Question 1

When an intra-aortic balloon is in place, it is essential for the nurse to frequently assess

Accepted Answer

A)  for a pulse deficit. 
B)  peripheral pulses distal to the catheter insertion site. 
C)  bilateral blood pressures. 
D)  coronary artery perfusion. 
A)  for a pulse deficit. 
B)  peripheral pulses distal to the catheter insertion site. 
C)  bilateral blood pressures. 
D)  coronary artery perfusion.

Question 2

Adenosine (Adenocard)is an antidysrhythmic agent given primarily to

Accepted Answer

A)  convert supraventricular tachycardias. 
B)  act as a second-line drug for premature ventricular contractions (PVCs). 
C)  treat AV blocks. 
D)  coarsen ventricular fibrillation so that defibrillation is effective. 
A)  convert supraventricular tachycardias. 
B)  act as a second-line drug for premature ventricular contractions (PVCs). 
C)  treat AV blocks. 
D)  coarsen ventricular fibrillation so that defibrillation is effective.

Question 3

The rationale for administration of a fibrinolytic agent is

Accepted Answer

A)  dilation of the blocked coronary artery. 
B)  anticoagulation to prevent formation of new emboli. 
C)  dissolution of atherosclerotic plaque at the site of blockage. 
D)  restoration of blood flow to the obstructed coronary artery via lysis of the thrombus. 
A)  dilation of the blocked coronary artery. 
B)  anticoagulation to prevent formation of new emboli. 
C)  dissolution of atherosclerotic plaque at the site of blockage. 
D)  restoration of blood flow to the obstructed coronary artery via lysis of the thrombus.

Question 4

Which of the following doses of dopamine (Intropin)results in stimulation of beta? receptors and increased myocardial contractility?

Accepted Answer

A)  1 mcg/kg/min 
B)  5 mcg/kg/min 
C)  15 mcg/kg/min 
D)  20 mcg/kg/min 
A)  1 mcg/kg/min 
B)  5 mcg/kg/min 
C)  15 mcg/kg/min 
D)  20 mcg/kg/min

Question 5

Which of the following would indicate successful reperfusion after administration of a fibrinolytic agent?

Accepted Answer

A)  Gradual decrease in chest pain 
B)  Intermittent, multifocal premature ventricular contractions 
C)  Rapid resolution of ST elevation 
D)  Rapid rise in creatine kinase MB fraction 
A)  Gradual decrease in chest pain 
B)  Intermittent, multifocal premature ventricular contractions 
C)  Rapid resolution of ST elevation 
D)  Rapid rise in creatine kinase MB fraction

Question 6

The patient is 12 hours postoperative for a CABG.The patient's vital signs include: T 103° F, HR 112, RR 22, BP 134/78 mm Hg, and O? sat 94% on 3L/NC.The nurse suspects that the patient has developed

Accepted Answer

A)  infection and notifies the physician immediately. 
B)  infection, which is common postoperatively, and monitors the patient's condition. 
C)  cardiac tamponade and notifies the physician immediately. 
D)  delirium caused by the elevated temperature. 
A)  infection and notifies the physician immediately. 
B)  infection, which is common postoperatively, and monitors the patient's condition. 
C)  cardiac tamponade and notifies the physician immediately. 
D)  delirium caused by the elevated temperature.

Question 7

Which of the following mechanisms is responsible for the augmentation of coronary arterial blood flow and increased myocardial oxygen supply seen with the intra-aortic balloon pump?

Accepted Answer

A)  The vacuum created in the aorta as a result of balloon deflation 
B)  Diastolic inflation with retrograde perfusion 
C)  Forward flow to the peripheral circulation 
D)  Inflation during systole to augment blood pressure 
A)  The vacuum created in the aorta as a result of balloon deflation 
B)  Diastolic inflation with retrograde perfusion 
C)  Forward flow to the peripheral circulation 
D)  Inflation during systole to augment blood pressure

Question 8

The current standard of care for PCI typically includes dual antiplatelet therapy with oral

Accepted Answer

A)  aspirin and Clopidogrel (Plavix). 
B)  aspirin and Abciximab (ReoPro) 
C)  aspirin and Eptifibatide (Integrilin) 
D)  aspirin and Tirofiban (Aggrastat) 
A)  aspirin and Clopidogrel (Plavix). 
B)  aspirin and Abciximab (ReoPro) 
C)  aspirin and Eptifibatide (Integrilin) 
D)  aspirin and Tirofiban (Aggrastat)

Question 9

A pacemaker is connected to an external temporary pulse generator.The sensitivity control

Accepted Answer

A)  determines heart rate to muscle activity. 
B)  determines the milliamperes needed to achieve capture. 
C)  regulates the ability of the pacemaker to detect the heart's intrinsic electrical activity. 
D)  allows for selection of intervals between atria and ventricles. 
A)  determines heart rate to muscle activity. 
B)  determines the milliamperes needed to achieve capture. 
C)  regulates the ability of the pacemaker to detect the heart's intrinsic electrical activity. 
D)  allows for selection of intervals between atria and ventricles.

Question 10

The possibility of microshock when handling a temporary pacemaker can be minimized by

Accepted Answer

A)  decreasing the milliamperes. 
B)  wearing gloves. 
C)  positioning the patient on the left side. 
D)  wearing rubber-soled shoes. 
A)  decreasing the milliamperes. 
B)  wearing gloves. 
C)  positioning the patient on the left side. 
D)  wearing rubber-soled shoes.

When an intra-aortic balloon is in place, it is essential for the nurse to frequently assess

Adenosine (Adenocard)is an antidysrhythmic agent given primarily to

The rationale for administration of a fibrinolytic agent is

Which of the following doses of dopamine (Intropin)results in stimulation of beta? receptors and increased myocardial contractility?

Which of the following would indicate successful reperfusion after administration of a fibrinolytic agent?

The patient is 12 hours postoperative for a CABG.The patient's vital signs include: T 103° F, HR 112, RR 22, BP 134/78 mm Hg, and O? sat 94% on 3L/NC.The nurse suspects that the patient has developed

Which of the following mechanisms is responsible for the augmentation of coronary arterial blood flow and increased myocardial oxygen supply seen with the intra-aortic balloon pump?

The current standard of care for PCI typically includes dual antiplatelet therapy with oral

A pacemaker is connected to an external temporary pulse generator.The sensitivity control

The possibility of microshock when handling a temporary pacemaker can be minimized by

Caring for the Critically Ill Patient

Ethical and Legal Issues

Patient and Family Education

Psychosocial and Spiritual Alterations and Management

Sleep Alterations

Nutritional Alterations

Gerontological Alterations

Pain and Pain Management

Sedation, Agitation and Delirium Management

End of Life Care

Cardiovascular Clinical Assessment and Diagnostic Procedures

Cardiovascular Disorders

Pulmonary Clinical Assessment and Diagnostic Procedures

Pulmonary Disorders

Pulmonary Therapeutic Management

Neurologic Clinical Assessment and Diagnostic Procedures

Neurologic Disorders and Therapeutic Management

Kidney Clinical Assessment and Diagnostic Procedures

Kidney Disorders and Therapeutic Management

Gastrointestinal Clinical Assessment and Diagnostic Procedures

Gastrointestinal Disorders and Therapeutic Management

Endocrine Clinical Assessment and Diagnostic Procedures

Endocrine Disorders and Therapeutic Management

Trauma

Shock, Sepsis, and Multiple Organ Dysfunction Syndrome

Hematologic Disorders and Oncologic Emergencies

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Exam 13: Cardiovascular Therapeutic Management

When an intra-aortic balloon is in place, it is essential for the nurse to frequently assess

Adenosine (Adenocard)is an antidysrhythmic agent given primarily to

The rationale for administration of a fibrinolytic agent is

Which of the following doses of dopamine (Intropin)results in stimulation of beta? receptors and increased myocardial contractility?

Which of the following would indicate successful reperfusion after administration of a fibrinolytic agent?

The patient is 12 hours postoperative for a CABG.The patient's vital signs include: T 103° F, HR 112, RR 22, BP 134/78 mm Hg, and O? sat 94% on 3L/NC.The nurse suspects that the patient has developed

Which of the following mechanisms is responsible for the augmentation of coronary arterial blood flow and increased myocardial oxygen supply seen with the intra-aortic balloon pump?

The current standard of care for PCI typically includes dual antiplatelet therapy with oral

A pacemaker is connected to an external temporary pulse generator.The sensitivity control

The possibility of microshock when handling a temporary pacemaker can be minimized by

Caring for the Critically Ill Patient

Ethical and Legal Issues

Patient and Family Education

Psychosocial and Spiritual Alterations and Management

Sleep Alterations

Nutritional Alterations

Gerontological Alterations

Pain and Pain Management

Sedation, Agitation and Delirium Management

End of Life Care

Cardiovascular Clinical Assessment and Diagnostic Procedures

Cardiovascular Disorders

Pulmonary Clinical Assessment and Diagnostic Procedures

Pulmonary Disorders

Pulmonary Therapeutic Management

Neurologic Clinical Assessment and Diagnostic Procedures

Neurologic Disorders and Therapeutic Management

Kidney Clinical Assessment and Diagnostic Procedures

Kidney Disorders and Therapeutic Management

Gastrointestinal Clinical Assessment and Diagnostic Procedures

Gastrointestinal Disorders and Therapeutic Management

Endocrine Clinical Assessment and Diagnostic Procedures

Endocrine Disorders and Therapeutic Management

Trauma

Shock, Sepsis, and Multiple Organ Dysfunction Syndrome

Hematologic Disorders and Oncologic Emergencies

Filters