Acute Care Exam 1 2022/2023 with 100% correct answers

Clients with ECG changes suggestive of ischemia, but without the presence of serum biomarkers, are diagnosed as having which coronary event? A. UA B. NSTEMI C. STEMI D. Stable angina correct answerA. UA Which ECG ...

Clients with ECG changes suggestive of ischemia, but without the presence of serum biomarkers, are diagnosed as having which coronary event? A. UA B. NSTEMI C. STEMI D. Stable angina correct answerA. UA Which ECG changes are indicative of an acute MI? (Select all that apply.) A. Hyperacute T waves B. ST segment elevation C. The presence of new left bundle branch block D. The loss of P waves correct answerA) hyperacute T waves B) ST segment elevation C) the presence of new left bundle branch block Current guideline recommend that an ECG be obtained within how many minutes of the complaint of chest pain? 1 10 30 60 correct answer10 What is the first line of drug management for HF? correct answerACE inhibitors Then add digoxin Almost a complete pump failure of the heart; can occur after MI, acute HF, etc correct answerCardiogenic shock What are the manifestations of cardiogenic shock? correct answerHypotension (MAP <65) Weak, thready pulse Acute pulmonary edema Resp distress What do diagnostic tests do we use for cardiogenic shock? correct answerCardiac enzymes ECG CT scan Chest x ray Lots of fluid around the heart that compresses the heart (happens during cardiogenic shock) correct answerCardiac tamponade Dopamine at low doses does what for the body? (Important) correct answerIncreases renal perfusion Will decrease it at high doses** Since vasopressors make the heart work harder, what drug helps ease that workload? correct answerDopamine Why would we use diuretics with cardiogenic shock? correct answerAcute pulmonary edema If a cardiogenic shock patient's BP is 90/60, would we give a vasodilator? correct answerNope, too low Inflammation of the pericardium correct answerPericarditis What does pericarditis commonly follow after? correct answerRespiratory infection What are some s/s of pericarditis? (Important) correct answer-*pericardial friction rub* -Chest pressure/pain that relieved when sitting and leaning forward -pain is worse on inspiration -SOB What will an ECG look like with pericarditis? correct answerST elevation in almost all leads Inflammation of the myocardium caused by viral, fungal, bacterial infection or inflammatory diseases correct answerMyocarditis What are some findings of myocarditis? correct answer*dysrhytmias* Tachycardia Cardiomegaly Chest pain Murmur Infection of the endocardium due to a complication of *rheumatic fever*; preceded by strep throat correct answerRheumatic endocarditis What are some findings of rheumatic endocarditis? correct answerFever Rash on trunk and extremities Chest pain Joint pain SOB What will an ECG look like with rheumatic endocarditis? correct answerHeart block Infection of the endocardium due to staph, strep, fungi, or other infectious organisms correct answerInfective endocarditis When does infective endocarditis most commonly occur? correct answerIf patient has structural malformation, cardiac devices, prosthetic heart valves, or IV substance use. Dental procedures, body piercings, tattoos can also cause this What are some findings of infective endocarditis? correct answer*splinter hemorrhages in nailbeds* Fever Flu like symptoms Petechiae Positive blood cultures A nurse is caring for a client who has pericarditis. Which of the following findings should the nurse expect? A. Petechiae B. Murmur C. Rash D. Friction rub correct answerD. Friction rub A nurse is caring for four clients. Which of the following clients should the nurse identify as being at risk for acquiring rheumatic endocarditis? A. COPD OA B. Child who has streptococcal pharyngitis C. Adult with lupus D. Young adult who recently received a body tattoo correct answerB. Child who has strep pharyngitis A nurse in a clinic is caring for a client who has been on long term NSAID therapy to treat myocarditis. Which of the following lab findings should be reported to the HCP?