1 / 89

Review PN 131

Review PN 131. FINAL EXAM Cardiovascular Nursing. Multiple Choice. Though not performed as much any more, a “positive Homan’s” sign would be significant for: A. venous insufficiency B. arterial spasms C. deep vein thrombosis D. arterial aneurysm. Multiple Choice.

emory
Download Presentation

Review PN 131

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Review PN 131 FINAL EXAM Cardiovascular Nursing

  2. Multiple Choice • Though not performed as much any more, a “positive Homan’s” sign would be significant for: • A. venous insufficiency • B. arterial spasms • C. deep vein thrombosis • D. arterial aneurysm

  3. Multiple Choice • One of the most common complications of DVT is: • A. venous stasis ulcer • B. DIC coagulation disorder • C. Embolism – esp. pulmonary • D. All of the above

  4. Multiple Response • Nursing management of a patient with DVT includes which of the following: • A. Measuring the circumference of lower leg(s) • B. Assess for s/sx of embolus • C. Vital signs – measure and monitor • D. Assess circulation to lower extremity (ies)

  5. True or False • The lymph system is a subdivision of the cardiovascular system.

  6. Multiple Response • Blood and lymph perform two of the body’s most important functions. These are: • A. Transportation • B. Structure • C. Protection • D. Purification, filtering

  7. Multiple Response • Which of the following would be included in a nursing assessment of Arterial and Venous circulation? • A. Sensation • B. Edema • C. Capillary Refill time • D. Temperature

  8. Multiple Choice • What is the first tool established to diagnose Peripheral Artery Disease (PAD)? • A. Ankle-brachial Index • B. Magnetic Resonance Angiography • C. A standardized physical examination • D. Doppler studies

  9. Multiple Choice • An ankle-brachial index reading of <.90 would indicate: • A. Good blood flow to affected extremity • B. No blood flow to affected extremity • C. A “positive” for impaired circulation to affected extremity • D. Poor RBC reading

  10. Multiple Choice • Impaired circulation to the extremities is most commonly caused by: • A. Trauma • B. Atherosclerosis process • C. Diabetes • D. Nerve Damage

  11. Multiple Response • “Blood cells” consist of which of the following: • A. Lymph cells • B. White Blood Cells • C. Platelets • D. Red Blood cells

  12. True or False • Erythropoiesis is the process of making red blood cells.

  13. True or False • Folic acid is needed for hemoglobin production.

  14. True or False • Iron, folic acid, and Vitamin B12 are needed for RBC production.

  15. Multiple Response • There are approximately 500-600 lymph nodes in the human body. Which of the following describe their function? • A. Produce RBC’s • B. Filter impurities from the lymph system • C. Produce WBC’s • D. Make intrinsic factor

  16. Multiple Response • From the list below, identify the items that are considered “lymphatic tissue”: • A. Thyroid Gland • B. Tonsils • C. Spleen • D. Thymus gland

  17. Multiple Choice • Which lymphatic tissue develops the immune system before birth and during the neonatal period? • A. Tonsils • B. Thyroid gland • C. Thymus gland • D. Spleen

  18. Multiple Choice • This lymphatic tissue plays an important role in the development of T-Lymphocytes from stem cells: • A. Thyroid gland • B. Hypothalamus • C. Spleen • D. Thymus gland

  19. Multiple Response • Elevated blood lipids contribute to coronary artery disease. These lipids include: • A. Lipoproteins • B. Aminoproteins • C. Cholesterol • D. Triglycerides

  20. Multiple Choice • Lipoproteins are grouped and named according to their protein, fat, and cholesterol content. The feature that is common to all groups to one degree or another is: • A. Density • B. Structure • C. Acidity • D. Fluidity

  21. True/False • “High” density refers to those lipoproteins that have a higher protein content and lower fat content.

  22. Multiple Response • Three types of lipoprotein are found in the liver and are significant in relation to heart disease. Identify them below: • A. VLDL • B. LDL • C. VLTL • D. HDL

  23. Multiple Choice • The term “claudication” describes : • A. pain and the pain process in a lower extremity affected by peripheral artery disease • B. Circulation to a lower extremity affected by PAD • C. Mobility to a leg with poor circulation • D. An ABI of > 95

  24. Multiple Choice • Critical Limb Ischemia refers to: • A. Pain in a lower leg when a person with PAD is up walking • B. Pain in a lower leg confined to the muscles that is relieved when at rest • C. Pain at rest, a non-healing wound, or gangrene • D. Paralysis of the lower extremities

  25. Multiple Response • When arteries are blocked and prevent oxygen and nutrients from reaching the lower extremities, revascularization options can be started. These may include: • A. Stent placement • B. Embolectomy • C. Debridement under anesthesia • D. Femoropopliteal Bypass Graft

  26. Multiple Response • After Surgical revascularization, the nurse has a key role in assessment of the surgical limb and reporting early s/sx of circulatory impairment. Nursing interventions would include: • A. Monitor the VS • B. Assess the 5 p’s • C. Check operative site • D. Report s/sx bleeding or infection

  27. Multiple Choice • Thromboangiitis Obliterans (Buerger’s Disease) is characterized by inflammation and thrombosis of small and medium arteries. There is a strong correlation between this disease and: • A. Family history of PAD • B. Family history of Diabetes • C. Heavy smokers • D. Heavy drinkers

  28. Multiple Response • When any disease process causes decreased perfusion to distal parts of the body – eg. Hands, feet – typical symptoms include: • A. Coolness, pallorof affected part • B. Ulceration • C. Necrosis of skin • D. Immobility

  29. True/False • Normal range for RBC’s for males is: 4.7-6.1 and for females is: 4.2 – 5.4

  30. Multiple Choice • Hemoglobin (Hgb) and hematocrit (HCT) are two lab values frequently used to measure red blood cell status. Hemoglobin measures the ____ and Hematocrit measures the _______. • A. Nitrogen carrying capacity; sedimentation rate • B. Carbon monoxide level; carbon dioxide level • C. Oxygen carrying capacity; packed cell volume of RBCs. • D. Clotting factors; coagulation time

  31. Other • What is the normal range each for HCT and Hgb for: • Male: __________ and Female:___________ • Male: __________ and Female: ___________

  32. Multiple Choice • Platelets are involved with _________ of blood. • A. Lysis • B. Viscosity • C. Clotting • D. Purifying

  33. Multiple Choice • Normal values for platelets are: • A. 18,000-25,000 • B. 50,000 – 75,000 • C. 100,000 – 140,000 • D. 150,000 – 400,000

  34. Other • Name the 4 Blood Types of the human body.

  35. Multiple Choice • Located on the surface of RBCs is a substance called: • A. Allergen x • B. Allergen y • C. Rh factor • D. Intrinsic Factor

  36. Multiple Choice • If a person has the Rh factor, he/she is said to be “positive”; if he/she does not have the factor, the person is “negative”. When an Rh- person is exposed to Rh+ blood, _________ develop within 2 weeks. • A. Allergenic reaction • B. Antibodies • C. Rash • D. Anaphylaxis

  37. Other • Which blood type, including the Rh factor, is the universal donor? • Which blood type, including the Rh factor is the universal receiver?

  38. Other • A woman who is Rh Negative who just delivered a baby who is Rh positive, should have and intramuscular or IV injection of ______ to desensitize the antibodies.

  39. Multiple Choice • A condition caused by severe dehydration or extreme blood loss (1000 ml or>) is known as: • A. Iron-deficiency anemia • B. Aplastic Anemia • C. Hypovolemic Shock • D. Polycythemia Vera

  40. Multiple Response • Nursing interventions for a patient who has experienced hypovolemic shock and is now stable includes: • A. Frequent Vital signs with observation of trend • B. Frequent observation of bleeding site • C. Assess for s/sx recurrence of bleeding • D. Rehydration – manage IV infusion

  41. Other • List 3 significant symptoms that someone is experiencing hypovolemic shock.

  42. Other • Anemia is characterized by low Hgb and HCT. This causes delivery of an insufficient supply of _______ and ______ to the cells.

  43. Multiple Choice • The Coombs’ Test is a diagnostic test for anemia. A positive Coombs indicates: • A. The presence of autoantibodies against RBCs • B. The absence of any autoimmune isoenzymes • C. The presence of a glycoprotein known as intrinsic factor – destructive of RBCs • D. The absence of aminoproteins which protect RBCs

  44. Multiple Response • Among the general signs and symptoms of anemia there are 5 key ones. Identify the three that are listed below: • A. Dyspnea on Exertion • B. Palpitations (tachycardia) • C. Sweating • D. Dizziness (vertigo)

  45. Multiple Choice • Vitamin B12 is needed for the maturation of RBCs. When not enough of this vitamin is available, a condition known as ________ develops. • A. Pernicious Anemia • B. Iron-deficiency Anemia • C. Aplastic Anemia • D. Sickle-cell Anemia

  46. Multiple Choice • In pernicious anemia, there is an absence of a glycoprotein, ________, that is usually secreted by the stomach to assist in the body’s absorption of Vitamin B12. • A. aminoprotein • B. Intrinsic factor • C. Extrinsic factor • D. Rh Factor

  47. Multiple Response • Treatment of Pernicious anemia is life-long – often with injections of B12. Client teaching by the nurse includes which of the following: • A. How to give the injection if able • B. Why vitamin B12 is important to their health • C. Importance of compliance • D. Stop taking the injection if s/sx of influenza or upper respiratory infection

  48. Multiple Choice • Iron-deficiency anemia if often the result of extrinsic factors such as insufficient diet intake of iron; chronic bleeding; the body’s demands exceed its absorption, and malabsorption syndromes. Signs and symptoms include: • A. Sore swollen tongue • B. PICA • C. Blisters on feet • D. A and B

  49. Multiple Choice • Iron replacement in iron-deficiency anemia may include iron injections. These are given intramuscularly by a _______ technique. • A. Deep • B. Slow • C. Shallow • D. Z-track

  50. Multiple Choice • __________ is characterized by intermittent arterial spasms causing ischemia to the periphery. These are usually precipitated by cold or emotional stimuli. • A. Buerger’s Disease • B. Raynaud’s Disease • C. COPD • D. Polycythemia vera

More Related