/50)
A nurse administers an ACE-I or ARB to a patient with stress-induced cardiomyopathy...treatment goals?
decrease, avoid, improve
A patient has cool extremities and increased capillary refill....EF 56% and BNP 300 pg/mL....question?
Aggressive diuretic therapy
A patient with a history of radiation treatment for lung cancer...What auscultation findings should the nurse anticipate?
X signs of right-sided, expiratory wheeze
X systolic murmur, signs of right-sided
X systolic murmur, S4, exp wheeze
A patient reports sudden onset chest pain and dyspnea. Physical assessment suggests heart failure. What findings should the nurse anticipate...?
angiogram, ECHO, cardiac biomarkers
Assessment of a patient reveals a new mitral systolic murmur, cool and pale extremities...What should the nurse anticipate?
Acute Mitral Regurgitation
A patient with a history of sarcoidosis is admitted...anticipate?
furosemide
A patient with restrictive cardiomyopathy is beginning therapy. What should the nurse expect?
Increased cardiac output
A patient with a history of aortic regurgitation due to rheumatic fever develops dyspnea, fatigue, and pulmonary edema. Which should the nurse anticipate?
Nitroprusside
A patient undergoes balloon valvuloplasty for mitral stenosis. Which is a post-procedure nursing care priority?
Monitor for new murmurs
Which finding is consistent with stress-induced cardiomyopathy?
Basilar hyperkinesia of the LV
A patient reports exercise intolerance, weakness, and fatigue and is diagnosed with restrictive cardiomyopathy. What auscultation findings should the nurse anticipate?
signs of right-sided HF, systolic murmur, S4
A patient with right-sided HF is being treated. Which should the nurse expect if the patient is responding to therapy?
Increased LV filling
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