FREE CMSRN Cardiac Vascular Questions and Answers
A nurse diagnosing cardiogenic shock gives the patient's reduced cardiac output. The patient is expected to attain the following goals with the right interventions:
The expected result of proper therapies in the setting of cardiogenic shock, when the fundamental problem is decreased cardiac output, would be to enhance cardiac function and raise cardiac output. As such, the most appropriate option would be: Baseline activity level
Achieving baseline cardiac function would suggest a restoration of the heart's capacity to efficiently pump blood to satisfy the body's needs. The objective is to maximize cardiac performance to increase perfusion and sustain the body's metabolic demands.
When receiving warfarin (Coumadin) medication, excessive alcohol consumption causes:
Inappropriate alcohol consumption during warfarin (Coumadin) medication may result in an elevated anticoagulant impact. Drinking alcohol may cause warfarin's metabolism to be disrupted, resulting in elevated blood levels of the medication. Increased anticoagulation may come from this, increasing the possibility of bleeding problems.
A cardiac-vascular nurse treating a patient with intermittent claudication suggests the following to the patient:
Cardiac-vascular nurse gives the following advice to a patient who has intermittent claudication, which is usually brought on by peripheral artery disease (PAD):Â ""Walk as Tolerated""
Walking as tolerated, without overexertion, can help improve the patient's walking distance and reduce symptoms of intermittent claudication. Improving circulation and developing collateral blood vessels are two important aspects of managing intermittent claudication that can eventually lead to symptom relief."
When a patient says, "I came in because my calcium score was positive on my computed tomography scan last week," during a clinic visit, where does the cardiac-vascular nurse record this finding in the patient assessment?
The diagnosis of a positive calcium score on a computed tomography (CT) scan, which the patient reported, is a relevant component of their current health concern or "presenting problem." This finding is closely linked to the reason for the patient's clinic visit because it suggests a possible cardiovascular problem that requires assessment or treatment.
When a patient is examined while supine, enlarged jugular veins can be seen running from the base of the neck to the angle of the jaw. This result suggests:
When dilated jugular veins are observed, usually indicating elevated central venous pressure, they extend from the base of the neck to the angle of the jaw. This may be the result of a number of things, including hypertension, right-sided heart failure, or other disorders that raise the pressure in the veins that return blood to the heart.
A coronary artery bypass surgery patient displays a thorough comprehension of discharge instruction by:
Gaining a comprehensive understanding of postoperative care and lifestyle adjustments to enhance recuperation and lower the risk of complications is essential for effective comprehension of discharge education following coronary artery bypass surgery. "Clarifying when cardiac rehabilitation will begin" is one of the options that shows the patient understands the significance of cardiac rehabilitation for their recovery. Enhancing physical fitness, promoting better cardiovascular health, and offering lifestyle adjustment instruction are all made possible through cardiac rehabilitation.
When discussing prescribed activities with a patient who experienced a myocardial infarction, the cardiac-vascular nurse steps in. "It doesn't really matter what I do or don't do. I will either get better or die," the patient says. The statement illustrates:
The idea that "It doesn't really matter what I do or don't do. I will either get better or die" expresses a sense of helplessness. With reference to the patient's prognosis, this attitude conveys a sense of resignation and powerlessness. It suggests that the patient has little control over their healing or well-being, which may negatively impact their participation in therapeutic activities and compliance with treatment regimens.
One of the main ways to lower a female patient's chance of getting coronary heart disease is to:
Modifying one's lifestyle and managing risk factors are two of the main preventative strategies used to lower a female patient's risk of coronary heart disease. The best solution out of those given is to avoid gaining too much weight when pregnant. Overweight gain during pregnancy has been linked to a higher chance of cardiovascular disease, particularly coronary heart disease, in later life.
During a cardiac-vascular nurse's evaluation for intermittent claudication, she looks for leg pain and cramps when exerted. She then questions the patient:
During an evaluation for intermittent claudication, which is commonly caused by peripheral arterial disease (PAD), the nurse would ask about particular aspects of the patient's pain. Intermittent claudication is characterized by leg pain or cramping that gets better with rest and goes away with activity, especially walking.
Meditation may be helpful for a patient recovering from a myocardial infarction since this method:
"Meditation can be beneficial for a myocardial infarction patient because it reduces sympathetic nervous system activity.
Research has demonstrated that meditation can cause a relaxation response, marked by a reduction in sympathetic nervous system activity and a decrease in the release of stress hormones like cortisol and catecholamines. This can help lower blood pressure, induce a calming sense, and lower overall stress levels, all of which can be beneficial for cardiovascular health, particularly in the post-myocardial infarction recovery period.
When getting ready to give thrombolytic therapy to a patient who is having an acute myocardial infarction (MI), what is the most important thing to keep in mind?
The duration from the onset of symptoms is the most important factor to take into account when getting ready to give thrombolytic therapy to a patient who is having an acute myocardial infarction (MI).
Since thrombolytic therapy dissolves the blood clot that is causing the blockage in the coronary artery and restores blood flow to the heart muscle, it is most effective when administered as soon as possible after the onset of symptoms of an acute myocardial infarction. Because the efficacy of thrombolytic therapy diminishes with time, prompt administration of the therapy is imperative.