Podcast
Questions and Answers
What is the most crucial question the nurse should ask the client experiencing chest pain?
What is the most crucial question the nurse should ask the client experiencing chest pain?
- When did the pain start? (correct)
- Do you have any family member who experiences this symptom?
- How often do you drink alcohol?
- Do you have any cardiovascular disease?
During an acute attack, what is the maximum dose that can be administered?
During an acute attack, what is the maximum dose that can be administered?
- 4
- 2
- 1
- 3 (correct)
Which laboratory or diagnostic test is a priority for assessing the client with chest pain?
Which laboratory or diagnostic test is a priority for assessing the client with chest pain?
- 12L-ECG (correct)
- Chest X-Ray
- CT-Scan
- ESR
What is the priority management for a client in cardiorespiratory distress during an acute attack?
What is the priority management for a client in cardiorespiratory distress during an acute attack?
Which of the following symptoms strongly indicates a serious cardiac issue in this client?
Which of the following symptoms strongly indicates a serious cardiac issue in this client?
What condition is defined as the obstruction of the pulmonary artery or any of its branches by a thrombus?
What condition is defined as the obstruction of the pulmonary artery or any of its branches by a thrombus?
Which of the following is NOT considered a risk factor for Pulmonary Embolism?
Which of the following is NOT considered a risk factor for Pulmonary Embolism?
What is the immediate objective during an episode of Pulmonary Embolism?
What is the immediate objective during an episode of Pulmonary Embolism?
Which nursing management strategy can help minimize the risk of developing Pulmonary Embolism?
Which nursing management strategy can help minimize the risk of developing Pulmonary Embolism?
Which acute lung injury is characterized by progressive pulmonary edema visible on bilateral chest X-ray?
Which acute lung injury is characterized by progressive pulmonary edema visible on bilateral chest X-ray?
What condition is characterized by arterial hypoxemia that does not respond to supplemental oxygen?
What condition is characterized by arterial hypoxemia that does not respond to supplemental oxygen?
Which of the following is an early sign of Acute Respiratory Failure?
Which of the following is an early sign of Acute Respiratory Failure?
Which of the following statements about Cor Pulmonale is correct?
Which of the following statements about Cor Pulmonale is correct?
What is the role of Angiotensin II in the body?
What is the role of Angiotensin II in the body?
An increased blood pressure results in which physiological response?
An increased blood pressure results in which physiological response?
Which statement is TRUE regarding hypertension?
Which statement is TRUE regarding hypertension?
Which of the following clients has a modifiable risk factor for hypertension?
Which of the following clients has a modifiable risk factor for hypertension?
What classification represents a blood pressure reading of 150/80 mmHg?
What classification represents a blood pressure reading of 150/80 mmHg?
A blood pressure of 160/100 mmHg falls under which classification?
A blood pressure of 160/100 mmHg falls under which classification?
Which of the following indicates target organ damage in a patient?
Which of the following indicates target organ damage in a patient?
What does a blood pressure reading of 180/120 mmHg without evidence of target organ damage classify as?
What does a blood pressure reading of 180/120 mmHg without evidence of target organ damage classify as?
Which laboratory test is most effective in differentiating STEMI from NSTEMI?
Which laboratory test is most effective in differentiating STEMI from NSTEMI?
What is the most specific cardiac biomarker for myocardial infarction?
What is the most specific cardiac biomarker for myocardial infarction?
Which side effect should healthcare providers monitor for during thrombolytic therapy?
Which side effect should healthcare providers monitor for during thrombolytic therapy?
When administering Morphine sulfate, what is the primary concern for the nurse?
When administering Morphine sulfate, what is the primary concern for the nurse?
Which medication should be prepared in case of morphine sulfate toxicity?
Which medication should be prepared in case of morphine sulfate toxicity?
What is the primary purpose of Percutaneous Transluminal Coronary Angioplasty?
What is the primary purpose of Percutaneous Transluminal Coronary Angioplasty?
Which of the following dietary recommendations is NOT suitable for a client with Angina?
Which of the following dietary recommendations is NOT suitable for a client with Angina?
Which of the following medications is categorized as an HMG CoA reductase inhibitor?
Which of the following medications is categorized as an HMG CoA reductase inhibitor?
Which condition is characterized by episodes of chest pain or pressure?
Which condition is characterized by episodes of chest pain or pressure?
What best describes the classification of angina that is triggered by coronary artery vasospasm?
What best describes the classification of angina that is triggered by coronary artery vasospasm?
Which modifiable risk factor is linked to Myocardial Infarction?
Which modifiable risk factor is linked to Myocardial Infarction?
Which statement about plaque in coronary arteries is incorrect?
Which statement about plaque in coronary arteries is incorrect?
Which type of angina is relieved by nitroglycerin?
Which type of angina is relieved by nitroglycerin?
Which coronary artery obstruction is considered most fatal in a Myocardial Infarction?
Which coronary artery obstruction is considered most fatal in a Myocardial Infarction?
What is a common medical management strategy for angina?
What is a common medical management strategy for angina?
Which statement about the Pathophysiology of Coronary Artery Disease is true?
Which statement about the Pathophysiology of Coronary Artery Disease is true?
Study Notes
Pulmonary Embolism
- Pulmonary embolism involves obstruction of the pulmonary artery by a thrombus.
- Risk factors include hypercoagulable states, pregnancy, and surgery; mobility is not a risk factor.
- Immediate management aims to stabilize the cardiopulmonary system.
Acute Respiratory Failure and Distress Syndrome
- Arterial hypoxemia characterized by non-responsiveness to supplemental oxygen is indicative of Acute Respiratory Distress Syndrome (ARDS).
- ARDS is also recognized by bilateral chest X-ray opacities and progressive pulmonary edema.
- Early signs of acute respiratory failure exclude central cyanosis; typical signs include fatigue and restlessness.
- Key characteristics include hypoxemia and hypercapnia.
Cor Pulmonale
- Symptoms include increasing edema of feet and legs, with management strategies not involving fluid resuscitation or sodium intake increases.
Hypertension
- Classified as "silent killer," hypertension can lead to significant cardiovascular risks.
- Common modifiable risk factors include obesity and hypertension history; a low BMI is not a risk factor.
- Blood pressure classifications include normal, prehypertension, and various stages of hypertension, impacting management decisions.
Coronary Artery Disease (CAD)
- Characterized by plaque build-up, CAD poses risks of myocardial ischemia and infarction.
- Modifiable risk factors include managing cholesterol levels and addressing lifestyle choices.
- Angina pectoris represents chest pain due to decreased blood flow, with types including stable, unstable, and variant angina.
Myocardial Infarction (MI)
- STEMI and NSTEMI can be differentiated using a 12-lead ECG, with troponin as the most specific biomarker.
- Symptoms include chest pain, with acute management needing to monitor for respiratory depression from analgesic use.
- Immediate treatment may involve thrombolytics—but bleeding is a potential side effect.
Nitrates and Angina Management
- Nitrates help relieve chest pain during ischemic episodes; maximum doses are typically limited to three during acute attacks.
- Management often entails lifestyle modifications, including sodium and cholesterol reduction, while ensuring adequate dietary fiber.
Emergency Assessment and Management
- In acute chest pain scenarios, determining the onset of pain is critical for diagnostics.
- Priority diagnostics in emergencies often include 12-lead ECG. Management typically focuses on administering oxygen alongside nitrates.
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Description
This quiz covers key concepts related to pulmonary embolism from the NUR 155 course, including definitions, risk factors, and immediate management objectives. Test your understanding of the material and solidify your knowledge in this essential nursing topic.
