472 -- Quiz 2a: CV Question 4 (1 point)

Question 1 (1 point)
4
1
The possibility of microshock when handling a
Nursing care after cardiac catheterization includes temporary pacemaker can be minimized by:
which of the following? Question 4 options:
Question 1 options: Wearing rubber-soled shoes.
Initiate passive and active range of motion to
Wearing rubber gloves.
limbs every hour.
Hold NPO for 12 hours post procedure and Positioning the patient on the left side.
assess respiratory status hourly. Decreasing the milliamperes.
Maintain the head of the bed elevation to 45 Save
degrees or greater. Question 5 (1 point)
Monitor peripheral pulses and color of the
affected bilateral extremities. 5

Save A patient has an implantable cardioverter

m
defibrillator (ICD) for chronic ventricular

er as
Question 2 (1 point)
tachydysrhythmias. If the patient s rhythm

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2 deteriorates to ventricular fibrillation:
Which of the following complications is the patient Question 5 options:

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who has received fibrinolytic therapy at highest The ICD is programmed to only cardiovert the
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risk for? patient.
Question 2 options: An external defibrillator will need to be
Supraventricular tachycardia applied.
o

Respiratory arrest The ICD will defibrillate the patient.

aC s
vi y re

Hemorrhage Start CPR and call a code.

Ventricular rupture Save

Question 6 (1 point)
Save
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Question 3 (1 point)
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3
Mrs. B is a 64 year-old patient admitted with a
The most sensitive cardiac enzymes to monitor for inferior wall myocardial infarction who develops
is

myocardial injury are: complete heart block. In analyzing the ECG strip,
Th

Question 3 options: the nurse notices a spike before each QRS complex.
ALT and CK-BB The pacemaker is set at a rate of 70 beats per
minutes. This phenomenon is reflective of:
CPK and MB
sh

Question 6 options:
SGOT and LFT Patient movement; check electrodes.
Troponin and CK-MB 60-cycle electrical interference; check
equipment.
Electric artifact; the pacemaker is not sensing.
Pacing artifact; the pacemaker is sensing and
capturing.
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 CV quiz (cont) Fibrinolytic agents can be given up to 24 hours
Question 7 (1 point) after the onset of symptoms.
Save
7
Question 10 (1 point)
When examining the 12-Lead ECG of a patient, you
note Q-waves in leads II, III, aVF. These three leads 10
on the ECG provide a picture of what wall of the A patient is admitted with left-sided heart failure
heart? and a blood pressure of 220/118. Which of the
Question 7 options: following drugs will be most effective in decreasing
Posterior the blood pressure and reducing afterload?
Question 10 options:
Anterior
Propranolol (Inderal).
Lateral
Verapamil (Calan).
Inferior
Sodium nitroprusside (Nipride).
Save
Question 8 (1 point) Dopamine (Intropin).

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8

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Your patient has ST-segment elevation in leads V1-
V4. You know that this indicates which type of MI?

o.
Question 8 options:
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Inferior wall MI
NSTEMI
o

Anteroseptal wall MI
aC s

Laterall wall MI
vi y re

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Question 9 (1 point)
ed d

9
ar stu

A standard treatment of an acute myocardial

infarction includes the administration of fibrinolytic
therapy. Which of the following statements about
is

fibrinolytic therapy for acute myocardial infarction

is true?
Th

Question 9 options:
Complications of fibrinolytics include an
increased risk of bleeding and reperfusion
sh

dysrhythmias.
Heparin and glycoprotein IIb/IIIa inhibitor
drugs are never given in conjunction with
fibrinolytics.
Administration of fibrinolytic is
contraindicated if the patient is experiencing
severe chest discomfort.
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