7. An 84-year-old man is brought to the emergency department 30 minutes after an episode of syncope. Transthoracic echocardiography shows a 4-cm myxoma occupying the majority of the left atrium. The tumor will be excised using a robotically assisted operation via an oblique right atriotomy and transection of the interatrial septum. When making the incision into the left atrium to remove the myxoma, which of the following regions of the interatrial septum should be avoided in order to prevent injury to the cardiac conduction system? A) Crista terminalis B) Fossa ovalis region C) Posteroinferior region above the opening of the coronary sinus D) Superoanterior region above the limbus of the fossa ovalis E) Superoposterior region posterior to the fossa ovalis D

3. Mr. Garcia and his wife are concerned about the future of his heart health. What role does cardiac rehabilitation play in his return to normal activities and in determining his future heart health? 4. Define these terms/phrases from the chart: a. From History on page 52: "precordial" - 66 b. From History on page 52: " syncope” – c. From MD Progress Note on page 52, for Pulmonary/Chest: "Lungs are clear to auscultation bilaterally" d. From MD Progress Note on page 52, for Abdominal - explain all of the results of the M.D.'s exam- e. From MD Progress Note on page 52, for Extremities: "cyanosis" and "clubbing” – f. From MD Progress Note on page 52, for Skin: "mild diaphoresis" - g. From Orders on page 53 from the ED (emergency dept): "oxygen 2 liters per NC to maintain 02 SAT >95% - h. From Nursing Assessment on page 54, for Other Components: "Braden score" -

Label the above figure   Name the Figure on the left Identify: apex base coronary blood vessels Right Ventricle Left ventricle     Identify in the picture all the following: 1. Right Auricle (atrium), -2. left Auricle (atrium), -3. Right ventricle, -4. left ventricle,-5. pulmonary trunk, -6. Pulmonary trunk, -6. Atrioventricular valve, -7.Trabeculae, -8. Endocardium layer, -9. Mitral valve, -10. Interventricular septum, -10.Myocardium layer, -11. Chamber, -12. Tricuspid valve, -13. Chordae tendineae, -14.Endocardium layer,-15. Interatrial septum, -15. Epicardium., -16. Bicuspid valve, -17. Semilunar valve, -

1. is the rhythm regular or irregular 2. determine the heart rate 3. do you have p waves before every QRS 4. Measure the PR interval 5. Measure the QRS duration 6. Are there any early or extra beats 7. is there normal r wave progression in V1-V6? 8. Are the ST segments elevated or depressed? 9. Are there any abnormal Q waves? 10.. Are the T waves of normal size? 11. Are there any U waves? 12. Is there evidence of myocardial ischemia, injury, or infarction? 13. Name this EKG.

A 42-year-old obese client with complaints of severe radiating chest pain, tightening in the chest, and dyspnea has received a diagnosis of angina pectoris. He is prescribed nitroglycerin tablets to relieve the pain attacks. During a follow-up visit, the client tells the nurse that the frequency and duration of the attacks have reduced with the use of nitroglycerin tablets, and now he is eager to take necessary precautions. The client is also a heavy smoker.a.    Why would you say that the client has angina pectoris and not myocardial infarction? b.    What instructions should the nurse give the client to prevent further attacks?     11, 12, 132. A 50-year-old stockbroker has recovered from coronary artery bypass grafting (CABG) surgery and is soon to be discharged. He is concerned about possible risks of coronary artery disease (CAD) and wants to lead a healthier lifestyle. What instructions should a nurse give to the client to prevent further CAD?    3. A client is scheduled for an…

Match the type of capillary with the organs/tissue it is found in:   A. kidney, intestine, pineal B. muscles, lungs C. liver, spleen, bone marrow D. brain select A B C D 1. continuous capillary select A B C D 2. continuous, with no gaps, wrapped in glial cells select A B C D 3. fenestrated capillary select A B C D 4. sinusoid capillary

7. Compare and contrast deep vein thrombosis (DVT) and venous thromboembolism (VTE) in the post-operative patient.  Disease  Deep Vein Thrombosis (DVT)  Pulmonary Embolism (PE) Etiology     Pathophysiology     Clinical Manifestations     Complications

One of the reasons, a person during initial stages of atherosclerotic coronary blood vessel may not show any symptoms of cardiac dysfunction because  1. Coronary blood vessels show marked reactive hyperemia. 2. Coronary blood vessels carry large amount oxygen which is not fully used by myocardium 3. The threshold for activation of the pain fibers associated with the Coronary blood vessels does not occur until they are fully compressed by the disease. 4. None of the above is correct

1. is the rhythm regular or irregular 2. determine the heart rate 3. do you have p waves before every QRS 4. Measure the PR interval 5. Measure the QRS duration 6. Are there any early or extra beats 7. is there normal r wave progression in V1-V6? 8. Are the ST segments elevated or depressed? 9. Are there any abnormal Q waves? 10.. Are the T waves of normal size? 11. Are there any U waves? 12. Is there evidence of myocardial ischemia, injury, or infarction? 13. Name this EKG.

1.     Define myocardial infarction. Explain treatment and things you should now do.   2.     Would you give a family member one of your kidneys? Friend? Stranger? Why or why not?