ACUTE EXAM #2 Questions & Answers 100% For patients with valvular disease, what is prescribed to prevent endocarditis? This valvular disorder leads to blood back up in the right atrium, causing ... pressure to build up The higher the _____________ of blood, the higher the ____________. What is the normal diameter of a valve? What is the approximate diameter of a patient's valve with stenosis? What diagnostic test will indicate narrowing of the valves? What does an abnormal radial pulse upon assessment indicate? What is the normal ejection fraction of the heart? What disease during young adulthood could cause mitral valve stenosis later in life once an older adult? What complication can mitral stenosis lead to? What are teaching points for the patient with mitral stenosis that also has regurgitation? A disorder defined as when one of the valves stretches; More common in women; Asymptomatic, hereditary What valvular disorder is hereditary, asymptomatic, and more common in women? In mitral valve prolapse, who should get an EKG if a sibling is diagnosed? What are some teaching points to go over for a patient diagnosed with mitral valve prolapse? If chest pain is not relieved by ________________, is it not angina and this needs further investigation Valvular disorder defined as when blood goes back as it continues to move forward; Backing up of blood What will mitral valve regurgitation eventually lead to?{ What illness will impact the mitral valve? What are s/s of worsening mitral valve regurgitation? In mitral valve regurgitation, if the radial pulse is irregular upon assessment, what is the nurse's next step? In mitral valve regurgitation, if the radial & apical pulses have both been assessed & both are irregular, what is the nurse's next step? What is the aim of treatment for mitral valve regurgitation? What is the medication regimen that a patient with mitral valve regurgitation will be prescribed? In mitral valve regurgitation, if an ACE inhibitor is un-tolerated due to constant dry cough, what is the next line medication that will be prescribed? What is patient teaching that is required with hydralazine? What does aortic stenosis lead to? What medication regimen will be prescribed for a patient with aortic stenosis? Patient admitted with strep infection is worried that their heart may be affected. What diagnostic tests will be done at this time? What is the result of an untreated streptococcal infection? If a patient undergoes a valve replacement, what medications will they be on long term? Under what two circumstances should a patient with previous valve replacement ensure they take prophylactic antibiotics? What medication would a patient with atrial fibrillation need to be on long term? Why do patients with history of a-fib need to be on anticoagulant therapy? What percentage of cardiac output (CO) is lost in patients with a-fib? What is normal conduction in a healthy heart? In a patient with a-fib? In patients with a-fib, what is going on with oxygen supply & demand? What are possible s/s of a patient in a-fib? What is the FIRST nursing action when dealing with a patient with a-fib? A patient comes into the ER with SOB. The nurse auscultates the HR at 180 bpm. What is the nurse's first action? What will be shown on the ECG in a patient experiencing a-fib? How do you treat a patient with sudden a-fib?{ What medications are typically prescribed to control a-fib? What patient education is involved in patients with a-fib? In patients with increased bleeding risk, what is important patient education to go over? What laboratory testing is used to monitor bleeding time? What is the anecdote for warfarin? What is the anecdote for heparin? A patient with valvular disease tells the nurse that they usually sleep with 2 pillows, though now they find they need 3. What does this indicate? What is orthopnea? In patients with valvular disease with worsening status, what may happen with pulmonary involvement? This valvular disorder is caused by blood back up in the left ventricle? What are the 4 types of aortic regurgitation? This valvular disorder is also called a "leaky valve," where the left ventricle dilates to accommodate increased blood volume What type of heart failure will a patient with aortic regurgitation experience? What are s/s seen with aortic regurgitation? What is pulse pressure? [Show More]
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