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The antagonists for morphine, demerol, or fentanyl would be considered? correct answers naloxone (narcan) Which of the following descriptions would best describe cardiac catheterization? correct answers the insertion and passage of a small plastic cath into one of the arteries to the heart The CCL (cardiac catheterization laboratory) staff needs to be certified in which of the following? correct answers ACLS PALS BLS Of the following, which would be considered a relative contradiction for a patient to havea cardiac catheterization? correct answers renal failure pregnancy acute GI bleed anemia electrolyte imbalance uncooperative pt an uncontrolled condition such as high BP, arrhythmias, or CHF recent CVA of less than 1 month medication intoxication infection/fever anticoagulation In the cardiac catheterization suite, which of the following techniques would be used by the healthcare staff? correct answers aseptic
The actual first cardiac catheterization was performed in which of the following years and by whom? correct answers 1929 Dr Forssman (in germany using a urinary cath inserted into his arm) Moderate contrast medium reactions might be considered which of the following? correct answers heachache vomiting diffuse urticaria facial edema mild bronchospams palpitations abdominal cramps persistent vomiting Which of the following would be considered one of the three types of reactions from contrast media? correct answers 1. cardiac and major anaphylactoid responses
- smooth muscle and minor anaphylactoid responses
- cutaneous and mucosal manifestations ____________ would be considered the complete destruction of all living organisms? correct answers sterilization Which of the following infuses the flush solution through the Rotablator atherectomy device? correct answers a pressure bag All of the following would be considered a mechanism of restenosis of a post-PCI patient? correct answers intimal thickening elastic recoil vassel remodeling The normal systolic blood pressure for an adult would be considered? correct answers 90-140 mmHg
- with a rapid ventricular pacing occurring during an aortic balloon valvuloplasty
- a previously demonstrated high degree conduction block
- a pre-existing LBBB with an anticipated right sided heart studies
- transluminal septal artery ablation in pts with hypertrophic obstructive cardiomyopathy
- prophylactic use for rotational atherectomy and thrombectomy procedures Which of the following would be considered an etiology for interventricular conduction delay (IVCD)? correct answers prior cardiac surgeries hyperkalemia cardiac meds such as procainamide BBB (L/R) The ventricles of the heart can be prevented from distending during dialysis by which of the following conditions? correct answers pericardial effusion All but which of the following statements would be considered correct about the use of the TLD's (thermoluminescent detectors)? correct answers the TLD badge should be worn on top of the protective aprons During basic life support, what would be the length of time that should be taken to checkthe unresponsive person's pulse? correct answers 5-10 secs The Rotaglide lubricant should not be administered to the patient that has an allergy to which of the following? correct answers olive oil eggs When performing the thermodilution cardiac output, how much normal saline is typically injected? correct answers 5-10 ml (room temp or chilled saline) What would be considered the main function of the right ventricle of the heart? correct answers to pump the venous blood to the pulm circulation
Of the following, which would be considered the pulse oximety reading range that would be considered mild hypoxia? correct answers 92% what is the O2 sat range for mild hypoxia correct answers 91-94% what is the normal O2 sat range correct answers 95-100% moderate hypoxia O2 sat range would be what correct answers 86-90% what O2 sat would show severe hypoxia correct answers 85% or less If a person's heart is functioning normally, which of the following would be considered correct for where the electrical impulse of the heart originates? correct answers SA node (sinoatrial node) this is composed of specialized tissues that are located in the high posterior RA wall that is close to the inflow track of the SVC correct answers SA node If the nurse is assessing an adult patient and finds their respirations are 10, which of the following would be considered correct? correct answers too slow what is the normal respiratory rate correct answers 12-20 breaths per min Which of the following is considered the type of angina that can be caused by a coronary artery spasm? correct answers prinzmetals angina The preferred technique for arterial puncture would be considered? correct answers single anterior arterial wall entry ______ would be best used to help prevent problems with the pts that have been treated with anticoagulants, thrombolytics, or anti platelet agents correct answers single anterior arterial wall entry The total volume setting for a typical power injection device used in the cardiac catheterization laboratory would be considered which of the following? correct answers 20-50 ml
Which of the pacemaker modes indicates the pacemaker works at a continuous set rate? correct answers fixed rate with a ____ the pacemaker paces when the heart drops below a level that the pacer is set at correct answers demand rate Secondary radiation could best be described as which of the following? correct answers the lower quality attenuated radiation which occurs when radiation interacts with an object The "Cardiac Angiography and Interventions" recommend which of the following treatments for hypotension and shock related to anaphylactic reactions? correct answers oximetry CVP/swan ganz O2 by mask/intubation large vol of 0.9% NS (3L/hr) epi IV diphenhydramine 50mg-100mg IV hydrocortisone 400mg IV ABGs If the ventricles start to quiver, it would be considered which of the following rhythms? correct answers Vfib Which of the following has the potential to influence contractility? correct answers cardiac ischemia preload metabolic abnormalities metabolic acidosis hypercapnia the sympathetic nervous system circulating catecholamines pharmacological agents the heart muscle MI
Which of the following would be considered the correct brand name for phenylalkylamine? correct answers verapamil what are the 3 types of calcium channel blockers correct answers benzothiazepine dihydroperidine phenylalkylamine what is the generic name for cardizem correct answers benzothiazepine what is the generic name for cardene correct answers dihydroperidine what is the generic name for verapamil correct answers phenylalkylamine During the FFR procedure, once the IC injection has been administered and the flush has beendone, which of the following steps would be done next? correct answers press the start mode or record key the diagnostic multi-packs typically include what correct answers guide wire pigtail JL sheath JR Which of the following catheters is typically used for a ventriculography and aortography? correct answers side hole pigtail catheter Which of the following might ICE (intracardiac echocardiography) be used for? correct answers 1. guiding radiofrequency
- ablations
- transeptal punctures
- electrophysiologic procedures
Postprocedural care of the atherectomy patient should include which of the following interventions? correct answers monitoring the pts vital signs assessing the pts pedal pulses checking the pts groin insertion site perform a 12 lead EKG check cardiac enzymes Of the following, which would be considered a characteristic of a "stent?" correct answers shortening conformability nesting biocompatibility deliverability flaring expansion ratio trackability scaffolding radiopacity radial strength flexibility metal surface area Temporary transvenous pacing is better tolerated than some of the other pacing methods, butis associated with a high rate of complications. Which of the following might be consideredone of these complications? correct answers local infections lead dislodgement Most percutaneous coronary interventions are performed using a ____ F guiding catheter? correct answers 6
All but which of the following would be checked if a patient on a temporary pacemaker shows on the cardiac monitor that there is a failure to pace due to output? correct answers 1. prepare for transcutaneous pacing
- prepare to do CPR if necessary
- prepare to administer chronotropic meds
- increase the output to max (20mA atrial and 25 mA ventricular)
- check the power, battery, and connections
- consider switching to an asynchronous mode in the attempt to prevent oversensing Which kind of artherectomy would use a high-speed device that is designed to pulverize plaque into minute particles? correct answers rotational Lorazepam (ativan) is metabolized by which of the following? correct answers liver ______ is metabolized by the liver and is considered to be the most potent benzodiazepine bc it has a slower onset and a longer duration of action than midazolam correct answers lorazepam (ativan) If a patient is on an intra-aortic balloon pump, which of the following would be considered potential complications? correct answers sepsis infection thrombocytopenia renal ischemia vascular complications hemolysis mechanical complications How much does the typical ICD (implantable cardiovertor defibrillator) weigh? correct answers 68- 90 grams The R wave on the ECG represents which of the following? correct answers ventricular depolarization the Q wave on the EKG represents what correct answers septal depolarization
there are 4 defects of the heart and blood vessels with the tetrology of fallot. what are they? correct answers 1. pulm stenosis
- muscular wall of the RV is thicker than normal
- the AO valves are enlarged and open from both ventricles
- there is a hole in the wall of the heart between the L and R ventricles Of the following physicians, which typically performs peripheral diagnostic and interventional procedures? correct answers vascular surgeons radiologists cardiologists If a patient has chronic atherosclerotic obstructions, which of the following is often their most common complaint? correct answers exercised induced pain in the calf Which of the following might be considered a problem that can be associated with holding manual pressure when removing sheaths? correct answers staff fatigue predisposal to carpal tunnel syndrome poor technique application of inconsistent press Of the following, which would be considered a way to achieve hemostasis after a percutaneouscatheterization correct answers vascular plugs manual compression topical hemostasis accelerators mechanical compression percutaneous vascular suturing It can take as long as __________ for the components of the Angio-Seal to be reabsorbed? correct answers 90 days (you can restick immediately) Common causes of a cardiac catheterization patient developing life-threatening dysrhythmias would include all but which of the following? correct answers spasms
ischemia air embolisms accidental electrical shock dissection/abrupt closure thrombus embolism contrast injection electrolyte imbalance irritation from devices in the LV/RV overdose/drug poisoning _______ would be a liquid thrombin which has the potential to seep into the vessel of the patient? correct answers duetts Which of the following medications have the potential to impact the risks for a cardiac catheterization? correct answers NSAIDs warfarin furosemide metformin ARBs insulin ACE inhibs sildenafil(viagra)/vardenafil/tadalafil (vasodilators)
