Cardiovascular Assessment Exam 1

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Questions and Answers

What is the hallmark sign of ventricular tachycardia (V-Tach)?

  • Variable heart rate
  • Narrow QRS complex
  • Regular rhythm with P waves
  • Wide QRS complex (correct)

Which of the following treatments is appropriate for an unstable patient with V-Tach?

  • Anticoagulants
  • Defibrillation (correct)
  • Procainamide
  • Beta-blockers

In atrial fibrillation (A-Fib), what is the typical heart rate range?

  • 350-600 BPM (correct)
  • 60-100 BPM
  • 100-150 BPM
  • 150-250 BPM

What is a common treatment method for rate control in patients with atrial fibrillation?

<p>Beta-blockers (D)</p> Signup and view all the answers

What is the most serious complication of ventricular fibrillation (V-Fib)?

<p>Sudden cardiac arrest (C)</p> Signup and view all the answers

What is the most significant abnormal heart sound referenced?

<p>S4 (A)</p> Signup and view all the answers

Which position is recommended for assessing Jugular Venous Distention (JVD)?

<p>30-45 degrees laying position (A)</p> Signup and view all the answers

What precaution should be taken before a cardiac catheterization procedure?

<p>Check for shellfish or iodine allergies (C)</p> Signup and view all the answers

What should be monitored closely after a cardiac catheterization?

<p>Signs of bleeding (A)</p> Signup and view all the answers

What is a critical restriction during a cardiac stress test?

<p>No caffeine (A)</p> Signup and view all the answers

What is the most common symptom of pulmonary embolism (PE)?

<p>Dyspnea and pleuritic chest pain (C)</p> Signup and view all the answers

Which of the following interventions is NOT indicated for a patient with pulmonary embolism?

<p>Immediate physical activity (C)</p> Signup and view all the answers

Which vital sign is essential to monitor closely in a patient suspected of having a pulmonary embolism?

<p>Arterial pressure (A)</p> Signup and view all the answers

In assessing the heart sounds for a patient with suspected pulmonary embolism, which sound might indicate right heart strain?

<p>S3 (Low intensity) (B)</p> Signup and view all the answers

What positioning is recommended for a patient suspected of having a pulmonary embolism to assist with respiration?

<p>Fowler's position (C)</p> Signup and view all the answers

What is a late symptom of pulmonary embolism that may be observed?

<p>Petechiae in chest and arms (A)</p> Signup and view all the answers

Which of the following medications is commonly administered for managing pulmonary embolism?

<p>Heparin (D)</p> Signup and view all the answers

Which symptom indicates a massive pulmonary embolism requiring immediate medical attention?

<p>Sudden change in mental status (B)</p> Signup and view all the answers

Flashcards

What is S3?

An abnormal heart sound heard during diastole, often in children, pregnant women, and athletes. It's usually considered a normal finding in these groups.

What is S4?

An abnormal heart sound heard during diastole, almost always indicative of a problem. It is a sign of stiffened ventricle.

What is Cardiac Catheterization?

A procedure where a catheter is inserted into the heart through a peripheral vein or artery, used for both diagnosis and treatment.

What is a Holter Monitor?

A type of heart monitor worn by the patient for 24-48 hours to record heart rhythm and activity.

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What's a Treadmill Stress Test?

A test where the patient's heart function is monitored while they exercise, typically on a treadmill, to assess heart health.

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Pulmonary Embolism (PE)

A serious condition where a blood clot travels to the lungs, blocking blood flow and causing shortness of breath, chest pain, and potential damage.

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PE Symptoms

The most common symptoms of PE are shortness of breath and chest pain. Other signs include: Coughing, low oxygen levels, and rapid breathing.

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Focused Cardiac Assessment

A focused physical exam that involves listening to heart and lung sounds, checking pulses, and assessing vital signs. Helps identify potential problems with the cardiovascular system.

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Heart Sounds: Lub and Dub

The sound of the heart's valves closing, creating two distinctive sounds: Lub (S1) and Dub (S2).

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Dysrhythmias

An abnormal heart rhythm that can be irregular or too fast or slow. A range of conditions affect the heart's electrical activity.

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Hypertension

A condition characterized by high blood pressure. It needs to be managed to prevent damage to the heart, brain, and other organs.

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Deep Vein Thrombosis (DVT)

Blood clots that form in the deep veins of the legs or arms. These clots can travel to the lungs and cause a pulmonary embolism.

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Stroke

A medical emergency where a blood clot blocks an artery, restricting blood flow to the brain. Causes sudden confusion, weakness, and paralysis.

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Atrial Fibrillation (A-Fib)

A heart rhythm disorder characterized by a fast and irregular heartbeat with no identifiable P-waves. It is commonly associated with a lack of organized electrical activity in the atria.

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Ventricular Tachycardia (V-Tach)

A potentially life-threatening heart rhythm characterized by rapid, irregular heartbeats with no recognizable P-waves. It is often associated with unstable hemodynamics and may lead to cardiac arrest.

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Mean Arterial Pressure (MAP)

A measure of the average pressure in your arteries during one cardiac cycle, calculated using both systolic and diastolic blood pressure readings. It reflects the workload of the heart.

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Transesophageal Echocardiogram (TEE)

A type of echocardiogram that uses a small probe placed in the esophagus to obtain detailed images of the heart, offering a clearer view than a traditional echocardiogram.

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Ejection Fraction

The percentage of blood ejected from the left ventricle with each heartbeat, representing the efficiency of the left ventricle in pumping blood.

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Study Notes

Exam 1 Topics

  • Assessment of the cardiovascular (CV) system
  • Hypertension
  • Hypertensive disorders in pregnancy

Exam 1 Chapters

  • Chapter 18: Perfusion
  • Chapter 35: Assessment: CV system
  • Chapter 36: Hypertension
  • Chapter 39: Dysrhythmias

Exam 1 Topics (continued)

  • Dysrhythmias
  • Deep vein thrombosis
  • Pulmonary embolism

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