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Cardiovascular SystemMedical Surgical Nursing

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Question Answer
______provides a recording of ECG rhythms for 24-48 hours and is correlated with a patient diary for the same time period.
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Holter monitoring
What should be monitored related to an exercise treadmill test?
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Monitor vital signs and get a baseline ECG, monitor ECG and vitals through all stages of the test and afterwards until ECG changes have returned to normal.
How should a patient be positioned for an echocardiogram?
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Supine on the left side facing the equipment
What are nursing responsibilities related to a transesophageal echocardiogram (TEE)?
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Patient is NPO 6 hours prior, remove dentures/put bite block in mouth, patient needs someone to take them home, monitor vitals and oxygen, perform suctioning during procedure, NPO until gag reflex returns.
What side effect of a transesophageal echocardiogram (TEE) is common?
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A sore throat
How is a patient positioned for nuclear cardiology?
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On their back with their arms extended overhead (for 20 minutes)
When undergoing _________ , the patient will have a nuclear imaging agent injected via IV while exercising. The patient then must continue for another minute to allow for it to circulate. The actual scan is done 15-60 minutes afterwards. Another one is done at least 3-4 hours to up 24 hours later.
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Exercise nuclear imaging
_______ is a cardiac diagnostic test that requires that a patient's blood glucose be between 60-140 to ensure accurate metabolic activity.
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A PET scan
What are the nursing responsibilities related to cardiac catheterization?
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Assess for iodine allergy, NPO 6-18 hrs. prior, tell patient that they will feel warmth and a fluttering sensation from the dye and catheter. After: assess extremities peripheral to catheter insertion for perfusion every 15 minutes for an hour and then less frequently. Monitor vitals, HR and respirations (can cause pulmonary emboli).
What are the nursing responsibilities related to EPS?
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Tell patient antidysrhythmic agents may be discontinued a few days prior, NPO 6-8hrs before. ECG monitoring throughout procedure.
  
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