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COMPREHENSIVE PHASE WORKBOOK MS: CARDIOVASCULAR SYSTEM NOV 2024 Philippine Nurse Licensure Examination Review 1. C. Hypertension 2. D. “Recovery usually happens without any special treatment.” 3. C. 1,4,5 4. A. protein, which may indicate the kidneys are affected. 5. D. Aspirin PO 6. B. Streptococcal infection. 7. B. 2,3,6 8. B. “I will call my doctor if I gain more than 2 pounds in a day.” 9. C. 1,3,5,6 10. A. Administer epinephrine (adrenaline) 11. D. “When you’re able to climb two flights of stairs comfortably.” 12. B. “You will need a designated driver to take you home.” 13. B. “You should avoid working over a running engine.” 14. B. Administer 1 tablet of nitroglycerin under the tongue every 5 minutes; call 911 if no relief after 15 minutes 15. D. 1,6 16. C. Administration of vasopressors 17. D. High-calorie supplements are encouraged in the first few weeks postoperative 18. D. An abnormal finding because every spike on the ECG strip should be followed by a waveform. 19. A. Notify the physician 20. B. Administration of analgesics as needed 21. B. A history of allergy to shellfish 22. C. Encourage fluids 23. C. is diagnosed easily with a throat culture and serum antistreptolysin titer. 24. B. Patient-controlled analgesic of IV morphine. 25. A. “I will be given a pen and paper to communicate, because I will still have a breathing tube in my throat.” 26. C. 0.12-0.20 seconds 27. B. Atrial flutter 28. C. 120-180 bpm 29. A. Temporary pacemaker 30. A. Instruct the client to avoid lifting the arm on the pacemaker side above shoulder height 31. B. Sinus bradycardia. 32. D. Idioventricular rhythm (ventricular escape rhythm) 33. C. 3,2,4,1 34. C. Control the heart rate and maintain cardiac output 35. B. Assess the client 36. A. Cardiogenic shock 37. D. Metformin (Glucophage) 38. D. Prepare for transcutaneous pacing. 39. C. Ventricular fibrillation 40. B. Crackles 41. B. Ventricular dysrhythmias 42. B. Acute renal failure 43. C. Normal sinus rhythm 44. C. Check the client status and lead placement. 45. C. Ventricular tachycardia 46. A. It can develop into ventricular fibrillation at any time. 47. D. Blood pressure and oxygen saturation 48. C. Hypotension and dizziness 49. A. Atrial fibrillation 50. C. Administer amiodarone (Cordarone) 51. B. Inhale deeply and cough forcefully every 1 to 3 seconds. 52. A. Vagus nerve to slow the heart rate. 53. B. Ventricular fibirillation 54. B. Notify the physician 55. D. Syncope and slow ventricular rate 56. D. Widening of QRC complexes to 0.12 seconds or greater 57. C. A continuous and totally unpredicttable irregularity. 58. B. Plaques obstruct the artery 59. D. Pericardial tamponade 60. C. 95 mmHg 61. C. “Does the pain get worse when you breathe in?” 62. B. Bathroom privileges and self-care activities 63. A. Review the intake and output records for the last 2 days. 64. D. Taking a blood pressure within 15 minutes after nicotine or caffeine ingestion 65. D. Protamine sulfate 66. C. Within the therapeutic range. 67. B. Inhibits synthesis of specific clotting factors in the liver, and it takes 3-4 days for this medication to exert an anticoagulant effect. 68. A. Administer the morphine. 69. B. Dissolve clots he may have 70. B. Start an intravenous line. 71. D. Myocardial infarction 72. A. Blocks beta-adrenergic stimulation 73. A. A change in the pattern of her pain 74. A. Headache 75. C. Left anterior descending artery 76. B. During diastolic 77. C. Inferior 78. C. Pulmonic 79. A. Troponin I 80. D. Electrocardiogram (ECG) 81. D. Tightness 82. D. Vascular resistance 83. A. Changes in blood pressure. 84. A. Afterload 85. D. Preload 86. D. “It circulates in the blood, the level of which usually decreases when unsaturated fats are substituted for saturated fats.” 87. B. Absent P waves 88. B. Tomato juice 89. D. 30:2 90. D. Check responsiveness. 91. D. Confirm that the rhythm is ventricular fibrillation 92. B. The carotid pulse is palpable with each compression 93. D. All of the above 94. B. Left ventricular enlargement 95. C. Brachial artery 96. D. Bed rest with head elevation no greater than 30 degrees 97. B. About 11⁄2 inches (4 cm) 98. D. To the right of the sternum and to the left of the precordium 99. D. 360 J 100. A. Exertional dyspnea 1 | Page

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