NUR 631 Exam 3
- If the patient reports a skipped or missed beat(s), particularly with the sensation that the
heart stopped momentarily, this may indicate the presence of
Answer ectopic atrial beats (which are very common and mostly benign) occurring with excessive caffeine, alcohol, or tobacco use
- In the elderly population, a report of palpitations should prompt what test in addition to
ECG?
Answer TSH level
- On some occasions, atrial ectopic beats are precursors to (2)
Answer atrial tachy- cardia or atrial fibrillation
- Supraventricular arrhythmias occur most commonly in patients with (4)
Answer -
COPD rheumatic heart disease valvular dysfunction hypothyroidism
- Ventricular ectopy is more likely to be caused by cardiac pathology than atrial ectopy and
may lead to sudden death.These are (3)
Answer
- premature ventric- ular contractions
- ventricular tachycardia
- ventricular fibrillation
- PVCs are very common and, if isolated or asymptomatic, do not require an extensive
workup. However, investigation is indicated if the patient reports that the palpitations / tachycardia lasted how long? 1 / 2
Answer > 30 seconds
- All reports of palpitations require which test?
Answer ECG
- Which test is the best for evaluating the function of the heart?
Answer ECHO
- What are the associated symptoms of palpitations that require immediate workup? (5)
- chest pain
Answer
- diaphoresis
- shortness of breath
- syncope
- extreme fatigue
- What test are ordered in a full cardiac workup? (8)
Answer ECG, ECHO, Holter Monitor, CBC, Chem 7, Magnesium, Troponins, Thyroid Panel
- Untreated peripheral artery disease may lead to (4)
- gangrene
Answer
- limb amputation
- MI
- CVA
- A differential diagnosis for PAD with a strong relationship to smoking
- / 2
Answer