ANCC-CVNC learning - ANCC (RN-BC) Cardiac-Vascular Nursing Updated: 2023
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Exam Code: ANCC-CVNC ANCC (RN-BC) Cardiac-Vascular Nursing learning November 2023 by Killexams.com team|
ANCC-CVNC ANCC (RN-BC) Cardiac-Vascular Nursing
The ANCC Cardiac-Vascular Nursing board certification examination is a competency based examination that provides a valid and reliable assessment of the entry-level clinical knowledge and skills of registered nurses in the cardiac-vascular specialty after initial RN licensure. Once you complete eligibility requirements to take the certification examination and successfully pass the exam, you are awarded the credential: Registered Nurse-Board Certified (RN-BC). This credential is valid for 5 years. You can continue to use this credential by maintaining your license to practice and meeting the renewal requirements in place at the time of your certification renewal. The Accreditation Board for Specialty Nursing Certification accredits this ANCC certification
There are 150 questions on this examination. Of these, 125 are scored questions and 25 are pretest
questions that are not scored. Pretest questions are used to determine how well these questions will
perform before they are used on the scored portion of the examination. The pretest questions cannot
be distinguished from those that will be scored, so it is important for a candidate to answer all
questions. A candidate's score, however, is based solely on the 125 scored questions. Performance on
pretest questions does not affect a candidate's score.
I Assessment and Diagnosis 31 25%
II Planning and Implementation 44 35%
III Evaluation and Modification 28 22%
IV Patient and Community Education 22 18%
TOTAL 125 100%
Assessment and Diagnosis
1. Anatomy and physiology
1. Patient interview (e.g., history, chief complaint, allergies)
2. Cardiac-vascular assessment techniques and tools (e.g., Doppler, stroke scale)
3. Data collection and interpretation (e.g., diagnostic tests, laboratory results)
4. Nursing diagnosis identification and prioritization
II Planning and Implementation
1. Evidence-based practice guidelines (e.g., ACC/AHA guidelines, quality measures)
2. Scope and standards of practice (i.e., cardiovascular nursing, vascular nursing)
3. Legal and ethical considerations (e.g., informed consent, advance directives)
4. Procedures (e.g., angiogram)
5. Surgeries (e.g., coronary artery bypass, carotid endarterectomy)
6. Pharmacologic therapies
7. Non-pharmacologic and complementary therapies
8. Risk-reduction measures (e.g., venous thromboembolism prophylaxis)
1. Care coordination (e.g., interdisciplinary teams, discharge planning)
2. Interventions (e.g., therapeutic hypothermia)
III Evaluation and Modification
1. Expected outcomes
2. Drug interactions (e.g., drug-drug, drug-food)
1. Adverse reactions and events (e.g., heparin-induced thrombocytopenia, hypotension) recognition and treatment
2. Urgent condition (e.g., pseudoaneurysm) recognition and treatment
3. Emergent condition (e.g., STEMI) recognition and treatment
IV Patient and Community Education
1. Cardiac-vascular risk factors (e.g., ethnicity, smoking)
2. Chronic disease management
3. Cardiac-vascular education subjects (e.g., procedures, medications)
4. Self-management strategies (e.g., daily weights, blood pressure logs)
5. Community resources (e.g., cardiac rehabilitation, anticoagulation clinic)
1. Individualized education planning and implementation (e.g., addressing barriers)
2. Home monitoring (e.g., remote telemetry, point-of-care testing)
3. Health promotion (e.g., wellness counseling, health fairs)
|ANCC (RN-BC) Cardiac-Vascular Nursing|
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ANCC (RN-BC) Cardiac-Vascular Nursing
Which of the following sets of drugs might slow the conduction through AV node
and cause second degree heart block?
A. Digoxin, statins, nitrates
B. Procainamide, statins, fibrates
C. Digoxin, beta-blockers, calcium channel blockers
D. Calcium channel blockers, potassium channel openers
Digoxin, beta-blockers, and calcium channel blockers might slow the conduction
through AV node and cause second degree heart block. Pharmacologic agents that
slow conduction through the atrioventricular node have been shown to cause
second-degree atrioventricular block type I. These agents include cardioactive
drugs such as digoxin, beta-blockers, calcium channel blockers, and certain
antiarrhythmia drugs such as sodium channel blockers (procainamide).
A patient who has been diagnosed with aneurysm in femoral artery during routine
screening wants to know about the available treatment options. What the nurse
should explain this patient regarding treatment?
A. No treatment is necessary
B. Follow up every month
C. Immediately undergo surgery
D. Undergo angioplasty if aneurysm starts causing symptom
The nurse should tell this patient that as the aneurysm is located in the extremity
and is asymptomatic, no treatment is necessary. Peripheral aneurysms in the
extremities are typically asymptomatic and do not require treatment due to their
low risk of rupture. Treatment of peripheral aneurysms depends on the presence
of symptoms, the location of the aneurysm, and whether the blood flow through
the artery is blocked.
A patient has been diagnosed with aortic aneurysm of abdominal aorta having a
diameter of 3.5 cm. What advice should the nurse give this patient about follow-
A. Come for follow up every year
B. Come for follow up after 5 years
C. Come for follow up every 2-3 years
D. No need to come for follow up
The nurse should advise the patient with abdominal or thoracic of size 3 to 4 cm
to come for follow up every year. For patients with an abdominal or thoracic
aortic aneurysm with a diameter less than 3 cm without symptoms, follow-up
screening should be conducted within 5 to 10 years. For patients with an aorta of
3 to 4 cm in diameter, follow-up screening should be performed on a yearly basis.
For patients with a diameter of greater than 4 cm, careful follow-up needs to be
performed on a bi-yearly basis. If a patient presents with an aorta with a diameter
greater than 5 cm, surgery is recommended, which would include abdominal or
open chest repair.
The incorrect statement about Buerger"s disease is:
A. Buerger"s disease is a rare disorder
B. Complications of the disease are ulcerations, infections, and gangrene
C. The disease is more common in men than in women
D. Another name for the disease is Raynaud"s disease
The incorrect statement about Buerger"s disease is “Another name for the disease
is Raynaud"s disease”. Another name for Buerger"s disease is Thromboangiitis
obliterans. Symptoms of Buerger"s disease include pain and weakness in
extremities, swelling of hands and feet, Raynaud"s phenomenon, open sores on
Which of the following is true about atherosclerotic plaque formation?
A. Plaque formation is caused by an acute inflammatory response and endothelial
dysfunction where lipids, cholesterol, and calcium build up in the arteries
B. Plaque formation is caused by a chronic inflammatory response and epithelial
injury where lipids, cholesterol, and calcium build up in the arteries
C. Plaque formation is caused by a chronic inflammatory response and
endothelial dysfunction where lipids, cholesterol, and calcium build up in the
D. Plaque formation is caused by an acute inflammatory response and epithelial
injury where lipids, cholesterol, and calcium build up in the arteries
The true statement about “Plaque formation is caused by a chronic inflammatory
response and epithelial injury where lipids, cholesterol, and calcium build up in
the arteries”. Atherosclerotic plaque formation is caused by a chronic
inflammatory response and endothelial dysfunction where lipids, cholesterol,
calcium, and other substances build up in the arteries. There is an imbalance
between deposition of plaque and removal by low-density lipoproteins in smooth
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Technology incorporating artificial intelligence (AI) and electrocardiogram (EKG) testing for patients having a heart attack decreased the time to diagnose and send patients for treatment by almost 10 minutes, according to results of a late-breaking science study conducted in a hospital in Taiwan and presented today at the American Heart Association's Scientific Sessions 2023.
"Modern AI may now be as good as expert cardiologists in diagnosing serious heart attacks," said lead study author Chin-Sheng Lin, M.D., Ph.D., a professor, director of the Medical Technology Education Center and vice dean at the School of Medicine, at the National Defense Medical Center, in Taipei, Taiwan. "Hospitals can use AI tools more to help front-line doctors, especially those with less experience. This could lead to faster treatment and less mistakes when it comes to treating patients who are experiencing heart attacks."
During a heart attack, the heart is deprived of oxygen because the blood flow to the heart is reduced due to a blockage in a coronary artery. This may damage the heart muscle. Timely diagnosis and treatment are critical to restore blood flow and reduce injury to the heart muscle and to increase a person's chance of recovery after a heart attack, according to Systems of Care for ST-Segmentâ€“Elevation Myocardial Infarction: A Policy Statement From the American Heart Association.
EKG testing is a non-invasive diagnostic tool that shows the heart's electrical activity. It can also reveal if the cardiac episode is a more serious type of heart attack referred to as ST-elevation myocardial infarction or STEMI, which occurs when a coronary artery is completely blocked. A STEMI often warrants a trip to a cardiac catheterization lab for procedures to open blockages such as coronary angioplasty, or stenting.
The trial involved more than 43,000 patients seen either in the emergency department or as inpatients at the largest military hospital in Taiwan, Tri-Service General Hospital, between May 2022 and April 2023.
The patients were almost equally divided into two groups: an intervention group, which included the AI-enabled EKG testing; and a control group, which received standard care with a health professional interpreting EKG results to determine if cardiac catheterization was needed. All patients who were diagnosed with STEMI had procedures in the cardiac catheterization lab to determine the size and location of the blockage.
The trial findings included:
"The difference in diagnosing STEMI in the ER wasn't as great between the two groups, however, the improved accuracy for diagnosis in hospitalized patients was astonishing," said Lin, who is also the director of medical education, a physician educator and a cardiologist at Tri-Service General Hospital, where the research was conducted. "This tells us that there's a lot we can do to Boost how we diagnose STEMI in hospitalized patients."
"Due to the accurate AI revolution, the accuracy of clinical decision support systems has improved significantly and doctors are becoming more trusting of this technology," he said. "Using low-cost tech tools can be valuable in everyday medical work. In the future, we might see more of these tech tools being used in new ways, like in ambulances or on wearable devices, which could change how we care for patients with STEMI."
Study background and details:
The study's limitations include that it did not track long-term results, and the number of people studied might have been too small to see long-term outcomes. Additionally, because the study was done in just one hospital in Taiwan, the findings might not apply to other hospitals with different clinical processes.
More information: Alice K. Jacobs et al, Systems of Care for ST-Segmentâ€“Elevation Myocardial Infarction: A Policy Statement From the American Heart Association, Circulation (2021). DOI: 10.1161/CIR.0000000000001025
Citation: Artificial intelligence may speed heart attack diagnosis and treatment (2023, November 13) retrieved 17 November 2023 from https://medicalxpress.com/news/2023-11-artificial-intelligence-heart-diagnosis-treatment.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
Q: Why did you go into this career?
A: While I was in my rotations, I was shadowing an Interventional cardiologist, and I was able to witness the immediate impact a cardiac procedure had on a patient.
I saw him take a patient that was critically ill and may have been on deathâ€™s door and relieve them of that blockage within minutes.
Observing that case has left a significant impact on me since my early 20s.
After that day, I knew cardiology was the field for me as I wanted to perform that life-saving treatment for my patients.
Q: What services do you provide?
A: General cardiology, which includes consultations on arrhythmia, vascular disorders and chest pain.
Testing related to general cardiology, such as EKGs, Holter monitors, nuclear medicine studies, echocardiograms and transesophageal echocardiograms.
I also can perform a variety of Interventional cardiology procedures such as place and remove loop recorders, and place temporary pacemakers, catheterizations, stenting and ballooning in various vessels throughout the body, from the neck to the toes.
In addition, structural cardiology incorporating TAVR, PFO closures and ASD closures.
Q: What makes this area of medicine fulfilling for you?
A: The follow-up appointments with the patients are a beautiful thing.
For example, a patient might come in during an emergency, but they end up leaving better than they have felt in a year.
For me, that is very fulfilling because I am not just making an impact at that moment, it is something that is longer lasting.
Also, in those follow-up appointments, I create a relationship with the patient.
It is so rewarding because I see my patients grow, get better and get healthier.
It is such a humbling experience for me.
Q: What is the latest advancement in your field that will benefit patients?
A: The field of cardiology is constantly expanding and growing.
New treatments and medications are continuously evolving.
One particular advancement that stands out is the Transcatheter aortic valve replacement (TAVR).
Patients with aortic stenosis, which is a severe narrowing of the aortic valve, are now able to get treatment when previously they may not have even been able to have surgery prior to this new treatment option.
Q: Best advice for current and potential patients?
A: Be active!
For as much medicine and treatments that are out there, nothing helps the body more than being active.
So, increase the amount of time you spend upright doing activities rather than sitting.
The human body is not designed to sit all day long, it needs movement to get the heart pumping to all the blood vessels and organs.
Get to Know Your Health Pro
Name: Wesley A. Romney, MD, FACP
Where are you based: Steward Medical Group â€” Cardiology, 240 N. Wickham Road., Suite 202, Melbourne, FL 32935
Contact: (321) 541-1746, Providers.steward.org
Melbourne Regional Medical Center, 250 N. Wickham Road, Melbourne, FL 32935
Fellowship: Baylor, Scott, and White/Texas A&M, Round Rock, TX; Coney Island Hospital, Brooklyn, NY
Residency: Coney Island Hospital, Brooklyn, NY
Medical School: St. Georgeâ€™s University School of Medicine, True Blue, Grenada
University: University of Miami, Coral Gables, FL
This article originally appeared on Florida Today: Steward Medical's Dr. Wesley A. Romney loves fixing peoples' hearts
Health Firstâ€™s Heart & Vascular Program among elite heart bypass surgery in U.S. and Canada
BREVARD COUNTY, FLORIDA â€“ Health Firstâ€™s Heart & Vascular Program has received a prestigiousÂ Â 3-star overall isolated CABG recognitionÂ from the Society of Thoracic Surgeons. The honor recognizes Health Firstâ€™sÂ patient care and outcomes relative to isolated coronary artery bypass grafting (CABG) procedures.
The three-star rating, which denotes the highest category of quality, places Health Firstâ€™s Heart & Vascular Program among the elite for heart bypass surgery in the United States and Canada.
The STS star rating system is one of the most sophisticated and highly regarded overall measures of quality in health care, rating the benchmarked outcomes of cardiothoracic surgery programs across the United States and Canada. The star rating is calculated using a combination of quality measures for specific procedures performed by an STS Adult Cardiac Surgery Database participant.
â€śOur patients and their loved ones put their utmost trust in the skill, knowledge and hands of their surgical team, and when cardiac surgery of any form is advised, we want them to be comfortable and confident that they will receive the very best care,â€ť said Matthew Campbell, MD, chief cardiothoracic surgeon.
â€śA coronary artery bypass grafting surgery is a highly complex procedure, and so this honor certainly reaffirms to our patients that this team has met the highest levels of excellence.â€ť
â€śThis is a tremendous honor for the entire Heart and Vascular team at Health First, highlighting our commitment to quality and patient outcomes,â€ť addedÂ Seiichi Noda, MD, cardiothoracic surgeon. â€śThis 3-star rating is a true testament to high level of expertise, care and service our team and the Heart & Vascular program at Health First have built.â€ť
According to the National Heart, Lung and Blood Institute within the National Institutes of Health (NIH)Â Coronary artery bypass grafting (CABG), also called heart bypass surgery, is a medical procedure to Boost blood flow to the heart. It may be needed when the arteries supplying blood to the heart, called coronary arteries, are narrowed or blocked.
Surgeons may recommend the surgery to either lower your risk of a heart attack if one is suffering fromÂ coronary heart disease, or in an emergency situation â€“ to treat a severe heart attack.
CABG uses healthy blood vessels from another part of the body and connects them to blood vessels above and below the blocked artery. This creates a new route for blood to flow that bypasses the narrowed or blocked coronary arteries. The blood vessels are usually arteries from the arm or chest, or veins from the legs.
Approximately 20 percent of participants receive a three-star rating for isolated CABG surgery. The latest analysis of data for CABG surgery covers a 3-year period.
â€śThe Society of Thoracic Surgeons congratulates STS National Database participants who have received three-star ratings,â€ť said David M. Shahian, MD, chair of the Task Force on Quality Measurement. â€śParticipation in the Database and public reporting demonstrates a commitment to quality improvement in health care delivery and helps provide patients and their families with meaningful information to help them make informed decisions about health care.â€ť
The STS National Database was established in 1989 as an initiative for quality improvement and patient safety among cardiothoracic surgeons. The Database includes four components: the Adult Cardiac Surgery Database (ACSD), the Congenital Heart Surgery Database (CHSD), the General Thoracic Surgery Database (GTSD), and the mechanical circulatory support database (Intermacs).
The STS ACSD houses approximately 6.9 million surgical records and gathers information from more than 3,800 participating physicians, including surgeons and anesthesiologists from more than 90% of groups that perform heart surgery in the US. STS public reporting online enables STS ACSD participants to voluntarily report to each other and the public their heart surgery scores and star ratings.
(MENAFN- The Peninsula) QNA
Doha, Qatar: Hamad Medical Corporations (HMC) Heart Hospital has achieved remarkable success in treating heart attack patients in record time. The average time from the arrival of a heart attack patient to the emergency department at the Heart Hospital to opening the blocked artery via catheterization is just 46 minutes, surpassing the global standard of 90 minutes for this therapeutic procedure.
Dr. Nidal Asaad, CEO and Medical Director of HMCs Heart Hospital, explained that the prompt medical intervention in managing heart attack cases is crucial in saving patients lives. "The faster we provide treatment after a heart attack, the better the patient's chances of recovery. Conversely, the longer the time between the occurrence of a heart attack and medical intervention, the higher the likelihood of complications, potentially leading to death," said Dr. Nidal.Read Also
"A heart attack occurs due to a sudden blockage in the blood flow to the heart, resulting in damage or weakening of the heart muscle, rendering it unable to function properly. Upon receiving the patient in the emergency department at the Heart Hospital, a cardiac catheterization is performed for critical and urgent cases requiring rapid intervention, which are transferred to the hospital through the Ambulance Service. The procedure is performed by our highly trained teams equipped with the necessary expertise and facilities to handle complex cases according to international standards," explained Dr. Asaad.
"The Heart Hospital offers rapid access to care for cardiac catheterization cases and has one of the best recorded times in this field in medical institutions worldwide. The ambulance team sends the ECG data to the Heart Hospital, and once the diagnosis is confirmed, the cardiac catheterization team is activated, and the catheterization room is prepared to receive the patient immediately upon arrival. In some of the most complex cases, the catheterization, intensive care, anesthesia, and cardiac surgery teams are all ready and awaiting the patient before his arrival," added Dr. Asaad.
The multidisciplinary teams dedicated to caring for heart attack patients at HMC provide the safest, most effective, and compassionate healthcare services for these patients. The team comprises paramedics, cardiologists, practicing physicians, emergency medical service professionals, emergency department team members, radiology professionals, cardiac care ward members, nursing staff specializing in cardiac care, and allied health professionals. Treatment plans are tailored to each patient's specific needs. Last year, our teams performed approximately 1,100 emergency cardiac catheterizations for critical and urgent cases requiring rapid intervention. This service continued uninterrupted throughout the COVID-19 pandemic in the past years.
Dr. Omar Al Tamimi, Senior Consultant Cardiologist at HMC's Heart Hospital, emphasized that heart attacks are among the leading causes of death in Qatar and cautioned about their symptoms, stating: "Symptoms of a heart attack typically include a sharp pain and tightness in the chest, pain in the arms and jaw, and sometimes the upper back, accompanied by shortness of breath and dizziness. These symptoms can serve as warning signs, with variations depending on the patient's health, gender, age, and type of heart condition."
Dr. Al Tamimi advised: "If you experience symptoms of a heart attack or are with someone you suspect may be experiencing these symptoms, do not hesitate to call 999 immediately to request an ambulance."
Hamad Medical Corporation has made significant strides in improving the care provided to heart patients in accurate years. The Corporation remains committed to further advancements in this field through public education on the significance of maintaining heart health, raising awareness, and preventing heart attacks by promoting a healthy lifestyle. The aim is to help individuals identify conditions that make them more vulnerable to heart diseases.
Dr. Al Tamimi highlighted chronic conditions and habits that increase the risk of heart attacks, including high blood pressure, diabetes, high cholesterol levels, obesity, a sedentary lifestyle, and smoking. "It is crucial for individuals to ascertain whether their condition falls within the high-risk category for heart problems through regular cardiac examinations. Diabetes, smoking, high blood pressure, obesity, and inactivity are all factors contributing to heart disease. Adult diabetic patients face a two to four times greater risk of heart problems compared to non-diabetic patients," said Dr. Al Tamimi.
Dr. Al Tamimi mentioned that making certain lifestyle changes, such as adopting a balanced diet, exercising regularly, and refraining from smoking can help reduce the risk of developing heart and artery diseases.
Heart diseases are the leading cause of death globally over the past twenty years, especially as the percentage of deaths from heart and vascular diseases is about 33 percent, which accounts for nearly 19 million deaths annually, according to the World Heart Federation.
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