Download RCIS CCI EXAM 9: Cardiac Catheterization Procedures - Questions and Answers and more Exams Advanced Education in PDF only on Docsity!
RCIS CCI EXAM 9 QUESTION AND ANSWER
A patient which is scheduled for a cardiac catheterization procedure has renal insufficiency. How long prior to the procedure should they hold their metformin? - 48 hrs ____ can have a potential to cause lactic acidosis and should be held for 48 hrs if the pt has renal insufficiency and 24 hrs for the normal pt - metformin External respiration occur in what part of the human body? - pulmonary capillary bed During patient preparation, which should occur first between the patient and the nurse? - the nurse should greet the pt and introduce themselves If a patient receives too much valium, which of the following would be considered an antidote?
- flumazenil (benzo antidote) The nursing staff should start the patient education for the patient that is being admitted for a cardiac procedure when? - when the pt is admitted The human immunodeficiency virus and hepatitis B viruses can be found in which of the following? - vaginal secretions blood semen tears saliva breast milk cerebrospinal fluid amniotic fluid
urine body cavity fluids According to the OSHA (Occupational Safety and Health Administration) standards, theCCL (cardiac catheterization laboratory) should provide all of the following except? - cost of OSHAS standards Methods for teaching the cardiac patient in preparation for a cardiac catheterization might include which of the following methods? - videos educational tools Pictures of the heart that are taken during the cardiac catheterization would be considered? - angiography _____ would be considered the measuring of pressures in the pts heart - hemodynamics During the preparation for the patient that is going for a cardiac catheterization, aconsent must be obtained. Which of the following people usually obtains this consent? - the operator/physician that is performing the procedure what are the 4 major components of the conscious sedation protocol - monitoring the pt pre-procedural baseline assessment administration of drugs monitoring of the pt post-procedure How long prior to a cardiac catheterization should the patient be NPO? - 8 hrs _________ is considered a severe allergic reaction? - anaphylaxis
administer sedation verapamil or diltiazem NTG/repeat if needed The large square on the EKG paper would be considered which of the following in seconds? - 0.20 secs Of the following, which would be considered the correct daily dosage for Plavix (clopidogrel)? - 75 mg ____ is an ADP inhibitor and a loading dose of it would be 150-600 mg orally then 75mg daily after that for 1 month to a year - plavix If an arterial pulse is classified as a number 3, which of the following descriptionswould be considered correct? - bounding what would be considered correct regarding asystole - 1. it is considered a medical emergency
- the first thing the nurse should do if this rhythm occurs is check the pt
- this rhythm means that the pt won't have a detectable pulse
- once the pt is check verifying there is no pulse then the ACLS protocol should be started what would be considered a typical sign/symptom of cardiac tamponade? - pulsus paradoxus distended neck veins narrowing pulse press decreased arterial press muffled heart sounds press plateau
sinus tachycardia electrical alternans what would be considered a congenital cardiac anomaly? - tricuspid atresia atrial septal defect coarctation of the aorta patent ductus arteriosus patent foramen ovale atrial septal defect tetrology of fallot Which of the following has a movable frame with an x-ray source located at the end of one arm?
- C-arm When determining a pacemaker threshold, the milliamperage is typically set at which of thefollowing mA at first? - 5 Which of the following would be considered a criteria for the diagnosis of symptomatic bradycardia? - 1. the pts symptoms are related to their slow HR
- the pt has a slow HR
- the pt has symptoms Which of the following would typically not be listed in the patient medical history for the patient that is having a cardiac catheterization? - medications that have been discontinued the pt medical history should list these medications - OTC prescribed medications
Which of the following would be the correct ratio for CPR on a child or infant for a 2 person rescue? - 15: The types of calcium channel blockers might include all of the following? - benzothiazepine (ex cardizem) dihydroperidine (ex cardene) phenylalkylamine (verapamil) ____ are anti platelet drugs - aggregation inhibitors Which of the following would be considered the pacemaker syndrome? - the loss of properly timed atrial systole the pacemaker syndrome (the loss of properly times atrial systole) can cause - hypotension fatigue dizziness congestive heart failure getting worse Where would the tricuspid valve be located? - between the R atrium and the R ventricle Which of the following would be correct for sick sinus syndrome? - when there are periods of bradycardia and periods of tachycardia Of the following, which would represent the duration of the ventricular activation? - QRS _____ represents ventricular activation - Q wave
the ____ represents atrial repolarization - PR interval the ____ represents the interval between the end of ventricular depolarization and the beginning of repolarization - ST segment ______________ angina would be caused by coronary artery spasms? - prinzmetal's _____ would be caused by coronary art spasms; with this type of angina the coronary art spasms while the pt is at rest. this is typically treated with calcium channel blockers and NTG - prinzmetal's angina According to the "Allen's Test," which type would be considered correct if there are dampened but distinct pulse waves? - type B All of the following could be common types of shunts that the staff might see in the cath lab - ventricular septal defects (ASD) anomalous pulm venous return atrial septal defects (ASD) patent foramen ovale (PFO) patent ductus arteriosus (PDA) which of the following would be considered correct for the procedure for skin entry when performing a cardiac catheterization? - 1. various techniques for skin entry are used by diff physicians
- typically a small skin incision is made before inserting the sledding needle
- a small skin incision helps to minimize the skin disruption for the pt The central venous pressure (CVP) reflects which of the following? - the amount of venous blood return to the heart
Which of the following would be considered the step that would be taken, if the 3 consecutive unsynchronized defibrillations are not successful for ventricular fibrillation? - start CPR All of the following vasodilators might help minimize spasms during a radial arterycatheterization except? - furosemide Of the following which does a bilateral heart catheterization accomplish? - the anatomic function of the LHC the physiologic info obtained by recording all cardiac chamber press, CO, and blood sats Of the following amounts, which would be appropriate for the procedural limit for contrast medium that should be administered to an adult patient during an angiography? - 3-4 ml/kg Which of the following would be considered the best description of tissue thromboplastin? - this is a complex of substances released from the cell membrane by damaged tissue The most common complication of IVUS (intravascular ultrasound) would be considered which of the following? - coronary spasms (IC NTG can be given prior to prevent this) Which of the following would be a circumstances when a cardiac catheterization might beindicated for the pediatric patient? - 1. when an interventional procedure is planned
- when the precise physiological measurements are needed
- if the anatomic features are poorly visualized by electrocardiography
- if electrophysiology studies are indicated The blood speckles on an IVUS (intravascular ultrasound) image would be what color? - grey
Which of the following measurements are typically taken in the inferior vena cava during aright heart catheterization? - O2 sats Which of the following could have the potential to increase a person's cardiac output? - sepsis surgery trauma strong emotion exercise body temp The generic name for Marcaine would be considered which of the following? - bupivacaine what is the generic name for lidocaine - xylocaine what is the generic name for procaine - novocaine When a pulmonary capillary wedge pressure (PCWP) waveform is obtained, the A wave would be related to which of the following? - contraction of the L atrium Predictors for major vascular complications would include all of the following? - female gender small body surface area diabetes mellitus age of 75 yrs or older peripheral art disease
intermediate what type of wire tends to track more easily in a tortuous artery - floppy Which of the following would be considered the preferred approach for a periocardiocentesis? - subxiphoid route Of the following, which would be considered the general shock energy level that is aprogrammable range with the ICD (implantable cardiovertor defibrillator)? - 0.1-41 J Which of the following statements would be considered the most correct regarding theintra- aortic balloon patient? - 1. the pt is on bedrest
- they should not have the head of their bed elevated more than 30 degrees
- movement of the affected leg should be restricted and immobilized
- pain meds and sedation should be administered to help the pt be more comfortable Which of the following would cause high left ventricular systolic pressure? - hypertension peripheral arterial vascular disease aortic valve stenosis high left ventricular EDP would be caused by what - AO valve insufficiency diseases which damage LV compliance such as hypertrophy or ischemia Contraindications for performing a transseptal heart catheterization might include all but the following? - a low platelet count atrial myxoma IVC obstruction/mass
pt is unable to lay flat anticoagulant therapy R or L atrial thrombus Which of the following would be considered a disadvantage of a direct stent? - its not well suited for complex anatomy Of the following, which would be considered a part of the guide wire construction? - distal solder joint tapered core distal weld forming ribbon full teflon coating Which technology works on the basis of counterpulsation that inflates a balloon catheterwithin the aorta during diastole? This process helps to augment the pts coronary perfusion and to improve their hemodynamics - IABP Excimer laser coronary atherectomy (ELCA) is typically applied during the percutaneous coronary intervention. Which of the following might be considered a size for a Excimer laser catheter that is used during the procedure? - 1.4 mm 1.7 mm 2.0 mm If the initial setting for the Excimer Laser System from Spectranetics doesn't have an affect on the lesion, which of the following would be considered the maximum setting? - 60 mj/mm2 and 30 Hz
deflates increases 40% Defibrillation would be indicated as part of the treatment for which of the following cardiac rhythms? - pulseless Vtach or Vfib Once the procedure in the cardiac catheterization laboratory has been completed, which of the following factors might have an affect on the recovery of the postsheath recovery patient? - type/amount of anticoagulation used sheath size access site procedure performed With manual compression when removing the sheaths, which of the following should not be done in order to help prevent clots from being formed? - do not compress the sheath when removing it Of the medications which might have an impact on the risks for a cardiac catheterization, which would have the potential to cause lactic acidosis? - metformin Which of the following could be considered a device that has been designed to help providehemostasis that can be used for radial artery catheterization? - RADIstop TR band Hemoband
